Validation of the psychometric properties of the scale of resilience to suicide attempts among adolescents in Mainland China

BackgroundSuicide resilience has garnered increasing attention from researchers due to its potential role in suicide prevention. In 2021, Sánchez-Teruel et al. developed a tool to assess the resilience levels of individuals with a history of suicide attempts. The Scale of Resilience to Suicide Attem...

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Main Authors: Li Zhu, Wenqian Cheng, Yaoyao Huang, Siying Xin, Wan Shu, Xiaoning Wang, Jinsheng Zhang, Mei Li, QunFang Miao
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-04-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1543425/full
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author Li Zhu
Wenqian Cheng
Yaoyao Huang
Siying Xin
Wan Shu
Xiaoning Wang
Jinsheng Zhang
Mei Li
QunFang Miao
author_facet Li Zhu
Wenqian Cheng
Yaoyao Huang
Siying Xin
Wan Shu
Xiaoning Wang
Jinsheng Zhang
Mei Li
QunFang Miao
author_sort Li Zhu
collection DOAJ
description BackgroundSuicide resilience has garnered increasing attention from researchers due to its potential role in suicide prevention. In 2021, Sánchez-Teruel et al. developed a tool to assess the resilience levels of individuals with a history of suicide attempts. The Scale of Resilience to Suicide Attempts (SRSA) is composed of 18 items across three dimensions: internal protection, emotional stability, and external protection. While the scale has shown robust psychometric properties in Spanish-speaking populations, cultural differences call for a revalidation of its psychometric characteristics among suicide attempters in Mainland China.ObjectiveThis study aims to translate and adapt the SRSA into Chinese, and to evaluate its psychometric properties in adolescents who have attempted suicide in Mainland China.MethodsFollowing Brislin’s translation model, a survey was conducted using purposive sampling on 393 adolescents who had attempted suicide at the Hangzhou Normal University Affiliated Hospital and the Affiliated Mental Health Center of Zhejiang University School of Medicine. An expert panel evaluated the content validity. The scale’s structural validity was assessed through exploratory factor analysis and confirmatory factor analysis, along with measurement invariance. Additionally, tests for convergent validity, discriminant validity, and criterion-related validity were conducted. Reliability was evaluated using Cronbach’s alpha coefficient, McDonald’s omega, test-retest reliability, and split-half reliability.ResultsThe Chinese version of the SRSA comprises three dimensions and 16 items. The item-level content validity index for all items ranged from 0.88 to 1.00, while the Scale-Level Content Validity Index was 0.97. The three common factors explained a cumulative variance of 59.339%. Confirmatory factor analysis demonstrated a good model fit. The Cronbach’s alpha coefficient for the entire scale was 0.908, and McDonald’s omega was 0.910, with individual dimension Cronbach’s alpha values ranging from 0.780 to 0.869 and McDonald’s omega ranging from 0.859 to 0.910.ConclusionThe Chinese version of the SRSA is a valid and reliable tool for assessing the resilience levels of adolescents who have attempted suicide in Mainland China.
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spelling doaj-art-d8a8ea78549746dab365974cacaa02692025-08-20T02:15:40ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-04-011610.3389/fpsyt.2025.15434251543425Validation of the psychometric properties of the scale of resilience to suicide attempts among adolescents in Mainland ChinaLi Zhu0Wenqian Cheng1Yaoyao Huang2Siying Xin3Wan Shu4Xiaoning Wang5Jinsheng Zhang6Mei Li7QunFang Miao8School of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaSchool of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaClinical Medicine, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaSchool of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaSchool of Nursing, Naval Medical University, Shanghai, ChinaSchool of Nursing, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaAffiliated Mental Health Center, Zhejiang University School of Medicine, Hangzhou, Zhejiang, ChinaMental Health Education and Counseling Center, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaClinical Medicine, Hangzhou Normal University, Hangzhou, Zhejiang, ChinaBackgroundSuicide resilience has garnered increasing attention from researchers due to its potential role in suicide prevention. In 2021, Sánchez-Teruel et al. developed a tool to assess the resilience levels of individuals with a history of suicide attempts. The Scale of Resilience to Suicide Attempts (SRSA) is composed of 18 items across three dimensions: internal protection, emotional stability, and external protection. While the scale has shown robust psychometric properties in Spanish-speaking populations, cultural differences call for a revalidation of its psychometric characteristics among suicide attempters in Mainland China.ObjectiveThis study aims to translate and adapt the SRSA into Chinese, and to evaluate its psychometric properties in adolescents who have attempted suicide in Mainland China.MethodsFollowing Brislin’s translation model, a survey was conducted using purposive sampling on 393 adolescents who had attempted suicide at the Hangzhou Normal University Affiliated Hospital and the Affiliated Mental Health Center of Zhejiang University School of Medicine. An expert panel evaluated the content validity. The scale’s structural validity was assessed through exploratory factor analysis and confirmatory factor analysis, along with measurement invariance. Additionally, tests for convergent validity, discriminant validity, and criterion-related validity were conducted. Reliability was evaluated using Cronbach’s alpha coefficient, McDonald’s omega, test-retest reliability, and split-half reliability.ResultsThe Chinese version of the SRSA comprises three dimensions and 16 items. The item-level content validity index for all items ranged from 0.88 to 1.00, while the Scale-Level Content Validity Index was 0.97. The three common factors explained a cumulative variance of 59.339%. Confirmatory factor analysis demonstrated a good model fit. The Cronbach’s alpha coefficient for the entire scale was 0.908, and McDonald’s omega was 0.910, with individual dimension Cronbach’s alpha values ranging from 0.780 to 0.869 and McDonald’s omega ranging from 0.859 to 0.910.ConclusionThe Chinese version of the SRSA is a valid and reliable tool for assessing the resilience levels of adolescents who have attempted suicide in Mainland China.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1543425/fulladolescentresiliencesuicidevalidationChinese
spellingShingle Li Zhu
Wenqian Cheng
Yaoyao Huang
Siying Xin
Wan Shu
Xiaoning Wang
Jinsheng Zhang
Mei Li
QunFang Miao
Validation of the psychometric properties of the scale of resilience to suicide attempts among adolescents in Mainland China
Frontiers in Psychiatry
adolescent
resilience
suicide
validation
Chinese
title Validation of the psychometric properties of the scale of resilience to suicide attempts among adolescents in Mainland China
title_full Validation of the psychometric properties of the scale of resilience to suicide attempts among adolescents in Mainland China
title_fullStr Validation of the psychometric properties of the scale of resilience to suicide attempts among adolescents in Mainland China
title_full_unstemmed Validation of the psychometric properties of the scale of resilience to suicide attempts among adolescents in Mainland China
title_short Validation of the psychometric properties of the scale of resilience to suicide attempts among adolescents in Mainland China
title_sort validation of the psychometric properties of the scale of resilience to suicide attempts among adolescents in mainland china
topic adolescent
resilience
suicide
validation
Chinese
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1543425/full
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