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
*
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
*
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
*
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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