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. 2010 Sep;66(9):941-64.
doi: 10.1002/jclp.20717.

Assessing suicide risk among callers to crisis hotlines: a confirmatory factor analysis

Tracy K Witte  1 , Madelyn S Gould, Jimmie Lou Harris Munfakh, Marjorie Kleinman, Thomas E Joiner Jr, John Kalafat
Affiliations

Assessing suicide risk among callers to crisis hotlines: a confirmatory factor analysis

Tracy K Witte et al. J Clin Psychol. 2010 Sep.

Abstract

Our goal was to investigate the factor structure of a risk assessment tool utilized by suicide hotlines and to determine the predictive validity of the obtained factors in predicting subsequent suicidal behavior. We conducted an Exploratory Factor Analysis (EFA), an EFA in a Confirmatory Factor Analysis (EFA/CFA) framework, and a CFA on independent subsamples derived from a total sample of 1,085. Similar to previous studies, we found consistent evidence for a two-factor solution, with one factor representing a more pernicious form of suicide risk (i.e., Resolved Plans and Preparations; RPP) and one factor representing milder suicidal ideation (i.e., Suicidal Desire and Ideation; SDI). The RPP factor trended toward being more predictive of suicidal ideation at follow-up than the SDI factor.

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Figure 1
Figure 1
Sample 3 (N = 380) Structural Equations Model with standardized loadings predicting suicidal ideation and suicide attempts at Time 2.
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