한국판 자살생각척도(K-BSI)의 타당화 연구
Validation for the Beck Scale for Suicide Ideation with Korean University Students
2
조회
0
다운로드
75
인용
0
참고문헌
키워드
초록
한국에서 자살률의 급증은 심각한 사회문제로 대두되고 있다. 본 연구는 자살생각의 정도와 양상을 평가할 수 있는 도구인 자살생각척도(Beck Scale for Suicide Ideation, 이하 BSI)를 한국어로 번안하고 대학생을 대상으로 이를 타당화한 것이다. BSI는 자살생각과 계획의 강도, 기간 및 구체성을 측정한다. 이 척도는 전문가에 의해 실시되는 반구조화된 면접형식으로 제작된 자살생각척도(Scale for Suicide Ideation; Beck, Kovacs, & Weissman, 1979)를 이후에 Beck, Steer와 Ranieri(1988)가 자기보고형식으로 수정한 것이다. 본 연구에서는 대학생 1,248명을 대상으로 설문을 실시하여, 그 중에 자살생각을 하는 것으로 분류된 177명의 자료를 바탕으로 BSI의 신뢰도와 타당도를 검증하였다. 한국판 자살생각척도(K-BSI)의 내적 일관성 지수는 .74로 양호하게 나타났고, 다른 검사들과의 상관분석결과, 자살행동척도(SBQ-R) 및 자살행동척도의 자살생각을 측정하는 문항들과의 상관이 비교적 높게 나타났으며, 과거의 자살시도, 자해, 우울증 척도 및 절망감 척도와 유의한 상관을 보였다. 주축요인분석과 사각회적을 사용한 요인분석 결과, 2요인이 확인되었고 ‘적극적인 자살생각’과 ‘자살에 대한 양가적 태도’ 차원으로 명명하였다. 끝으로 본 연구의 제한점과 필요한 후속연구에 대해 논의하였다.
Abstract
The increasing suicide rate is a serious social problem in Korea. This study aimed to verify the reliability and validity for the Korean version of the Beck Scale for Suicide Ideation (Beck, Steer, & Ranieri, 1988) with university students. The BSI measures the intensity, duration, and specificity of suicidal ideation and plans; it is a self-report version of the Scale for Suicide Ideation (Beck, Kovacs, & Weissman, 1979). We administered the Korean version of the BSI (K-BSI) to 1,248 students, and 177 reported suicidal ideation. Within the sample of 177, K-BSI scores were positively correlated with suicide-related behaviors and with scores on the Suicidal Behavior Questionnaire-Revised (Osman, et al., 2001), Center for Epidemiologic Studies Depression Scale (Radloff, 1977), and Beck Hopelessness Scale (Beck, Weissman, Lester, & Trexler, 1974). Principle Axis factor analysis with promax rotation identified “ambivalence of suicide” and “active suicide ideation” dimensions. Finally, we discussed this study's limitations and implications for future research.
참고문헌 (50)
- 노명선, "대학생들의 자살관련행동에 관한 연구", 신경정신의학, 46(1), pp.35~40 (2007), 대한신경정신의학회
- 박광배, "고등학생의 대학입시목표와 자살생각", 한국심리학회지:임상, 9(1), pp.20~32 (1990)
- 손정남, "대학생의 자살생각 관련 요인에 대한 판별분석", 정신간호학회지, 16(3), pp.267~275 (2007), 정신간호학회
- 신민섭, "고등학생의 자살성향에 관한 연구", 한국심리학회지:임상, 9(1), pp.1~19 (1990)
- 양병화, "다변량 자료분석의 이해와 활용" (1998), 학지사
- 이경진, "청소년 자살 고위험 집단의 심리적 특성", 한국심리학회지: 상담 및 심리치료, 16(4), pp.667~685 (2004), 한국상담심리학회
- 이혜선, "자살관련행동의 명명과 분류", 한국심리학회지:일반, 27(2), pp.331~349 (2008), 한국심리학회
- 전겸구, "통합적 한국판 CES-D 개발", 한국심리학회지: 건강, 1, pp.59~76 (2001)
- 정은영, "자살행동관련 변인의 탐색", 석사, pp.2006
- 조성진, "중ㆍ고등학교 청소년의 자살사고 및 자살시도의 유병률과 자살시도의 위험요인에 관한 연구", 신경정신의학, 41(6), pp.1142~1152 (2002), 대한신경정신의학회
- 하정희, "대학생들의 자살생각에 영향을 미치는 요인들: 스트레스, 대처방식, 완벽주의, 우울, 충동성의 구조적 관계모형 검증", 한국심리학회지: 상담 및 심리치료, 20(4), pp.1149~1171 (2008), 한국상담심리학회
- 홍세희, "구조방정식 모형", S & M 리서치 그룹, ~ (2008)
- 통계청, "2008년도 사망원인 통계결과", ~ (2009)
- Ayub,N, "Validation of the Urdu translation of the Beck Scale for Suicide Ideation", Assessment, 15, pp.287~293 (2008)
- Barrios, L. C., "Suicide ideation among U.S. college students", Journal of American College Health, 48(5), pp.229~233 (2000)
- Beck, A. T., "Psychometric characteristics of the scale for suicide ideation with psychiatric outpatients", Behavioral Research and Therapy, 35, pp.1039~1046 (1997)
- Beck, A. T., "Classification and nomenclature", pp.7~12 (1972), Washington, DC: U.S. Government Printing Office
- Beck, A. T., "Assessment of suicidal intention: The scale for suicide ideation", Journal of Consulting and Clinical Psychology, 47(2), pp.343~352 (1979)
- Beck, A. T., "Development of suicidal intent scales" (1974), Bowie, MD: Charles Press
- Beck, A. T., "Manual for Beck Scale for Suicide Ideation" (1991), San Antonio, TX: Psychological corporation
- Beck, A. T., "Scale for Suicide Ideation: psychometric properties of a self-report version", Journal of Clinical Psychology, 44, pp.499~505 (1988)
- Beck, A. T., "The measurement of pessimism: the hopelessness scale", Journal of Consulting and Clinical Psychology, 42(6), pp.861~865 (1974)
- Berman, A., "Adolescent suicide: Assessment and intervention" (2006), Washington, DC: American Psychological Association
- Bjerke, T., "Self-reported suicidal thoughts and suicide attempts among university students", Nordisk Psykologi, 44, pp.144~151 (1992)
- Chioqueta, A. P., "Psychometric properties of the Beck Scale for Suicide Ideation: A Norwegian study with university students", Nordic Journal of Psychiatry, 60, pp.400~404 (2006)
- Cull, J. G., "Suicide Probability Scale Manual" (1988), Los Angeles: Western Psychological Services
- De Man, A. F., "A French-Canadian adaptation of the Scale for Suicide Ideation", Canadian Journal of Behavioral Science, 19, pp.50~55 (1987)
- Department of Health, "Safety First: Five Year Report of the National Confidence Enquiry into Suicide and Homicide by People with Mental Illness" (2001), London: HMSO
- Drake, R. E., "Depression, hopelessness and suicide in chronic schizophrenia", The British Journal of Psychiatry, 148, pp.554~559 (1986)
- Fawcett,J.A, "Predictors of early suicide identification and appropriate intervention", Journal of Clinical Psychiatry, 49(10), pp.7~8 (1988)
- Goldstein, R. B., "The prediction of suicide: Sensitivity, specificity, and predictive value of a multivariate model applied to suicide among 1,906 patients with affective disorders", 48, pp.418~422 (1991)
- Goldston,D, "Measuring suicidal behaviors and risk among children and adolescents" (2003), Washington, DC: American Psychological Association
- Holden, R. R., "Factor analysis of the Beck Scale for Suicide Ideation with female suicide attempters", Assessment, 12(2), pp.231~238 (2005)
- Holden, R. R., "Relationship of response set to observed suicide intent", Canadian Journal of Behavioural Science, 17, pp.359~368 (1985)
- Ivanoff, A., "The role of hopelessness and social desirability in predicting suicidal behavior: A study of prison inmates", Journal of Consulting and Clinical Psychology, 59, pp.394~399 (1991)
- Jamison,K.R, "Night Falls Fast" (1999), New York: Random House
- Kaplan, M. L., "Suicide assessment: Clinical interview vs. self-report", Journal of Clinical Psychology, 50, pp.294~298 (1994)
- Kuo, W., "Incidence of Suicide ideation and attempts in adults: The 13-year follow-up of a community samples in Baltimore", Maryland Psychological Medicine, 31, pp.1181~1191 (2001)
- Meehan, P. J., "Attempted suicide among young adults: Progress toward a meaningful estimate of prevalence", American Journal of Psychiatry, 149, pp.41~44 (1992)
- Miller, I. W., "The Modified Scale for Suicide Ideation: Reliability and validity", Journal of Consulting and Clinical Psychology, 54, pp.724~725 (1986)
- O'Carroll, P. W., "Beyond the Tower of Babel: A Nomenclature for Suicidology", Suicide and Life-Threatening Behavior, 26(3), pp.237~252 (1996)
- Osman, A., "Suicide Behavior Questionnaire-Revised(SBQ-R): Validation with clinical and nonclinical samples", Assessment, 8(4), pp.443~454 (2001)
- Range, K. M., "Twenty suicide assessment instruments: evaluation and recommendations", Death Studies, 21, pp.25~58 (1997)
- Radloff, L. S, "CES-D Scale: A self-report depression scale for research in the general population", Journal of Applied Psychological Measures, 1(3), pp.385~401 (1977)
- Ranieri, W. F., "Relationship of depression, hopelessness, and dysfunctional attitudes to suicide ideation in psychiatric patients", Psychological Reports, 61, pp.967~975 (1987)
- Reynolds,W.M, "Adult Suicidal Ideation Questionnaire" (1991), Odessa, FL: Psychological Assessment Resources
- Rudd,M.D, "The prevalence of suicide ideation among college student", Suicide and Life-Threatening Behavior, 19(2), pp.173~183 (1989)
- Shneidman, E. S., "The Psychology of Suicide" (1976), New York: Aronson
- Silverman, M. M., "Rebuilding the tower of Babel: A revised nomenclature for the study of suicide and suicide behaviors. Part II. suicide related ideations, communication, and behaviors", Suicide and Life-Threatening Behavior, 37, pp.264~277 (2007)
- Steer, R. A., "Dimensions of suicidal ideation in psychiatric inpatients", Behaviour Research and Therapy, 31(2), pp.229~236 (1993)