Evidence map›Paper›PMID 40552901›Full record

ArticleClinical psychology & psychotherapy

Psychometric Evaluation of the Revised Suicide Crisis Inventory (SCI-2) in Germany: Factor Structure, Reliability, and Validity in an Online and Outpatient Sample.

Laura Melzer, Carola Claus, Nelia Posen, Thomas Forkmann, Megan L Rogers, Tobias Teismann

Abstract read
In one paragraph

Article in Clinical psychology & psychotherapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Laura MelzerMental Health Research and Treatment Center, Ruhr-Universität Bochum, Bochum, Germany.ORCID https://orcid.org/0000-0001-5721-5297
Carola ClausMental Health Research and Treatment Center, Ruhr-Universität Bochum, Bochum, Germany.ORCID https://orcid.org/0009-0001-6079-6632
Nelia PosenMental Health Research and Treatment Center, Ruhr-Universität Bochum, Bochum, Germany.
Thomas ForkmannDepartment of Clinical Psychology and Psychotherapy, University of Duisburg-Essen, Essen, Germany.ORCID https://orcid.org/0000-0001-9942-2016
Megan L RogersDepartment of Psychology, Texas State University, San Marcos, Texas, USA.ORCID https://orcid.org/0000-0002-4969-7035
Tobias TeismannMental Health Research and Treatment Center, Ruhr-Universität Bochum, Bochum, Germany.ORCID https://orcid.org/0000-0002-6498-7356

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe suicide crisis syndrome (SCS) is considered a cognitive and affective state preceding a suicide attempt. Previous studies have demonstrated its predictive validity and have shown it to be a uniform disorder entity in various countries worldwide; however, research in Europe remains limited. The aim of this study was therefore to contribute to a cross-cultural perspective on the SCS and to examine its factor structure, reliability, and validity in Germany.

methodsData of N = 1157 participants were collected between October 2022 and December 2024 cross-sectionally from a German adult outpatient sample (n = 586; 65% female; age: M[SD] = 36.31[12.80], range: 18-68) and a German adult online sample (n = 571; 74% female; age: M[SD] = 24.69[7.20], range: 18-67). Participants completed the German version of the revised 61-item Suicide Crisis Inventory (SCI-2-G) and other instruments (e.g., SIBS, BDI-II, and DASS) to measure convergent and concurrent criterion validity. Statistical analyses included confirmatory factor analyses (CFAs) to confirm the proposed factors (entrapment, affective disturbance, loss of cognitive control, hyperarousal, and social withdrawal).

resultsThe SCI-2-G total score demonstrated excellent internal consistency, good convergent, and moderate concurrent criterion validity in relation to stress, depression, anxiety, suicidal ideation, and lifetime suicide attempts. The CFA showed good model fit for the online sample and adequate-to-good fit for the outpatient sample, with the five-factor model consistently outperforming the one-factor model.

conclusionCFA yielded adequate-to-good model fit depending on the sample. Analyses indicate that the SCI-2 is a valid measurement tool in Germany. The five-factor solution is suggested to have higher clinical utility than a one-factor solution, as it reflects the current formulation of the proposed SCS diagnosis. Future studies should expand the cross-cultural perspective with longitudinal studies across diverse clinical and nonclinical samples. SUMMARY: First validation of the German revised version Suicide Crisis Inventory (SCI-2-G). Confirmatory factor analyses support the five-factor solution of the scale. Good scale properties for an online and outpatient sample in Germany.

Indexed as

Psychiatric Status Rating ScalesSuicidal IdeationSuicide, AttemptedAdolescentAdultAgedCross-Cultural ComparisonCross-Sectional StudiesFactor Analysis, StatisticalFemaleGermanyHumansMaleMiddle AgedOutpatientsPsychometricspsychometric evaluationsuicide crisis syndromesuicide risk assessment

Identifiers

PMID40552901
PMCPMC12186597

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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.