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 |
| 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 | |
| 1. Wish to live | moderate to strong | |
| weak | ||
| none | ||
| 2. Wish to die | none | |
| weak | ||
| moderate to strong | ||
| 3. Reasons for living/dying | for living outweigh for dying | |
| about equal | ||
| for dying outweigh for living | ||
| 4. Desire to make active suicide attempt | none | |
| weak | ||
| moderate to strong | ||
| 5. Passive suicidal desire | would take precautions to save life | |
| would leave life/death to chance | ||
| would avoid steps necessary to save or maintain life | ||
| 6. Duration of suicide ideation/wish | brief fleeting periods | |
| longer periods | ||
| continuous (chronic) or almost continuous | ||
| 7. Frequency of suicide ideation | rare occasional | |
| intermittent | ||
| persistent or continuous | ||
| 8. Attitude toward ideation/wish | rejecting | |
| ambivalent indifferent | ||
| accepting |
go to page 2
obtained from http://www.psy-world.com
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| page 2 of 3 |
| Item | Response | |
| 9. Control over suicidal action/acting-out wish | has sense of control | |
| unsure of control | ||
| has no sense of control | ||
| 10. Deterrents to active attempt | would not attempt because of a deterrent | |
| some concern about deterrents | ||
| minimal or no concern about deterrents | ||
| 11. Reason for contemplated attempt | to manipulate the environment; get attention or revenge | |
| combination of desire to manipulate and to escape | ||
| escape surcease solve problems | ||
| 12. Method: specificity or planning of contemplated attempt | not considered | |
| considered but details not worked out | ||
| details worked out and well-formulated | ||
| 13. Method: availability or opportunity for contemplated attempt | method not available or no opportunity | |
| method would take time or effort; opportunity not readily available | ||
| method and opportunity available | ||
| future opportunity or availability of method anticipated | ||
| 14. Sense of "capability" to carry out attempt | no courage too weak afraid incompetent | |
| unsure of courage or competence | ||
| sure of competence courage | ||
| 15. Expectancy/anticipation of actual attempt | no | |
| uncertain not sure | ||
| yes | ||
| 16. Actual preparation for contemplated attempt | none | |
| partial | ||
| complete |
obtained from http://www.psy-world.com
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| page 3 of 3 |
Scale of Suicidal Ideation
| Item | Response | |
| 17. Suicide note | none | |
| started but not completed; only thought about | ||
| completed | ||
| 18. Final acts in anticipation of death | none | |
| thought about or made some arrangements | ||
| made definite plans or completed arrangements | ||
| 19. Deception or concealment of contemplated suicide | revealed ideas openly |
| 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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