Saturday, October 13, 2012

Psychometric Assessment of Suicidal Risk: Suicidal Ideation Self-Report Scale

 Psychometric Assessment of Suicidal Risk

 

Suicidal Ideation Self-Report Scale 


0 - Disagree, not at all
Agree:
1 - A little
2 - Definitely
3 - Strongly, very much


Overt Suicidal Ideation Items:
  • Others will be better off without me
  • Sometimes the death is the best solution for all problems
  • Sometimes you have to die to prove your point
  • To die is the sign of strength, not weakness
  • I have thoughts about killing myself almost every day
  • This life is not worth living
  • I have nothing to live for
  • I did try to kill myself in the past
  • There is no hope for me
  • They will be sorry when I die
  • They will learn that they were wrong when I die
  • I can prove them wrong only by killing myself
  • Death is the only way out
  • I think about death a lot
  • I think about killing myself almost every day
  • I do have a plan to kill myself
  • I want to kill myself and I know how to do it

Projected Suicidal Ideation Items:
  • When people are useless to others they do not deserve to live

Depression Items:
  • I feel sad, blue, down in the dumps all the time
  • I have problems with my sleep
  • I do not feel rested and refreshed in the morning after a night sleep
  • Some nights I wake up early in the morning and cannot go back to sleep
  • It is difficult for me to fall asleep
  • Lately I do not have much of an appetite and do not eat as much as I used to
  • Lately I feel increased need for food and I overeat
  • I feel tired all the time
  • I do not have much energy to do things
  • I do not enjoy sex as much as before
  • Nothing brings me joy
  • I do not really enjoy much of anything lately
  • I feel trapped
  • Sometimes I feel that I want to harm myself
  • Sometimes I feel that I want to harm others
  • I feel very angry almost every day
  • Others have to be punished for their wrong deeds and words
  • Sometimes I feel tense and tearful without a particular reason
  • Lately I am not able to remember things as easily as before
  • Sometimes it is difficult for me to keep track of things and to concentrate on work or tasks
  • Lately it is difficult for me to make decisions
  • I know that I am not worth much
  • Lately I feel very guilty about many different things I did in the past

Latent Psychoticism Items:
  • Sometimes I hear someone talking when no one is around me
  • I believe that someone wants to harm me
  • I have to be on my guard all the time
  • I have to watch my ass all the time
  • They will always try to harm you if you let them
  • Someone plays games with me

Risk Taking Items:
  • I do quite risky things lately
  • Lately I fight with others verbally or physically more than before
  • Lately I do things that harm or could harm me

Social Withdrawal and Isolation Items
  • I do not feel like talking much with anyone
  • I do not feel like seeing anyone much
  • I do not have any friends
  • I do not need any friends
  • My family does not understand me
  • I do not feel like seeing my family or my friends as much as before
  • I do not need anyone
  • I do not need any friends
  • People do not understand me
  • I do not fit in
  • If I cannot shape up I have to ship out

Substance Abuse Items:
  • Lately I drink alcohol more than usually
  • I do drugs more often than I should

Latent Homosexual Ideation Items:
  • Faggots and sissies are all around me
  • They want to turn me into a homosexual
  • I think that it is wrong to let gays to serve in the military
  • Men who have sex with men are like animals
  • Men who have sex with men will burn in hell
  • Male bodies do not interest or excite me at all
  • Female bodies do not interest or excite me at all
  • I hate gays
  • Gays are our main problem these days
  • If not for gays life would be much better everywhere
  • I believe that homosexuality is a sin
  • Gays ought to be killed
  • Gays belong in prisons
  • If I feel sexually excited by people of the same sex, it means that devil plays games with me
 


© Copyright 2012 Michael Novakhov, M.D. and NISBS
 
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Review of existing instruments


Psychometric Assessment of Suicidal Risk - Google Search


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  page 1 of 3

 
Scale of Suicidal Ideation
Original references:
Beck AT Kovacs M Weissman A. Assessment of suicidal intention: The scale of suicide ideation. J Consult Clin Psychology. 1979; 47: 343-352.
Beck AT Steer RA Rantieri WF. Scale for suicide ideation: Psychometric properties of a self-report version. J Clin Psychology. 1988; 44: 499-505.











The scale of suicidal ideation consists of 19 items, scored 0 to 2, which can be used to evaluate a patient's suicidal intentions. It can also be used to monitor a patient's response to interventions over time.









Item Response
Points
1. Wish to live moderate to strong
0

weak
1

none
2
2. Wish to die none
0

weak
1

moderate to strong
2
3. Reasons for living/dying for living outweigh for dying
0

about equal
1

for dying outweigh for living
2
4. Desire to make active suicide attempt none
0

weak
1

moderate to strong
2
5. Passive suicidal desire would take precautions to save life
0

would leave life/death to chance
1

would avoid steps necessary to save or maintain life
2
6. Duration of suicide ideation/wish brief fleeting periods
0

longer periods
1

continuous (chronic) or almost continuous
2
7. Frequency of suicide ideation rare occasional
0

intermittent
1

persistent or continuous
2
8. Attitude toward ideation/wish rejecting
0

ambivalent indifferent
1

accepting
2

go to page 2
obtained from http://www.psy-world.com

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  page 2 of 3
 
Scale of Suicidal Ideation









Item Response
Points
9. Control over suicidal action/acting-out wish has sense of control
0

unsure of control
1

has no sense of control
2
10. Deterrents to active attempt would not attempt because of a deterrent
0

some concern about deterrents
1

minimal or no concern about deterrents
2
11. Reason for contemplated attempt to manipulate the environment; get attention or revenge
0

combination of desire to manipulate and to escape
1

escape surcease solve problems
2
12. Method: specificity or planning of contemplated attempt not considered
0

considered but details not worked out
1

details worked out and well-formulated
2
13. Method: availability or opportunity for contemplated attempt method not available or no opportunity
0

method would take time or effort; opportunity not readily available
1

method and opportunity available
2

future opportunity or availability of method anticipated
2
14. Sense of "capability" to carry out attempt no courage too weak afraid incompetent
0

unsure of courage or competence
1

sure of competence courage
2
15. Expectancy/anticipation of actual attempt no
0

uncertain not sure
1

yes
2
16. Actual preparation for contemplated attempt none
0

partial
1

complete
2



obtained from http://www.psy-world.com

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  page 3 of 3
 
Scale of Suicidal Ideation









Item Response
Points
17. Suicide note none
0

started but not completed; only thought about
1

completed
2
18. Final acts in anticipation of death none
0

thought about or made some arrangements
1

made definite plans or completed arrangements
2
19. Deception or concealment of contemplated suicide revealed ideas openly
0



Scoring:The total score for the 19 items is calculated.
Minimum score = 0
Maximum score = 38
Higher scores indicate greater suicidal ideation










obtained from http://www.psy-world.com 


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