The personal recovery movement advocates for shifting emphasis from clinical symptom reduction toward reclaiming personal agency and creating meaning-filled lives despite the presence of distressing experiences. Corresponding personal recovery measures have been developed; however, there is no established psychometric assessment of personal recovery following a suicidal episode. This study addressed this gap by developing the Recovery Evaluation and Suicide Support Tool (RESST) and assessing its test score reliability, test score interpretations' validity, and psychometric properties. Throughout RESST's development, input from diverse stakeholders-including clinicians, researchers, and individuals with lived experience-was gathered to ensure a meaningful and useful scale. Exploratory factor analysis techniques were used with adults with a suicidal episode history (N = 502) to select and refine items, culminating in a 21-item scale with four distinct subscales: Self-Worth, Life Worth, Social Worth, and Self-Understanding. Confirmatory factor analysis techniques demonstrated model fit across three samples of adults with a suicidal episode history (combined N = 1,523), and test-retest reliability was obtained (N = 204). The results revealed that RESST scores exhibit an internally consistent and replicable factor structure, consistent with personal recovery theory. Additionally, the interpretation of test scores exhibited both convergent and discriminant validity. Mental health indices related to recovery, negative mood states, suicidality, and meaning in life had significant moderate-to-strong correlations with the RESST, supporting the validity of the test score interpretations and clinical relevance. This measure should aid research into recovery processes and understanding how recovery following a suicidal episode may be enhanced clinically and personally. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

中文翻译：

---

自杀事件后的恢复：开发和验证恢复评估和自杀支持工具（RESST）。

个人康复运动主张将重点从减少临床症状转向恢复个人能动性和创造充满意义的生活，尽管存在痛苦的经历。已制定相应的个人康复措施；然而，目前还没有针对自杀事件后个人康复的既定心理测量评估。本研究通过开发恢复评估和自杀支持工具（RESST）并评估其测试分数的可靠性、测试分数解释的有效性和心理测量特性来解决这一差距。在 RESST 的开发过程中，收集了不同利益相关者（包括临床医生、研究人员和有生活经验的个人）的意见，以确保其规模有意义且有用。使用探索性因素分析技术对有自杀史的成年人 (N = 502) 进行选择和细化项目，最终形成包含 21 个项目的量表，其中包含四个不同的子量表：自我价值、生命价值、社会价值和自我理解。验证性因素分析技术证明模型适合具有自杀事件史的三个成年人样本（合并 N = 1,523），并获得了重测可靠性（N = 204）。结果显示，RESST 分数表现出内部一致且可复制的因素结构，与个人恢复理论一致。此外，对测试分数的解释表现出收敛效度和判别效度。与恢复、消极情绪状态、自杀和生活意义相关的心理健康指数与 RESST 具有显着的中度至强相关性，支持测试分数解释和临床相关性的有效性。这项措施应该有助于研究恢复过程，并了解如何在临床和个人方面增强自杀事件后的恢复。（PsycInfo 数据库记录 (c) 2023 APA，保留所有权利）。