The Multi-dimensional Assessment of Suicide Risk in Chronic illness-20 (MASC-20): Development and validation
DC Field | Value | Language |
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dc.contributor.author | Shim, Eun-Jung | - |
dc.contributor.author | Ha, Hyeju | - |
dc.contributor.author | Kim, Bo-ram | - |
dc.contributor.author | Kim, Sun Mi | - |
dc.contributor.author | Moon, Jung Yoon | - |
dc.contributor.author | Hwang, Jin Ho | - |
dc.contributor.author | Hahm, Bong-Jin | - |
dc.date.accessioned | 2024-01-09T14:31:23Z | - |
dc.date.available | 2024-01-09T14:31:23Z | - |
dc.date.issued | 2023-07 | - |
dc.identifier.issn | 0163-8343 | - |
dc.identifier.issn | 1873-7714 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/70419 | - |
dc.description.abstract | Background: We developed and tested the psychometric properties of the Multi-dimensional assessment of suicide risk in chronic illness-20 (MASC-20), which assess suicidal behavior (SB), and its associated distress in chronic physical illness (CPI). Methods: Items were developed by incorporating inputs from patient interviews, a review of existing instruments, and expert consultations. Pilot testing with 109 patients and field testing with 367 patients with renal, cardiovascular, and cerebrovascular diseases were conducted. We analyzed Time (T) 1 data to select items and T2 data to examine psychometric properties. Results: Forty preliminary items were selected through pilot testing; 20 were finalized from field testing. Optimal internal consistency (α = 0.94) and test-retest reliability (Intra class correlation coefficient = 0.92) of the MASC-20 supported reliability. Good fit of the four-factor model (physical distress, psychological distress, social distress, and SB) from exploratory structural equation modeling demonstrated factorial validity. Its correlations with MINI suicidality (r = 0.59) and the Schedule of Attitudes Toward Hastened Death-abbreviated scores (r = 0.62) indicated convergent validity. Higher MASC-20 scores in patients with clinical levels of depression and anxiety and low health status demonstrated known-group validity. The MASC-20 distress score predicted SB beyond known SB risk factors, supporting incremental validity. A cutoff score of 16 was optimal for identifying suicide risk. The area under the curve was within a moderately accurate range. The sum of sensitivity and specificity (1.66) indicated diagnostic utility. Limitations: MASC-20's applicability to other patient populations and its sensitivity to change requires testing. Conclusions: The MASC-20 appears to be a reliable and valid tool for assessing SB in CPI. © 2023 | - |
dc.format.extent | 8 | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | Elsevier Inc. | - |
dc.title | The Multi-dimensional Assessment of Suicide Risk in Chronic illness-20 (MASC-20): Development and validation | - |
dc.type | Article | - |
dc.identifier.doi | 10.1016/j.genhosppsych.2023.03.016 | - |
dc.identifier.bibliographicCitation | General Hospital Psychiatry, v.83, pp 140 - 147 | - |
dc.description.isOpenAccess | N | - |
dc.identifier.wosid | 001007565000001 | - |
dc.identifier.scopusid | 2-s2.0-85159141135 | - |
dc.citation.endPage | 147 | - |
dc.citation.startPage | 140 | - |
dc.citation.title | General Hospital Psychiatry | - |
dc.citation.volume | 83 | - |
dc.type.docType | Article | - |
dc.publisher.location | 미국 | - |
dc.subject.keywordAuthor | Assessment | - |
dc.subject.keywordAuthor | Chronic physical illness | - |
dc.subject.keywordAuthor | Distress | - |
dc.subject.keywordAuthor | Psychometrics | - |
dc.subject.keywordAuthor | Screening | - |
dc.subject.keywordAuthor | Suicidal behavior | - |
dc.subject.keywordPlus | PHYSICAL ILLNESS | - |
dc.subject.keywordPlus | MEASURING-DESIRE | - |
dc.subject.keywordPlus | POPULATION | - |
dc.subject.keywordPlus | DEPRESSION | - |
dc.subject.keywordPlus | BEHAVIORS | - |
dc.subject.keywordPlus | ATTITUDES | - |
dc.subject.keywordPlus | SCHEDULE | - |
dc.subject.keywordPlus | DISORDER | - |
dc.subject.keywordPlus | VALIDITY | - |
dc.subject.keywordPlus | FEMALES | - |
dc.relation.journalResearchArea | Psychiatry | - |
dc.relation.journalWebOfScienceCategory | Psychiatry | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | ssci | - |
dc.description.journalRegisteredClass | scopus | - |
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