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J Korean Acad Psychiatr Ment Health Nurs > Volume 28(4); 2019 > Article
Journal of Korean Academy of psychiatric and Mental Health Nursing 2019;28(4):382-392.
DOI: https://doi.org/10.12934/jkpmhn.2019.28.4.382    Published online January 13, 2020.
Validity and Reliability of the Attitudes Towards Suicide (ATTS) Scale for Korean Adults.
Sunah Kim, Jin Young Park, Soo Jung Lee, Ran Keum, Go Un Kim
1Professor, College of Nursing · Mo-Im Kim Nursing Research Institute, Yonsei University, Seoul, Korea.
2Doctoral Student, College of Nursing, Yonsei University, Seoul, Korea. kgudfc@naver.com
3Assistance Professor, Department of Nursing, Kyungnam University, Changwon, Korea.
4Professor, Department of Nursing, Baekseok Culture University, Cheonan, Korea.
The aims of this study was to verify the validity and reliability of the Attitudes Towards Suicide (ATTS) scale for Korean adults. METHODS: Participants were 441 adults in South Korea, who completed in a self-reported online survey of ATTS. A total of 37 items were used for conducting item analyses, exploratory factor analyses, and confirmatory factor analyses, as well as examining the internal consistency. RESULTS: Based on findings of item reduction and exploratory factor analyses, three factors were identified based on 16 items, such as ‘acceptability (7 items)‘, ‘understandability (5 items)‘, and ‘tabooing (4 items)‘. These factors accounted for 49.4% of the total variance of ATTS. Known-groups, item convergent, and item discriminant validity were confirmed; Fitness of the modified mode was acceptable (χ²=375.51, CFI=.84, TLI=.81, GFI=.90, AGFI=.87, RMSEA=.08). The Cronbach's α coefficient for the 16 items was .82. CONCLUSION: Three factors of the short version of ATTS may be useful to evaluate the suicidal attitudes of Korean adults effectively and accurately. Our study findings suggest that suicide attitude questionaries need to be constantly revised to consider socio-cultural environment.
Key Words: Attitude to death; Suicide; Validation study; Surveys and questionnaires


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