Psychometric properties and factor structure of the suicidal narrative inventory in major depression: A multicentric evaluation.

Attempted suicide Risk assessment Suicidal narrative Suicide Ideation Suicide attempt Suicide crisis syndrome

Journal

Asian journal of psychiatry
ISSN: 1876-2026
Titre abrégé: Asian J Psychiatr
Pays: Netherlands
ID NLM: 101517820

Informations de publication

Date de publication:
08 Mar 2024
Historique:
received: 28 01 2024
revised: 27 02 2024
accepted: 07 03 2024
medline: 17 3 2024
pubmed: 17 3 2024
entrez: 16 3 2024
Statut: aheadofprint

Résumé

The Suicidal Narrative Inventory (SNI) is a 38-item self-report measure developed to assess elements of the suicidal narrative, a subacute, predominantly cognitive, presuicidal construct. Our objectives were to assess the factor structure, validity, and reliability of the SNI-38 among adults with major depressive disorder (MDD). Using a cross-sectional design, we administered the Hindi version of the SNI along with other self-report measures to adults with MDD, recruited from 24 tertiary care hospitals across India. Confirmatory factor analysis (CFA) was performed to assess the factor structure of SNI-38. Reliability (internal consistency) was assessed using Cronbach's alpha (α). Convergent, discriminant, and criterion validity of the SNI-38 were tested by comparing it against other appropriate measures. We collected usable responses from 654 Hindi-speaking participants (Mean age = 36.9 ± 11.9 years, 50.2% female). The eight-factor solution of the SNI showed good model fit indices (χ2[637] = 3345.58, p <.001, CFI =.98, and RMSEA =.08). Internal consistencies for the SNI subscale scores were good to excellent, α ranging from .73 to.92. While most subscales significantly converged with other measures, associations were comparatively weaker and inconsistent for the 'thwarted belongingness' and 'goal reengagement' subscales. Consistent with prior data, our study confirmed an eight-factor solution and demonstrated adequate psychometric properties for the Hindi version of the SNI-38 in our sample. These findings provide empirical support for the use of SNI to assess the suicidal narrative among Indian adults with MDD.

Sections du résumé

BACKGROUND BACKGROUND
The Suicidal Narrative Inventory (SNI) is a 38-item self-report measure developed to assess elements of the suicidal narrative, a subacute, predominantly cognitive, presuicidal construct. Our objectives were to assess the factor structure, validity, and reliability of the SNI-38 among adults with major depressive disorder (MDD).
METHODS METHODS
Using a cross-sectional design, we administered the Hindi version of the SNI along with other self-report measures to adults with MDD, recruited from 24 tertiary care hospitals across India. Confirmatory factor analysis (CFA) was performed to assess the factor structure of SNI-38. Reliability (internal consistency) was assessed using Cronbach's alpha (α). Convergent, discriminant, and criterion validity of the SNI-38 were tested by comparing it against other appropriate measures.
RESULTS RESULTS
We collected usable responses from 654 Hindi-speaking participants (Mean age = 36.9 ± 11.9 years, 50.2% female). The eight-factor solution of the SNI showed good model fit indices (χ2[637] = 3345.58, p <.001, CFI =.98, and RMSEA =.08). Internal consistencies for the SNI subscale scores were good to excellent, α ranging from .73 to.92. While most subscales significantly converged with other measures, associations were comparatively weaker and inconsistent for the 'thwarted belongingness' and 'goal reengagement' subscales.
CONCLUSION CONCLUSIONS
Consistent with prior data, our study confirmed an eight-factor solution and demonstrated adequate psychometric properties for the Hindi version of the SNI-38 in our sample. These findings provide empirical support for the use of SNI to assess the suicidal narrative among Indian adults with MDD.

Identifiants

pubmed: 38492443
pii: S1876-2018(24)00095-9
doi: 10.1016/j.ajp.2024.104002
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

104002

Informations de copyright

Copyright © 2024 Elsevier B.V. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of Competing Interest The authors have no conflicts to declare with regard to the contents of this manuscript.

Auteurs

Vikas Menon (V)

Dept of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry 605006, India. Electronic address: drvmenon@gmail.com.

Ilambaridhi Balasubramanian (I)

Dept of Psychiatry, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry 605006, India.

Megan L Rogers (ML)

Dept of Psychology, Texas State University, TX 78666-4684, USA.

Sandeep Grover (S)

Dept of Psychiatry, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh-160012, India.

Bhavesh Lakdawala (B)

Dept of Psychiatry, Narendra Modi Medical College, Ahmedabad 380006, India.

Rajeev Ranjan (R)

Dept of Psychiatry, All India Institute of Medical Sciences (AIIMS), Patna 801507, India.

Sujit Sarkhel (S)

Dept of Psychiatry, Institute of Psychiatry, Kolkata 700025, India.

Naresh Nebhinani (N)

Dept of Psychiatry, All India Institute of Medical Sciences (AIIMS), Jodhpur 342005, India.

Roy Abraham Kallivayalil (RA)

Dept of Psychiatry, Pushpagiri Institute of Medical Sciences and Research Centre, Thiruvalla, Kerala 689101, India.

Vijaya Raghavan (V)

Dept of Psychiatry, Schizophrenia Research Foundation (SCARF), Chennai 600101, India.

Kshirod Kumar Mishra (KK)

Dept of Psychiatry, Mahatma Gandhi Institute of Medical Science (MGIMS), Sevagram, Maharashtra 442102, India.

Jitender Aneja (J)

Dept of Psychiatry, All India Institute of Medical Sciences (AIIMS), Bhatinda, Punjab 151001, India.

Niteen Abhivant (N)

Dept of Psychiatry, Byramjee Jeejeebhoy Government Medical College and Sassoon General Hospitals, Pune 411011, India.

Raman Deep (R)

Dept of Psychiatry, All India Institute of Medical Sciences (AIIMS), Delhi 110029, India.

Lokesh Kumar Singh (LK)

Dept of Psychiatry, All India Institute of Medical Sciences (AIIMS), Raipur, Chhattisgarh 492009, India.

Avinash De Sousa (A)

Dept of Psychiatry, Lokmanya Tilak Municipal Medical College (LTMMC), Mumbai 400022, India.

Arvind Nongpiur (A)

Dept of Psychiatry, North Eastern Indira Gandhi Regional Institute of Health and Medical Sciences (NEIGRIHMS), Shillong, Meghalaya 793018, India.

Alka A Subramanyam (AA)

Dept of Psychiatry, Topiwala National Medical College (TNMC) and Bai Yamunabai Laxman (BYL) Nair Medical College, Mumbai 400008, India.

Debadatta Mohapatra (D)

Dept of Psychiatry, All India Institute of Medical Sciences (AIIMS), Bhubaneswar, Odisha 751019, India.

Sujita Kumar Kar (SK)

Dept of Psychiatry, King George's Medical University (KGMU), Lucknow, Uttar Pradesh 226003, India.

Vishal Dhiman (V)

Dept of Psychiatry, All India Institute of Medical Sciences (AIIMS), Rishikesh, Uttarakhand 249203, India.

Pn Suresh Kumar (PS)

Dept of Psychiatry, Iqraa International Hospital and Research Center, Calicut, Kerala 673009, India.

Umesh Shreekantiah (U)

Dept of Psychiatry, Central Institute of Psychiatry (CIP), Ranchi, Jharkhand 834006, India.

Samrat Singh Bhandari (SS)

Dept of Psychiatry, Sikkim Manipal Institute of Medical Sciences (SMIMS), Sikkim Manipal University, Tadong, Gangtok, Sikkim 737102, India.

Ramdas Ransing (R)

Dept of Psychiatry, All India Institute of Medical Sciences (AIIMS), Guwahati, Assam 781101, India.

Vikhram Ramasubramanian (V)

Dept of Psychiatry, Ahana Hospitals, Madurai, Tamil Nadu 625020, India.

Samir Kumar Praharaj (SK)

Dept of Psychiatry, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.

Classifications MeSH