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Scale of Suicidal Ideation


printable version
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 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

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

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

held back on revealing

1

attempted to deceive conceal or lie

2
Scoring:
The total score for the 19 items is calculated.
Minimum score = 0
Maximum score = 38
Higher scores indicate greater suicidal ideation


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