Evidence map›Paper›PMID 39807560›Full record

ArticlePalliative & supportive care2025

SAHD-10: Development and initial validation of a short version of the Schedule of Attitudes Toward Hastened Death based on a large multinational sample.

Kerstin Kremeike, Kathleen Boström, Thomas Dojan, Cristina Monforte-Royo, Barry Rosenfeld, Raymond Voltz, Christian Rietz, Julia Strupp

Erratum issuedAbstract read
In one paragraph

Article in Palliative & supportive care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Kerstin KremeikeDepartment of Palliative Medicine, Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany.ORCID 0000-0003-4316-2379
Kathleen BoströmDepartment of Palliative Medicine, Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany.
Thomas DojanDepartment of Palliative Medicine, Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany.
Cristina Monforte-RoyoDepartment of Nursing, Faculty of Medicine and Health Science, Universitat Internacional de Catalunya, Barcelona, Spain.
Barry RosenfeldDepartment of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, USA.
Raymond VoltzDepartment of Palliative Medicine, Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany.
Christian RietzFaculty of Educational and Social Sciences, Department of Educational Science, University of Education Heidelberg, Heidelberg, Germany.
Julia StruppDepartment of Palliative Medicine, Faculty of Medicine and University Hospital, University of Cologne, Cologne, Germany.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

objectivesWishes to hasten death (WTHDs) are common in patients with serious illness. The Schedule of Attitudes Toward Hastened Death (SAHD) is a validated 20-item instrument for measuring WTHD. Two short versions have also been developed based on statistical item selection. However, all existing versions show some limitations with potential for improvement. This study aims to develop and initially validate a theory-driven and statistically sound SAHD short version based on a large multinational sample to advance the WTHD assessment in different countries and with different legislations.

methodsA 3-step procedure was carried out including (1) theory-driven item selection, (2) exploratory, and (3) confirmatory factor analysis. We used a data set collected between 1998 and 2020 across 3 different countries (Germany, Spain, USA). Participants were

resultsThe exploratory factor analysis revealed that 10 of 11 items previously selected theory-driven loaded on either of 2 factors: (1) WTHD and (2) internal locus of control. These factors showed good to excellent reliability according to Cronbach's α and McDonald's Ω, as well as an excellent fit of our data as an overall model for the total sample. SIGNIFICANCE OF

resultsThe developed SAHD-10 represents a reliable and valid alternative to the SAHD and an efficient means to measure and further investigate a WTHD in cross-cultural clinical and research settings.

Indexed as

Attitude to DeathPsychometricsAdultAgedAged, 80 and overFactor Analysis, StatisticalFemaleGermanyHumansMaleMiddle AgedReproducibility of ResultsSpainSurveys and QuestionnairesUnited StatesDesire to dieneoplasmspalliative CareSAHDsurveys and questionnaireswish to hasten death

Identifiers

PMID39807560
PMCPMC13166292

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.