title: Exploring the validity of the Fantastic Lifestyle Checklist in an inner city population of people presenting with suicidal behaviours.
abstract: OBJECTIVE
  Although patients demonstrate a range of problematic health-related lifestyle behaviours preceding suicidal behaviour, there is little research that routinely measure these behaviours. This paper seeks to establish the utility of health-related lifestyle measure (Fantastic Lifestyle Checklist) in people presenting to a major inner city Emergency Department with a range of suicidal behaviours.
  
  
  METHODS
  From 2007-2014, data from the 366 patients who had completed the Fantastic Lifestyle Checklist, after referral by the Emergency Department to a service for people with deliberate self-harm or suicidal ideation, were included in the analysis study. A Maximum Likelihood factor analysis was performed to assess the factor structure of the Fantastic Lifestyle Checklist and the resultant factors were explored in relation to measures of health; namely the Depression, Anxiety and Stress Scale and the 12-item Short-Form Health Survey.
  
  
  RESULTS
  A three-component factor structure emerged comprising Component 1 'positive life investments', Component 2 'poor emotional regulation' and Component 3 'poor health behaviours'. There was a significant negative correlation between 'positive life investments' and each of the Depression, Anxiety and Stress scales subscales and significant positive associations with 'poor emotional regulation' and Short Form Health Survey-12 mental health scores. Only the Short Form Health Survey-12 physical health subscale was weakly correlated with 'poor health behaviours', in females.
  
  
  CONCLUSIONS
  Our findings support the construct and concurrent validity of the Fantastic Lifestyle Checklist measure. The three factors obtained for the Fantastic Lifestyle Checklist were coherent and seem useful for research and clinical practice.
authors.affiliation: School of Psychiatry, Faculty of Medicine and Black Dog Institute, University of New South Wales, Randwick, NSW, Australia Faces in the Street, Urban Mental Health and Wellbeing Research Institute, St Vincent's Hospital Sydney, Sydney, NSW, Australia Consultation Liaison Psychiatry Service, St Vincent's Hospital, Darlinghurst, NSW, Australia kay.wilhelm@svha.org.au.
authors.forename: Kay
authors.initials: K
authors.lastname: Wilhelm
authors.affiliation: School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia.
authors.forename: Tonelle
authors.initials: T
authors.lastname: Handley
authors.affiliation: Faces in the Street, Urban Mental Health and Wellbeing Research Institute, St Vincent's Hospital Sydney, Sydney, NSW, Australia School of Medicine and Public Health, University of Newcastle, Callaghan, NSW, Australia.
authors.forename: Prasuna
authors.initials: P
authors.lastname: Reddy
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000523:psychology; D001008:Anxiety Disorders / Q000453:epidemiology*; D001315:Australia; D057189:Checklist / Q000592:standards*; D003863:Depression / Q000523:psychology; D005163:Factor Analysis, Statistical; D005260:Female; D006306:Health Surveys; D006801:Humans; D008019:Life Style; D008297:Male; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D012307:Risk Factors; D016728:Self-Injurious Behavior / Q000453:epidemiology*; D014505:Urban Population; D055815:Young Adult
keywords: Deliberate self-harm; depression; factor analysis; lifestyle; lifestyle measure