Gewirtz-Meydan, A., Koós, M., Nagy, L., Kraus, S.W., Demetrovics, Z., Potenza, M.N., Ballester-Arnal, R., Batthyány, D., Bergeron, S., Billieux, J., Burkauskas, J., Cárdenas-López, G., Carvalho, J., Castro-Calvo, J., Chen, L., Ciocca, G., Corazza, O., Csako, R., Fernandez, D.P., Fujiwara, H., Fernandez, E.F., Fuss, J., Gabrhelík, R., Gjoneska, B., Gola, M., Grubbs, J.B., Hashim, H.T., Islam, M.S., Ismail, M., Jiménez-Martínez, M.C., Jurin, T., Kalina, O., Klein, V., Költő, A., Lee, S.-K., Lewczuk, K., Lin, C.-Y., Lochner, C., López-Alvarado, S., Lukavská, K., Mayta-Tristán, P., Miller, D.J., Orosová, O., Orosz, G., Sungkyunkwan University Research Team, Ponce, F.P., Quintana, G.R., Quintero Garzola, G.C., Ramos-Diaz, J., Rigaud, K., Rousseau, A., De Tubino Scanavino, M., Schulmeyer, M.K., Sharan, P., Shibata, M., Shoib, S., Sigre-Leirós, V., Sniewski, L., Spasovski, O., Steibliene, V., Stein, D.J., Strong, C., Ünsal, B.C., Vaillancourt-Morel, M.-P., Van Hout, M.C., and Bőthe, B. (2024) Global cross-cultural validation of a brief measure for identifying potential suicide risk in 42 countries. Public Health, 229. pp. 13-23.

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Abstract

Objectives: This study aimed to examine the psychometric properties of the P4 suicide screener in a multinational sample. The primary goal was to evaluate the reliability and validity of the scale and investigate its convergent validity by analyzing its correlation with depression, anxiety, and substance use.

Study design: The study design is a cross-sectional self-report study conducted across 42 countries. Methods: A cross-sectional, self-report study was conducted in 42 countries, with a total of 82,243 participants included in the final data set.

Results: The study provides an overview of suicide ideation rates across 42 countries and confirms the structural validity of the P4 screener. The findings indicated that sexual and gender minority individuals exhibited higher rates of suicidal ideation. The P4 screener showed adequate reliability, convergence, and discriminant validity, and a cutoff score of 1 is recommended to identify individuals at risk of suicidal behavior.

Conclusions: The study supports the reliability and validity of the P4 suicide screener across 42 diverse countries, highlighting the importance of using a cross-cultural suicide risk assessment to standardize the identification of high-risk individuals and tailoring culturally sensitive suicide prevention strategies.

Item ID:	85028
Item Type:	Article (Research - C1)
ISSN:	0033-3506
Keywords:	Suicide; Assessment; Validation; Cross-cultural
Copyright Information:	© 2024 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.
Date Deposited:	31 Mar 2025 21:58
FoR Codes:	52 PSYCHOLOGY > 5201 Applied and developmental psychology > 520108 Testing, assessment and psychometrics @ 40% 52 PSYCHOLOGY > 5203 Clinical and health psychology > 520302 Clinical psychology @ 30% 42 HEALTH SCIENCES > 4202 Epidemiology > 420201 Behavioural epidemiology @ 30%
SEO Codes:	28 EXPANDING KNOWLEDGE > 2801 Expanding knowledge > 280121 Expanding knowledge in psychology @ 40% 20 HEALTH > 2004 Public health (excl. specific population health) > 200409 Mental health @ 60%
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