Factor Structure and Validity of the K6 Scale for Adults With Suicidal Ideation

Ko, Jungyai; Harrington, Donna

doi:10.1086/685033

Cited by 12 publications

(10 citation statements)

References 39 publications

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“…Social work education prepares social workers for roles in health care through an educational focus that addresses the ways in which social and environmental contexts affect well-being-a perspective in which a full array of biopsychosocial factors is viewed as causally related to health (Andrews et al, 2013;Coulton, 1981). Typically, social workers in health care are trained to use assessment and diagnostic tools, such as the Physical Health Questionnaire (Kroenke & Spitzer, 2002) and the Scale for Adults with Suicidal Ideation (Ko & Harrington, 2016). Additionally, the preparation of social workers for roles in health care includes classroom and field education-the defining pedagogy of the professionin year-long internships in health and behavioral health settings (McCabe & Sullivan, 2015;Powell, Proctor, & Glass, 2014;Wayne, Bogo, & Raskin, 2010).…”

Section: Social Work In Integrated Carementioning

confidence: 99%

Integrated Primary Care and Social Work: A Systematic Review

Fraser

Lombardi

et al. 2018

Journal of the Society for Social Work and Research

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Behavioral and physical health services are increasingly being integrated, with care provided by interprofessional teams of physicians, nurses, social workers, and other professionals. The objective of this study was to describe the functions of social workers on interprofessional teams in primary care and to assess the impact of interprofessional teams that include social workers in integrated care settings. Method: We undertook a systematic review of randomized controlled trials (RCTs) of routine vs. integrated primary care where social workers served on interprofessional teams. A 5-phase search process to identify RCTs from 9 electronic databases and the gray literature published between 2000 and 2016 was used. We calculated effect sizes across identified studies and conducted 2 subsample metaanalyses for behavioral health outcomes. Results: The searches recovered 502 citations. After screening, 107 reports were retained for a full-text review, and 32 of those (from 26 RCTs) met study criteria. In the 26 RCTs, social workers engaged in 3 patient-centered activities: behavioral health treatment, care management, and referral for social services. Conclusion: Although mixed, the findings suggest that, compared to routine services, integrated primary care provided by interprofessional teams that include social workers significantly improves the behavioral health and care of patients.

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Section: Social Work In Integrated Carementioning

confidence: 99%

Integrated Primary Care and Social Work: A Systematic Review

Fraser

Lombardi

et al. 2018

Journal of the Society for Social Work and Research

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“…Arnaud, Malet, Teissedre, Izaute, et al [38] reported that threshold scores were 10 for the K6 (sensitivity: 0.92; specificity: 0.62), Cronbach's α 0.76, correlations 0.83 with the Hospital Anxiety and Depression Scale (HADS) scores and 0.51 with the Hamilton Depression Rating Scale (HDRS) scores in patients with alcohol-related disorders. There have been reports of factor analyses with two factors [35,[39][40], and a single factor [41][42][43][44]. Green‚ Gruber‚ Sampson‚ Zaslavsky, et al [43] found that there is a need to add of indexes of behavior disorders to the K6 to screen sufficiently for serious emotional disturbance in American adolescents.…”

Section: Discussionmentioning

confidence: 99%

The Kessler Psychological Distress Scale (K6) as a Screening Instrument: a Study of Iranian University Students

N¹

2018

Ann Depress Anxiety

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The Kessler Psychological Distress Scale (K6) provides a brief diagnostic measure for psychological distress. The aim of the present study was to study the validity and usefulness of the K6 as a screening instrument for psychiatric problems in a non-clinical sample of Iranian university students. A convenience sample of 157 Iranian volunteer students was selected from the Medical School in the Iran University of Medical Sciences. The students completed the K6 Scale and the Symptom Checklist 90 Revised (SCL-90-R). The mean score for the K6 was 9.39 (SD=5.48). Cronbach's α was 0.87. K6 scores correlated 0.62 with the SCL-90-R Anxiety score (ANX), and 0.77 with the Depression score (DEP). K6 items loaded on a single factor labeled: Psychological Distress. The K6, therefore, had adequate psychometric properties and appears to be useful for screening non-clinical samples for the presence of psychiatric problems.

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“…Whether a person experienced a major depressive episode (MDE) in the past year was based on Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition; DSM - IV ) criteria, 32 evaluated by the respondents’ responses to the interview questions (1 = yes , 2 = no ). Six items from the Kessler 6 (K6) scale measured nonspecific psychological distress during the past month, 33 with higher scores indicating a higher frequency of experiencing the symptom (0 = none of the time , 1 = a little of the time , 2 = some of the time , 3 = most of the time , 4 = all of the time ). Cronbach’s α for the current sample was .904, and its validity for adults with suicidal ideation was presented in a previous study.…”

Section: Methodsmentioning

confidence: 99%

“…The logic of how the groups were created, based on the integrated model, is presented in Figure 1, and variables used to create these groups representing help-seeking stages are provided in Table 2 as well as a previous study that tested this model. 33…”

Section: Methodsmentioning

confidence: 99%

“…Cronbach’s α for the current sample was .904, and its validity for adults with suicidal ideation was presented in a previous study. 33 The 8 items of the abbreviated World Health Organization Disability Assessment Schedule (WHODAS) were used to measure functional impairment (0 = no difficulty , 1 = mild difficulty , 2 = moderate difficulty , 3 = severe difficulty ). 34 The WHODAS has been validated among various populations including adults with mental disorders 35,36 and demonstrated good reliability for the current sample (Cronbach’s α = .927).…”

Section: Methodsmentioning

confidence: 99%

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Preventing Suicide Among Working-Age Adults: The Correlates of Help-Seeking Behavior

Frey

Harrington

2019

INQUIRY

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We aimed to identify the correlates with not seeking help among working-age adults with suicidal ideation. By adapting the integrated model of suicide help-seeking, we examined help-seeking behavior in the following 3 stages: problem recognition, decision to seek help, and sources of help. We used a sample of working-age adults between 26 and 64 years old, who reported suicidal ideation in the past year (N = 1414). Data were drawn from the 2011 and 2012 National Survey on Drug Use and Health, and multinomial logistic regression analyses were applied. Findings suggested that being male, being nonwhite, being employed full-time, having lower levels of general mental health needs, and not having health insurance were associated with not seeking help. Results also indicated how each factor was related in the help-seeking pathway. Strategies to help problem recognition can be effective in enhancing help-seeking behavior among men, racial/ethnic minorities, and those without serious clinical conditions. Help-seeking interventions for working-age adults with suicidal ideation should also consider that race/ethnic minorities and those with lower levels of functional impairment might rely on alternative sources of help, such as family, friends, and religious advisors.

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Factor Structure and Validity of the K6 Scale for Adults With Suicidal Ideation

Cited by 12 publications

References 39 publications

Integrated Primary Care and Social Work: A Systematic Review

Integrated Primary Care and Social Work: A Systematic Review

The Kessler Psychological Distress Scale (K6) as a Screening Instrument: a Study of Iranian University Students

Preventing Suicide Among Working-Age Adults: The Correlates of Help-Seeking Behavior

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