Abstract. Background: Regulation of suicidal thoughts may be defined as a person's beliefs about their capacity to control affective and cognitive processes related to suicide. The inability to regulate suicidal thoughts is related to persistent suicidal thoughts, intentions, attempts, and suicide. Aims: The purpose of this study was to validate a scale that counselors could use to assess chat visitors' capacity to regulate suicidal thoughts. Method: The validity and reliability of the Regulation of Suicidal Thoughts Scale (RSTS) was evaluated using two different samples ( n = 1,162, n = 241). Results: All items correlated with the theoretical construct regulation of suicidal thoughts, and the structural model showed the RSTS predicted perceived certainty to attempt suicide. Construct and criterion validity were inferred from a decrease in visitors' ability to control their thoughts of suicide from pre-chat to post-chat (Cohen's d = 91). Greater regulation in thoughts was also related to less certainty to attempt suicide. Limitations: Additional evidence is needed to validate the RSTS, especially among diverse populations. Conclusion: Counselors could use RSTS pre-chat scores to match counseling skills with specific affective and cognitive processes related to visitors' suicidal thoughts.
Abstract. Background: The self-report measures used in evaluations of the Applied Suicide Intervention Skills Training (ASIST) program have tended not to detect an improvement in a broad range of suicide counseling skills from pre- to posttraining or among trainees with better skills at pretraining. Aims: The purpose of this study was to develop and validate the Suicide Counseling Skills Inventory (SCSI), which included ten brief counselor–client scenarios and three counselor responses to each scenario. Method: Data were collected from several samples to develop and evaluate the SCSI. Trainee scores were subtracted from criterion expert scores to create discrepancy scores. Results: The SCSI detected an improvement in skills from pre- to posttraining across samples, including among trainees with better skills at pretraining. Internal consistency and test–retest reliability were good. Limitations: The results may not generalize across different training models. Conclusion: Trainee scores were more like expert scores at posttraining. The SCSI may be useful in evaluating suicide counseling competency.
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