Evidence map›Paper›PMID 30284599›Full record

ArticleSocial psychiatry and psychiatric epidemiology2019

Psychometric validation of the self-identification of having a mental illness (SELF-I) scale and the relationship with stigma and help-seeking among young people.

Sara Evans-Lacko, Susanne Stolzenburg, Petra C Gronholm, Wagner Ribeiro, Marianna York-Smith, Georg Schomerus

Abstract readValidation Study
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
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  4. Strategies to Reduce Mental Illness Stigma: Perspectives of People with Lived Experience and Caregivers.International journal of environmental research and public health · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sara Evans-LackoPersonal Social Services Research Unit, London School of Economics and Political Science, Houghton Street, London, WC2A 2AE, UK. s.evans-lacko@lse.ac.uk.ORCID http://orcid.org/0000-0003-4691-2630
Susanne StolzenburgDepartment of Psychiatry, Universitätsmedizin Greifswald, Ellernholzstr. 2, 17475, Greifswald, Germany.
Petra C GronholmPersonal Social Services Research Unit, London School of Economics and Political Science, Houghton Street, London, WC2A 2AE, UK.
Wagner RibeiroPersonal Social Services Research Unit, London School of Economics and Political Science, Houghton Street, London, WC2A 2AE, UK.
Marianna York-SmithPersonal Social Services Research Unit, London School of Economics and Political Science, Houghton Street, London, WC2A 2AE, UK.
Georg SchomerusDepartment of Psychiatry, Universitätsmedizin Greifswald, Ellernholzstr. 2, 17475, Greifswald, Germany.

Funding

European Research Council 337673FP7 Ideas: European Research Council 337673
6 · The paper itself

Abstract

purposeSelf-identification of having a mental illness has been shown to be an important factor underpinning help-seeking behaviour and may mediate the relationship between personal stigma and mental health service use. This study validates a new scale for the self-identification of having a mental illness among a non-clinical, community cohort of young people in the UK.

methodsFollowing consultation with a group of young person experts with experience of mental health problems, we evaluated the psychometric properties of the self-identification of mental illness scale (SELF-I) among 423 young people aged 13-24 years who are part of an ongoing prospective community cohort. We performed test retest reliability among a subset of 53 participants. Psychometric validation for the scale used measures of Cronbach's alpha and Pearson's correlation coefficient. Item performance was assessed along and in relation with each covariate.

resultsThe SELF-I demonstrated robust psychometric properties including high test-retest reliability (0.95) and good internal consistency (0.87 as determined by the Cronbach's alpha). The inter-total correlations for each item, which ranged from 0.62 to 0.74, supported keeping all items in the scale. Reporting greater psychiatric symptomatology via the SDQ (β: 0.82 95% confidence interval 0.40, 1.23), psychotic-like experiences (β: 0.37 95% confidence interval 0.14, 0.59), and use of mental health services (β: 0.92 95% confidence interval 0.71, 1.13) were associated with a greater self-perception as having a mental illness (p < 0.05), providing evidence of convergent validity. As expected, we found that less intended stigmatising behaviour was associated with greater self-perceptions of having a mental illness (B: 0.18, 95% CI 0.07, 0.28).

conclusionsThe SELF-I scale provides a method to gather insight into how young people, who may not identify as service users, perceive their own mental state and potential risk for developing a mental illness. This can be important for understanding perceived need for help and likelihood of using services among those with mental health problems.

Indexed as

Diagnostic Self EvaluationSocial StigmaAdolescentFemaleHumansMaleMental DisordersMental Health ServicesPatient Acceptance of Health CareProspective StudiesPsychiatric Status Rating ScalesPsychometricsReproducibility of ResultsStereotypingYoung AdultAdolescenceLay understandingMental disorderMental healthScalesStereotypeStigmaYouth

Identifiers

PMID30284599
PMCPMC6336739

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.