Korean Clinical Psychology Association
[ Original Article ]
Korean Journal of Clinical Psychology - Vol. 39, No. 1, pp.1-14
ISSN: 1229-0335 (Print) 2733-4538 (Online)
Print publication date 28 Feb 2020
Received 02 Oct 2019 Revised 08 Nov 2019 Accepted 09 Dec 2019
DOI: https://doi.org/10.15842/kjcp.2020.39.1.001

자살 심상 척도의 개발 및 타당화

고선주 ; 유성은
충북대학교 심리학과
Development and Validation of the Suicidal Imagery Questionnaire
Seonju Ko ; Sungeun You
Department of Psychology, Chungbuk National University, Cheongju

Correspondence to: Sungeun You, Department of Psychology, Chungbuk National University, 1 Chungdae-ro, Seowon-gu, Cheongju, Korea; E-mail: syou@chungbuk.ac.kr

© 2020 Korean Clinical Psychology Association


자살 심상은 자살 행동과 관련하여 마음속에 떠올리는 이미지 또는 정신적 표상으로 정의된다. 본 연구에서는 자살 심상을 평가할 수 있는 자기보고식 척도를 개발하고 척도의 신뢰도와 타당도를 검증하였다. 먼저 선행연구를 기반으로 자살 심상의 주요 구성요소로 자발적 자살 심상, 침습적 자살 심상, 자살 심상의 생생함과 몰입의 세 가지 영역을 측정하는 21개의 예비문항을 개발하였다. 연구 1 결과, 자발적 자살 심상과 침습적 자살 심상으로 구성된 2요인 구조가 자료에 가장 잘 부합하였고, 생생함과 몰입 요인은 제거되었다. 연구 2에서 이 2요인 구조는 탐색적 요인분석과 확인적 요인분석을 통해 재확인되었고, 그 결과 10개 문항이 최종 선정되었다. 10문항, 2요인으로 이루어진 자살 심상 척도의 내적일치도와 2주 간격으로 실시된 검사-재검사 신뢰도는 우수하였고, 수렴타당도, 변별타당도, 준거타당도가 모두 적합하였다. 본 연구의 결과는 자살 심상 척도가 자살 심상을 측정하는 신뢰롭고 타당한 척도임을 시사한다.


Suicidal imagery refers to an image or mental representation related to suicidal behavior. This study aims to develop a self-report measure of suicidal imagery, named the Suicidal Imagery Questionnaire (SIQ). In study 1, 21 items were developed based on previous research to measure three sub-components of suicidal imagery: spontaneous suicidal imagery, intrusive suicidal imagery, and vividness or preoccupation with suicidal imagery. Factor analysis supported a two-factor structure that included spontaneous suicidal imagery and intrusive suicidal imagery. The vividness or preoccupation factor was excluded. In study 2, the two-factor structure of suicidal imagery was confirmed in a separate sample of community adults and 10 items were included in the instrument. The 10-item self-report questionnaire of suicidal imagery had good internal consistency and test-retest reliability (after a two-weeks interval). The questionnaire had also good convergent and discriminant validity, as well as criterion-related validity. Overall, the SIQ is a reliable and valid assessment tool for suicidal imagery.


suicidal imagery, suicidal imagery questionnaire, spontaneous suicidal imagery, intrusive suicidal imagery


자살 심상, 자살 심상 척도, 자발적 자살 심상, 침습적 자살 심상


This work was supported by the Ministry of Education of the Republic of Korea and the National Research Foundation of Korea (NRF-2016S1A5A2A03926071).

This work is based on the master’s thesis of the first author.


  • Brown, T. A., & Moore, M. T. (2012). Handbook of structural equation modeling. New York, NY: Guilford Press.
  • Chu, C., Podlogar, M. C., Rogers, M. L., Buchman-Schimitt, J. M., Negley, J. H., & Joiner, T. E. (2016). Does suicidal ideation influence memory? A study of the role of violent daydreaming in the relationship between suicidal ideation and everyday memory. Research Article, 40, 731-747. [https://doi.org/10.1177/0145445515625189]
  • Chu, C., Rogers, M. L., Gai, A. R., & Joiner, T. E. (2018). Role of thwarted belongingness and perceived burdensomeness in the relationship between violent daydreaming and suicidal ideation in two adult samples. Journal of Aggression, Conflict and Peace Research, 10, 11-23. [https://doi.org/10.1108/JACPR-10-2016-0255]
  • Costello, A. B., & Osborne, J. W. (2005). Best practices in exploratory factor analysis: Four recommendation for getting the most from your analysis. Practical Assessment, Research and Evaluation, 10, 1-9.
  • Crane, C., Shah, D., Barnhofer, T., & Holmes, E. A. (2012). Suicidal imagery in a previously depressed community sample. Clinical Psychology and Psychotherapy, 19, 57-69. [https://doi.org/10.1002/cpp.741]
  • Fabrigar, L. R., Wegener, D. T., MacCallum, R. C., & Strahan, E. J. (1999). Evaluating the use of exploratory factor analysis in psychological research. Psychological Methods, 4, 272-299. [https://doi.org/10.1037/1082-989X.4.3.272]
  • George, S. E., Page, A. C., Hooke, G. R., & Stritzke, W. G. K. (2016). Multi-facet assessment of capability for suicide: Development and prospective validation of the acquired capability with rehearsal for suicide scale. Psychological Assessment, 28, 1452-1464. [https://doi.org/10.1037/pas0000276]
  • Gregory, W. L., Cialdini, R. B., & Carpenter, K. M. (1982). Self-relevant scenarios as mediators of likelihood estimates and compliance— Does imagining make it so. Journal of Personality and Social Psychology, 43, 89-99. [https://doi.org/10.1037/0022-3514.43.1.89]
  • Hackmann, A., Surawy, C., & Clark, D. M. (1998). Seeing yourself through others’ eyes: A study of spontaneously occurring images in social phobia. Behavioural and Cognitive Psychotherapy, 26, 3-12. [https://doi.org/10.1017/S1352465898000022]
  • Hales, S. A., Deeprose, C., Goodwin, G. M., & Holmes, E. A. (2011). Cognition in bipolar affective disorder and unipolar depression: Imagining suicide. Bipolar Disorder, 13, 651-661. [https://doi.org/10.1111/j.1399-5618.2011.00954.x]
  • Hersen, M. (2006). Clinician’s handbook of adult behavioral assessment. London, England: Academic Press.
  • Holaday, T. C., & Brausch, A. M. (2015). Suicidal imagery, history of suicidality, and acquired capability in young adults. Journal of Aggression, Conflict and Peace Research, 7, 127-138. [https://doi.org/10.1108/JACPR-10-2014-0146]
  • Holmes, E. A., Crane, C., Fennell, M. J. V., & Williams, J. M. G. (2007). Imagery about suicide in depression—“Flash-forwards”? Journal of Behavior Therapy and Experimental Psychiatry, 38, 423-434. [https://doi.org/10.1016/j.jbtep.2007.10.004]
  • Holmes, E. A., Lang, T. J., & Shah, D. M. (2009). Developing interpretation bias modification as a ‘cognitive vaccine’ for depressed mood—Imagining positive events makes you feel better than thinking about them verbally. Journal of Abnormal Psychology, 118, 76-88. [https://doi.org/10.1037/a0012590]
  • Jang, S. (2015). Best practices in exploratory factor analysis for the development of the likert-type scale. Korean Journal of Clinical Psychology, 34, 1079-1100. [https://doi.org/10.15842/kjcp.2015.34.4.010]
  • Joiner, T. E. (2005). Why People die by suicide. Cambridge, MA: Harvard University Press.
  • Kline, R. B. (2011). Principles and practice of structural equation modeling (3rd ed.). New York, NY: Guilford Press.
  • Kosslyn, S. M., Ganis, G., & Thompson, W. L. (2001). Neural foundations of imagery. Nature Reviews: Neuroscience, 2, 635-642. [https://doi.org/10.1038/35090055]
  • Kosslyn, S. M., Thompson, W. L., Kim, I. J. & Alpert, N. M. (1995). Topographical representations of mental images in primary visual cortex. Nature, 378, 496-498. [https://doi.org/10.1038/378496a0]
  • Libby, L. K., Shaeffer, E. M., Eibach, R. P., & Slemmer, J. A. (2007). Picture yourself at the polls visual perspective in mental imagery affects self-perception and behavior. Psychological Science, 18, 199-203. [https://doi.org/10.1111/j.1467-9280.2007.01872.x]
  • Mathews, A., Ridgeway, V., & Holmes, E. A. (2013). Feels like the real thing: Imagery is both more realistic and emotional than verbal thought. Cognition and Emotion, 27, 217-229. [https://doi.org/10.1080/02699931.2012.698252]
  • Matsunaga, M. (2010). How to factor-analyze your data right: Do’s, dont's, and how-to’s. International Journal of Psychological Research, 3, 97-110. [https://doi.org/10.21500/20112084.854]
  • Oquendo, M. A., & Baca-Garcia, E. (2014). Suicidal behavior disorder as a diagnostic entity in the DSM-5 classification system: Advantages outweigh limitations. World Psychiatry, 13, 128-130. [https://doi.org/10.1002/wps.20116]
  • Osman, A., Bagge, C. L., Gutierrez, P. M., Konick, L. C., Kropper, B. A., & Barrios, F. X. (2001). The Suicidal Behaviors Questionnaire-Revised (SBQ-R): Validation with clinical and nonclinical samples. Assessment, 8, 443-454. [https://doi.org/10.1177/107319110100800409]
  • Posner, K., Brent, D., Lucas, C., Gould, M., Stanley, B., Brown, G., . . . Mann, J. (2008). Columbia Suicide Severity Rating Scale (C-SSRS). New York, NY: Columbia University Medical Center. Retrieved from: http://cssrs.columbia.edu/. [https://doi.org/10.1037/t52667-000]
  • Reisberg, D., Pearson, D. G., & Kosslyn, S. M. (2003). Intuitions and introspections about imagery: the role of imagery experience in shaping an investigator’s theoretical views. Cognitive Psychology, 17, 147-160. [https://doi.org/10.1002/acp.858]
  • Reynolds, C. R., & Kamphaus, R. W. (2003). Handbook of psychological and educational assessment of children: Intelligence, aptitude, and achievement. New York, NY: Guilford Press.
  • Roger, M. K., Simplicio M., McManus, F., Kennerley, H., & Holmes, E. A. (2016). ‘Flash-forward’ and suicidal ideation: A prospective investigation of mental imagery, entrapment and defeat in a cohort from the Hong Kong mental morbidity survey. Psychiatry Research, 246, 453-460. [https://doi.org/10.1016/j.psychres.2016.10.018]
  • Rudd, M. D., Joiner, T., & Rajab, M. H. (2001). Treatment manuals for practitioners, treating suicidal behavior: An effective, time-limited approach. New York, NY: Guilford Press.
  • Ryu, S., & You, S. (2017). Psychological characteristics differentiating suicide attempters from ideators: An examination of acquired capability for suicide and temperament. Korean Journal of Clinical Psychology, 36, 589-603. [https://doi.org/10.15842/kjcp.2017.36.4.010]
  • Selby, E. A., Anestis, M. D., & Joiner, T. E. (2007). Daydreaming about death violent daydreaming as a form of emotion dysregulation in suicidality. Behavior Modification, 31, 867-879. [https://doi.org/10.1177/0145445507300874]
  • Sung, T. (2007). Easy statistical analysis. Seoul, Korea: Hakjisa.
  • Tabachnick, B. G., & Fidell, L. S. (2007). Using Multivariate Statistics. New York, NY: Allyn and Bacon.
  • Tellegen, A., & Atkinson, G. (1974). Openness to absorbing and self-altering experiences(“absorption”) a trait related to hypnotic susceptibility. Journal of Abnormal Psychology, 83, 268-277. [https://doi.org/10.1037/h0036681]
  • Vrana, S. R., Cuthbert, B. N., & Lang, P. J. (1986). Fear imagery and text processing. Psychophysiology, 23, 247-253. [https://doi.org/10.1111/j.1469-8986.1986.tb00626.x]
  • Worthington, R. L., & Whittaker, T. A. (2006). Scale development research a content analysis and recommendations for best practices. The Counseling Psychologist, 34, 806-838. [https://doi.org/10.1177/0011000006288127]