Beck Hopelessness Scale: Psychometric Properties Among Rural Chinese Suicide Attempters and Non-Attempters

Zhang, Wenchao; Jia, Cun-Xian; Hu, Xia; Qiu, Hui-Min; Liu, Xian-Chen

doi:10.1080/07481187.2014.970300

Cited by 25 publications

(28 citation statements)

References 24 publications

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“…A higher score indicates higher level of hopelessness and a higher suicide risk. It’s a good instrument with good validity and reliability for suicide attempters in rural China (Zhang et al, 2015), with a Cronbach reliability alpha of 0.93 in this study.…”

Section: Methodsmentioning

confidence: 66%

Who are likely to attempt suicide again? A comparative study between the first and multiple timers

Liu

Zhang

Sun

2017

Comprehensive Psychiatry

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Background Various explanations account for suicide incidents, and some patients continue to attempt afterwards and others never again. The suicide mortality rate increases with the number of serious attempts. The prevention of secondary attempt of suicide should be an important approach to reduce suicide mortality. However, the characteristics of the targeted population of repeated suicide attempters are understudied. Methods This was a cross-sectional data collection from hospital emergency room from patients who had either attempted suicide for the first time (n=721) or for two or more times (n=70). The subjects were between 14–53 years old and comprised 293 males and 498 females. In-depth interview was conducted for each suicide attempter with a semi-structural protocol. Demographic and social-psychological characteristics were compared between the two groups of suicide attempters. Logistic regression was used to identify independent predictors of multiple attempts. Findings The two groups only differed in religion factor among demographic characteristics and multiple suicide attempters group have a higher percentage of subjects who reported to have a religion affiliation than first time suicide attempters. Multiple attempters were more likely to have family suicide history, physical illness, mental disorder, higher scores on Beck Hopelessness Scale (BHS) and Suicide Intent Scale (SIS) and lower scores on Duke Social Support Scale (DSSI). In the final regression model, family history of suicide, mental disorder, hopelessness and social support emerged as significant predictors of multiple suicide attempts. Conclusion Suicide attempters that have mental disorder, family history of suicide, higher level of hopelessness and lower level of social support are more likely to re-attempt suicide again. Social and clinical interventions may have to also focus on this sub-group of patients with these characteristics to effectively reduce suicide mortality rate.

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Section: Methodsmentioning

confidence: 66%

Who are likely to attempt suicide again? A comparative study between the first and multiple timers

Liu

Zhang

Sun

2017

Comprehensive Psychiatry

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“…Beck Hopelessness Scale (BHS): Twenty self‐report items measure hopelessness using binary (“yes”/“no”) responses, giving total scores ranging from 0 to 20. Total scores of 0 to 3 reflect “minimal,” 4 to 8 “mild,” 9 to 14 “moderate,” and above 14 “severe” hopelessness.…”

Section: Methodsmentioning

confidence: 99%

“…It contains 24 items using a five-point scoring method, ranging from "strong disagreement" to "strong agreement". 14 Beck Hopelessness Scale (BHS) 16 : Twenty self-report items measure hopelessness using binary ("yes"/"no") responses, giving total scores ranging from 0 to 20. Total scores of 0 to 3 reflect "minimal," The Medical Coping Modes Questionnaire (MCMQ) 19 is used to assess the coping modes of patients after diagnosis, including confrontation (eight items), avoidance (seven items), and resignation (five items), in accordance with the basic reactions of people who face danger.…”

Section: Assessmentsmentioning

confidence: 99%

The differences and the relationship between demoralization and depression in Chinese cancer patients

Tang

Pang³

2020

Psycho-Oncology

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Background Both demoralization and depression are common forms of psychological distress in cancer patients. This study aimed to investigate the severity of demoralization in Chinese cancer patients and to explore the factors influencing depression and demoralization and their effects on quality of life to better understand the differences and the relationship between demoralization and depression. Methods Cross‐sectional study design, in‐patients sequentially recruited from a tertiary‐level cancer hospital in Beijing between January 2016 and April 2016 completed Mandarin version of Demoralization Scale (DS‐MV), Patient Health Questionnaire‐9 (PHQ‐9), Revised Life Orientation Test (CLOT‐R), Beck Hopelessness Scale (BHS), and the 12‐items Short Form Health Survey, version 2 (SF‐12 V2) and provided socio‐demographic and clinical information. Results 296/424 (70.0%) of patients completed questionnaires. The mean score of DS is 30.4 (SD = 13.0). There are 28% (83/296) patients who experienced a low level of depression but a high level of demoralization. Resignation medical coping method (b = 0.279, P < .001), hopelessness (b = 0.492, P < .001), positive life orientation (b = −0.170, P < .001), and education level (b = −0.132, P < .001) were found to be predictors of demoralization, while only resignation medical coping method (b = 0.373, P < .001) and hopelessness (b = 0.350, P < .001) were found to be predictors of depression. Depression is a mediator between demoralization and physical aspects of quality of life (γ = −0.1604, LLCI = −0.244, ULCI = −0.080). Conclusion Demoralization is a prevalent psychiatric problem in Chinese cancer patients, and a large proportion of patients had low depression but high demoralization. Therefore, screening for demoralization in Chinese oncology practice is essential. A positive life orientation was found to be protective against demoralization.

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“…Used as a criterion-related validation instrument in the current study, the estimate of internal consistency of the BHS score for the study sample was adequate (Cronbach's alpha = .898). Based on the original scale, an earlier study modified the response format of the BHS [38] from yes/no to a 5-point Likert-type scale ranging from 1 (strongly agree) to 5 (strongly disagree). This form of response scaling is more suitable for Chinese respondents.…”

Section: The Beck Hopelessness Scale (Bhs)mentioning

confidence: 99%

Meaning in life as a protective factor against suicidal tendencies in Chinese University students

et al. 2020

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Background: A substantial increase in rates of suicide worldwide, especially among late adolescents and young adults, has been observed. It is important to identify specific risk and protective factors for suicide-related behaviors among late adolescents and young adults. Identifying specific factors across the masses, not only in the Western, but also in the Asian context, helps researchers develop empirically informed intervention methods for the management of protective and risk factors of suicide.Methods: In the current study, 2074 students (706 males), filled out the Meaning in Life Questionnaire, with subscales of Search for Meaning (MLQ-S) and Presence of Meaning (MLQ-P); the Future Disposition Inventory-24 (FDI-24), with subscales of Positive Focus (PF), Suicide Orientation (SO), and Negative Focus (NF); and the Beck Hopelessness Scale (BHS). These scales measure protective and risk factors that are linked to suicidal behaviors; while suicidal behaviors were measured by the Suicidal Behaviors Questionnaire-Revised (SBQ-R). Mediation analyses were performed to test the models with both the MLQ-S and MLQ-P as the mediators between a) hopelessness, as measured by BHS and suicidal behaviors; and b) PF, SO, and NF, as measured by FDI-24, and suicidal behaviors. Results: We found that only MLQ-P mediated the relation between hopelessness and suicidal behaviors; while both MLQ-P and MLQ-S mediated PF, SO, and NF (as measured by FDI-24), and suicidal behaviors, respectively. Conclusion: Meaning in life, including both the presence of meaning in life and search for meaning, can be good protective factors against suicidal behaviors.

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Beck Hopelessness Scale: Psychometric Properties Among Rural Chinese Suicide Attempters and Non-Attempters

Cited by 25 publications

References 24 publications

Who are likely to attempt suicide again? A comparative study between the first and multiple timers

Who are likely to attempt suicide again? A comparative study between the first and multiple timers

The differences and the relationship between demoralization and depression in Chinese cancer patients

Meaning in life as a protective factor against suicidal tendencies in Chinese University students

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