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Development and validation of a Cancer Patient Suicidal Ideation Scale

    Xue-Lei Fu

    Nantong University Medical School, Nantong, Jiangsu, 226001, China

    ‡Authors contributed equally

    Search for more papers by this author

    ,
    Yan-Li Wu

    Nantong University Medical School, Nantong, Jiangsu, 226001, China

    Department of Medical Oncology, Affiliated Tumor Hospital of Nantong University, Nantong, Jiangsu, 226631, China

    ‡Authors contributed equally

    Search for more papers by this author

    ,
    Wan-Qing Zhang

    Nantong University Medical School, Nantong, Jiangsu, 226001, China

    ,
    Wen Tang

    Nantong University Medical School, Nantong, Jiangsu, 226001, China

    ,
    Hua Wu

    Nantong University Medical School, Nantong, Jiangsu, 226001, China

    &
    Hong-Lin Chen

    *Author for correspondence: Tel.: +86 513 8501 2905;

    E-mail Address: honglinyjs@126.com

    School of Public Health, Nantong University, Nantong, Jiangsu, 226019, China

    Published Online:https://doi.org/10.2217/fon-2022-1077

    Aim: To develop a Cancer Patient Suicidal Ideation Scale (CAPASIS) and test its reliability and validity. Patients & methods: An initial CAPASIS was developed. Clinical assessment was conducted using an adjusted initial scale with 239 cancer patients for item reduction and 253 for scale validation. Results: Item selection analyses resulted in 22 items. The revised model fits were acceptable (normal chi-square [χ2/df] = 1.919; standardized root mean residual  = 0.057; root mean square error of approximation = 0.060; goodness fit index = 0.882; adjusted goodness fit index [AGFI] = 0.844; Tucker–Lewis index = 0.898; comparative fit index  = 0.915; incremental fit index  = 0.917). The Cronbach's alpha coefficient was 0.911. Conclusion: The CAPASIS has good validity and reliability, with a six-factor structure of ‘entrapment’, ‘defeat', ‘isolation', ‘hopelessness', ‘burdensomeness' and ‘humiliation', which can help identify patients with suicidal ideation.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

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