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Methods: Four professionals in this area, and 10 patients who recovered from suicide attempts screened the suicidal recovery instrument to establish content validity. A pilot study was conducted comprising patients who recovered from suicide attempts (n=84) to test the instrument for reliability. Internal consistency reliability and test-retest reliability (two tests over a one-month interval) were used to determine the reliability of the instrument.
Results: The average age of the participants was 40.08± 10.68. The average period from suicide attempt was 19.9± 9.1 months. Most of the participants were females (n=62, 73.8%), lived with family/friend/relatives (n=74, 88.1%), and families were their support system (n=65, 77.4%). More than half of the participants belonged to the Buddhist or Taoist faith (n=52, 62.6%). Half of the participants had suffered an important loss within one year (n=42, 50%) and failing health was the principal reason (n=19, 22.6%). Half of the participants had only attempted suicide once (n=42, 50%). The top means of attempted suicide was overdosing on medication (n=60, 71.4%). The most common reason for attempting suicide was depression (n=42, 50%). Almost half of the participants held a high school degree (n=35, 41.7%) with either no job (n=36, 42.9%) or full time job (n=38, 45.3%). One third of the participants were married (n=31, 36.9%) or divorced (including separated and bereaved of spouse) (n=28, 33.4%) with no children (n=29, 34.5%). The final version of the SRS contained four subcategories with 22 items: identifying the meaning of existence, adaptive ability, optimistic facing life, and attitude towards life. The result of content validity index (CVI) was 0.94 for the instrument. Cronbach’s alpha demonstrated a reliability of 0.91 for the instrument. The test-retest reliability for the instrument was 0.60.
Conclusion: The suicidal recovery instrument tested satisfactorily for content validity and reliability. In future research, the researcher can use Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) to examine the construct validity.