Open Access, Peer-reviewed
eISSN 2093-758X
    J Korean Acad Nurs. 2016 Feb;46(1):59-68. Korean.
    Published online Feb 29, 2016.
    https://doi.org/10.4040/jkan.2016.46.1.59
    © 2016 Korean Society of Nursing Science
    Original Article

    Development of a Korean Geriatric Suicidal Risk Scale (KGSRS)

    Sang Ju Lee,1 and Jung Soon Kim2
      • 1Department of Nursing, Dong-eui Institute of Technology, Busan, Korea.
      • 2College of Nursing, Pusan National University, Busan, Korea.
    • Address reprint requests to: Lee, Sang Ju. Department of Nursing, Dong-eui Institute of Technology, 54 Yangji-ro, Busanjin-gu, Busan 47230, Korea. Tel: +82-51-860-3282, Fax: +82-51-860-3484, Email: sangju01@dit.ac.kr
    Received April 21, 2015; Revised May 04, 2015; Accepted October 16, 2015.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution NoDerivs License. (http://creativecommons.org/licenses/by-nd/4.0/) If the original work is properly cited and retained without any modification or reproduction, it can be used and re-distributed in any format and medium.

    Abstract

    Purpose

    Increase in suicide rate for senior citizens which has become widespread in our society today. It is not a normal social phenomenon and is beyond the danger level. The contents of this study include Korean senior citizens' suicide related risk factors and warning signs, and the development of a simple Geriatric Suicide Risk Scale.

    Methods

    This study is Methodological Research to verify reliability and validity of the Geriatric Suicide Risk Scale according to the tool development process suggested by Devellis (2012).

    Results

    For predictive validity assessment, high suicide screening accuracy was showed with an Area under the ROC curve (AUC) of .93. For the optimal cutoff point of 11, sensitivity was 93.9%, and specificity, 75.7% which are excellence levels. Cross validity for assessment of generalization possibility showed the Area under the ROC curve (AUC) as .82 and in case of a cutoff point of 11, sensitivity was 73.7%, and specificity, 65.9%.

    Conclusion

    When it comes to practical nursing, it is significant that the Korean Geriatric Suicide Risk Scale has high reliability and validity through adequate tool development and the tool assessment step to select degree of suicide risk of senior citizens. Also, it can be easily applied and does not take a long time to administer. Further, it can be used by health care personnel or the general public.

    Keywords
    Suicide; Aged; Instruments

    Tables

    Table 1
    Selected Variables for Items Construction

    Table 2
    Validity and Classification in Cut-off Point (Evaluation group) (N=202)

    Table 3
    ROC Curve and Cut-off Point by Demographic Characteristic (Evaluation group) (N=202)

    Table 4
    Validity and Classification in Cut-off Point (Test group) (N=110)

    Table 5
    ROC Curve and Cut-off Point by Demographic Characteristic (Test group) (N=110)

    Notes

    This manuscript is a condensed form of the first author's doctoral dissertation from Pusan National University.

    CONFLICTS OF INTEREST:The authors declared no conflict of interest.

    Appendix 1

    Korean Geriatric Suicide Risk Scale: KGSRS

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    MeSH Terms
    Geriatric Assessment*
    Aged
    Aged, 80 and over
    Area Under Curve
    Delivery of Health Care
    Female
    Humans
    Interviews as Topic
    Male
    ROC Curve
    Republic of Korea
    Risk Factors
    Suicide/prevention & control*
    Surveys and Questionnaires
    Metrics
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