{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:39:34Z","timestamp":1747186774228,"version":"3.40.5"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,10,13]],"date-time":"2021-10-13T00:00:00Z","timestamp":1634083200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Rural Health"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Purpose<\/jats:title><jats:p>Monitoring suicide risk in clinical practice requires valid and reliable assessment instruments. This study evaluated the psychometric properties of the 7\u2010item version of the Concise Health Risk Tracking Self\u2010Report, CHRT\u2010SR<jats:sub>7<\/jats:sub> in a primarily rural population.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The sample comprised 788 participants (81.7% female) of an effectiveness trial of an internet\u2010based self\u2010help intervention for depression. Participants completed self\u2010report questionnaires, including the CHRT\u2010SR<jats:sub>7<\/jats:sub>, Patient Health Questionnaire\u20109, Generalized Anxiety Disorder\u20107, Work and Social Adjustment Scale, Connor\u2010Davidson Resilience Scale\u201010, and Barriers to Seeking Mental Health Care. Four\u2010week test\u2010retest reliability was calculated for a subsample of 147 participants randomized to a waitlist control group.<\/jats:p><\/jats:sec><jats:sec><jats:title>Findings<\/jats:title><jats:p>The CHRT\u2010SR<jats:sub>7<\/jats:sub> internal consistency was \u03b1 = 0.80 (total sample), \u03b1 = 0.80 (women), and \u03b1 = 0.83 (men). The 4\u2010week test\u2010retest reliability was strong for women (<jats:italic>r<\/jats:italic> = 0.78) and moderate for men (<jats:italic>r<\/jats:italic> = 0.66). Confirmatory factor analysis supported the original 3\u2010factor solution: Hopelessness (2 items), Perceived Lack of Social Support (2 items), and Current Suicidal Thoughts and Plans (3 items), which was invariant across gender and rural status. Convergent and divergent validity was supported as reflected in significant correlations of the CHRT\u2010SR<jats:sub>7<\/jats:sub> and its subscales with measures of depression, anxiety, adjustment, and resilience. Limitations include the limited demographic diversity (mostly non\u2010Hispanic White women) and reliance on self\u2010report data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Our findings complement those reported in prior studies of patients with severe depression and support the use of the CHRT\u2010SR<jats:sub>7<\/jats:sub> for measuring suicide risk in rural adults; future studies should further test the instrument's psychometric properties in racial or ethnic minority rural residents.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jrh.12629","type":"journal-article","created":{"date-parts":[[2021,10,15]],"date-time":"2021-10-15T00:10:12Z","timestamp":1634256612000},"page":"574-582","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Psychometric properties of the 7\u2010item version of the Concise Health Risk Tracking Self\u2010Report Scale for rural adults enrolled in an Internet\u2010delivered self\u2010help program for depression"],"prefix":"10.1111","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6121-4641","authenticated-orcid":false,"given":"Ruth Striegel","family":"Weissman","sequence":"first","affiliation":[{"name":"Department of Psychology Wesleyan University  Middletown Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brandon G.","family":"Scott","sequence":"additional","affiliation":[{"name":"Department of Psychology Montana State University  Bozeman Montana USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9528-7600","authenticated-orcid":false,"given":"Mark B.","family":"Schure","sequence":"additional","affiliation":[{"name":"Department of Health and Human Development Montana State University  Bozeman Montana 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