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Revising the Self-Harm Antipathy Scale : validation among staff in psychiatric healthcare in Sweden

Lantto, Reid ; Jungert, Tomas LU ; Nilsson, Magnus LU ; Probert-Lindström, Sara LU and Westling, Sofie LU (2020) In Nordic Journal of Psychiatry
Abstract

Background: The Self-Harm Antipathy Scale (SHAS) is a questionnaire designed to measure nurses’ attitudes towards self-harm. This can be useful to improve the quality of care provided to individuals who self-harm. Aim: The purpose of this study was to revise and adapt the SHAS for use in Sweden and evaluate the psychometric properties of this Swedish version (Self-Harm Antipathy Scale–Swedish Revised; SHAS-SR). Methods: A sample of 596 employees within psychiatric healthcare was recruited (from a total of 3507, response rate 17.0%), the majority encountering self-harming individuals regularly at work. Participants completed the SHAS-SR questionnaire along with a scale assessing community attitudes towards individuals with mental illness... (More)

Background: The Self-Harm Antipathy Scale (SHAS) is a questionnaire designed to measure nurses’ attitudes towards self-harm. This can be useful to improve the quality of care provided to individuals who self-harm. Aim: The purpose of this study was to revise and adapt the SHAS for use in Sweden and evaluate the psychometric properties of this Swedish version (Self-Harm Antipathy Scale–Swedish Revised; SHAS-SR). Methods: A sample of 596 employees within psychiatric healthcare was recruited (from a total of 3507, response rate 17.0%), the majority encountering self-harming individuals regularly at work. Participants completed the SHAS-SR questionnaire along with a scale assessing community attitudes towards individuals with mental illness (New CAMI-S). The sample was randomly split in half (n = 298 each). Exploratory factor analysis was performed on one subsample and confirmatory on the other. Confirmatory factor analysis on the original SHAS model, and convergent validity testing against New CAMI-S, used the whole sample. Results: The final version of the SHAS-SR included 17 items forming three factors. Convergent validity was established (r = −0.57, ρ = −0.48, p < 0.001). The SHAS-SR and all its subscales demonstrated acceptable internal consistency (α = 0.73–0.79, ω = 0.78–0.79). Conclusion: This study indicates that the SHAS-SR is reliable and valid when assessing attitudes towards self-harm among a sample of Swedish psychiatric healthcare staff. The scale could be useful for assessing the impact of attitude interventions to improve healthcare services. It may, however, have limited applicability for staff not working in caring roles.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
epub
subject
keywords
attitudes, psychiatric care, questionnaire, Self-harm, validation
in
Nordic Journal of Psychiatry
publisher
Informa Healthcare
external identifiers
  • pmid:32129114
  • scopus:85081632009
ISSN
0803-9488
DOI
10.1080/08039488.2020.1733657
language
English
LU publication?
yes
id
e79e277a-b583-4e33-a491-36d341e74051
date added to LUP
2020-04-10 09:13:54
date last changed
2020-04-11 01:58:07
@article{e79e277a-b583-4e33-a491-36d341e74051,
  abstract     = {<p>Background: The Self-Harm Antipathy Scale (SHAS) is a questionnaire designed to measure nurses’ attitudes towards self-harm. This can be useful to improve the quality of care provided to individuals who self-harm. Aim: The purpose of this study was to revise and adapt the SHAS for use in Sweden and evaluate the psychometric properties of this Swedish version (Self-Harm Antipathy Scale–Swedish Revised; SHAS-SR). Methods: A sample of 596 employees within psychiatric healthcare was recruited (from a total of 3507, response rate 17.0%), the majority encountering self-harming individuals regularly at work. Participants completed the SHAS-SR questionnaire along with a scale assessing community attitudes towards individuals with mental illness (New CAMI-S). The sample was randomly split in half (n = 298 each). Exploratory factor analysis was performed on one subsample and confirmatory on the other. Confirmatory factor analysis on the original SHAS model, and convergent validity testing against New CAMI-S, used the whole sample. Results: The final version of the SHAS-SR included 17 items forming three factors. Convergent validity was established (r = −0.57, ρ = −0.48, p &lt; 0.001). The SHAS-SR and all its subscales demonstrated acceptable internal consistency (α = 0.73–0.79, ω = 0.78–0.79). Conclusion: This study indicates that the SHAS-SR is reliable and valid when assessing attitudes towards self-harm among a sample of Swedish psychiatric healthcare staff. The scale could be useful for assessing the impact of attitude interventions to improve healthcare services. It may, however, have limited applicability for staff not working in caring roles.</p>},
  author       = {Lantto, Reid and Jungert, Tomas and Nilsson, Magnus and Probert-Lindström, Sara and Westling, Sofie},
  issn         = {0803-9488},
  language     = {eng},
  month        = {03},
  publisher    = {Informa Healthcare},
  series       = {Nordic Journal of Psychiatry},
  title        = {Revising the Self-Harm Antipathy Scale : validation among staff in psychiatric healthcare in Sweden},
  url          = {http://dx.doi.org/10.1080/08039488.2020.1733657},
  doi          = {10.1080/08039488.2020.1733657},
  year         = {2020},
}