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Research Trends

The Literacy of Suicide Scale

Development, Validation, and Application

Published Online:June 15, 2021https://doi.org/10.1027/0227-5910/a000798

Abstract

Abstract.Background: Until recently, little was known about the public's knowledge of suicide or its association with help-seeking. Aims: In this article we describe the development, validation, and application of the Literacy of Suicide Scale (LOSS). Method: A total of 658 people participated in the development of the LOSS, while 191 participated in a validation study. Item response theory was used to identify LOSS items. A systematic review of the literature was conducted to ascertain the breadth of use and application of the LOSS. Results: Overall, 26 items were selected for the final version of the LOSS, with 12 items identified for a short form of the scale. The LOSS has been included in 25 studies across nine countries with general community, student, and clinical populations. The LOSS has demonstrated change in response to psychoeducation interventions and is associated with suicide stigma and help-seeking in select studies. Limitations: Further validation of the LOSS in clinical populations is needed. Conclusion: The LOSS is a comprehensive measure of suicide literacy that may be used to identify knowledge gaps, inform awareness-raising activities, and assess the effectiveness of interventions to improve suicide literacy. The LOSS has been used in a broad range of settings, demonstrating application to diverse populations and cultural contexts.

References

  • Dueweke, A. R., & Bridges, A. J. (2017). The effects of brief, passive psychoeducation on suicide literacy, stigma, and attitudes toward help-seeking among Latino immigrants living in the United States. Stigma and Health, 2(1), 28–42. 10.1037/sah0000038 First citation in articleCrossref, Google Scholar

  • Ferlatte, O., Salway, T., Oliffe, J. L., Rice, S. M., Gilbert, M., Young, I., McDaid, L., Ogrodniczuk, J. S., & Knight, R. (2020). Depression and suicide literacy among Canadian sexual and gender minorities. Archives of Suicide Research. Advance online publication. 10.1080/13811118.2020.1769783 First citation in articleCrossref Medline, Google Scholar

  • Han, J., Batterham, P. J., Calear, A. L., & Randall, R. (2018). Factors influencing professional help-seeking for suicidality. Crisis, 39(3), 175–196. 10.1027/0227-5910/a000485 First citation in articleLink, Google Scholar

  • Hom, M. A., Stanley, I. H., & Joiner, T. E. (2015). Evaluating factors and interventions that influence help-seeking and mental health service utilization among suicidal individuals: A review of the literature. Clinical Psychology Review, 40, 28–39. 10.1016/j.cpr.2015.05.006 First citation in articleCrossref Medline, Google Scholar

  • Hubbard, R. W., & McIntosh, J. L. (1992). Integrating suicidology into abnormal psychology classes: The revised facts on suicide quiz. Teaching of Psychology, 19(3), 163–166. 10.1207/s15328023top1903_9 First citation in articleCrossref, Google Scholar

  • Jorm, A. F. (2000). Mental health literacy. Public knowledge and beliefs about mental disorders. British Journal of Psychiatry, 177(5), 396–401. 10.1192/bjp.177.5.396 First citation in articleCrossref Medline, Google Scholar

  • Kennedy, A. J., Brumby, S. A., Versace, V. L., & Brumby-Rendell, T. (2020). The ripple effect: A digital intervention to reduce suicide stigma among farming men. BMC Public Health, 20, 813. 10.1186/s12889-020-08954-5 First citation in articleCrossref Medline, Google Scholar

  • Luoma, J. B., Martin, C. E., & Pearson, J. L. (2002). Contact with mental health and primary care providers before suicide: A review of the evidence. American Journal of Psychiatry, 159(6), 909–916. 10.1176/appi.ajp.159.6.909 First citation in articleCrossref Medline, Google Scholar

  • Money, T. T., & Batterham, P. J. (2019). Sociocultural factors associated with attitudes toward suicide in Australia. Death Studies, 45(3), 219–225. 10.1080/07481187.2019.1626943 First citation in articleCrossref Medline, Google Scholar

  • Muthén, L., & Muthén, B. (2010). Version 6 Mplus user's guide. First citation in articleGoogle Scholar

  • Öztürk, A., & Akın, S. (2018). Üniversite öğrencilerinin intihar edenlere yönelik intihar ve damgalayıcı tutumlarının bilgi düzeyinin değerlendirilmesi [Evaluation of knowledge level about suicide and stigmatizing attitudes in university students toward people who commit suicide]. Journal of Psychiatric Nursing, 9(2), 96–104. 10.14744/phd.2018.49389 First citation in articleCrossref, Google Scholar

  • World Health Organization. (2018). Global health estimates 2016: Deaths by cause, age, sex, by country and by region, 2000–2016. https://www.who.int/healthinfo/global_burden_disease/estimates/en/ First citation in articleGoogle Scholar