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Protocol - Deterrents to Suicide - Clinical - Child

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Description:

The Reasons for Living for Adolescents (RFL-A) inventory includes 32 self-report items that measure the adolescent respondent’s various reasons for living and their attitudes about living versus committing suicide. The RFL-A includes subscales for family alliance, suicide-related concerns, self-acceptance, peer-acceptance and support, and future optimism. Each item is rated on a 6-point Likert scale ranging from 1 ("not at all important") to 6 ("extremely important"). Ratings for each subscale are constructed by calculating the mean rating for all items in the subscale. The total RFL‑A score is constructed by calculating the mean rating for all items.

Specific Instructions:

This protocol includes questions that can potentially identify respondents who are at risk of suicide. Investigators implementing this protocol should consider developing a risk management plan specific to their study to ensure the safety of participants. The following links provide additional information and guidelines for suicide-related research:

ora.research.ucla.edu/OHRPP/Documents/Policy/8/Risk_of_Suicide.pdf

www.nimh.nih.gov/health/topics/suicide-prevention/issues-to-consider-in-intervention-research-with-persons-at-high-risk-for-suicidality.shtml

Protocol:

Reasons for Living for Adolescents

The questionnaire lists specific reasons that people sometimes have for not committing suicide, if the thought were to occur to them or if someone were to suggest it to them. Please read each statement carefully, and then choose the number that best describes how important each reason is to you for not committing suicide.

Use the scale below and circle the appropriate number in the space to the right of each statement. Please use the whole range of choices so as not to rate only at the middle (2, 3, 4, and 5) or only at the extremes (1, 6).

How important to you is this reason for not committing suicide?

1. Whenever I have a problem, I can turn to my family for support or advice.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

2. It would be painful and frightening to take my own life.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

3. I accept myself for what I am.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

4. I have a lot to look forward to as I grow older.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

5. My friends stand by me whenever I have a problem.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

6. I feel loved and accepted by my close friends.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

7. I feel emotionally close to my family.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

8. I am afraid to die, so I would not consider killing myself.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

9. I like myself just the way I am.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

10. My friends care a lot about me.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

11. I would like to accomplish my plans or goals in the future.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

12. My family takes the time to listen to my experiences at school, work, or home.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

13. I expect many good things to happen to me in the future.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

14. I am satisfied with myself.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

15. I am hopeful about my plans or goals for the future.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

16. I believe my friends appreciate me when I am with them.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

17. I enjoy being with my family.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

18. I feel that I am an OK person.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

19. I expect to be successful in the future.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

20. The thought of killing myself scares me.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

21. I am afraid of using any method to kill myself.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

22. I can count on my friends to help if I have a problem.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

23. Most of the time, my family encourages and supports my plans or goals.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

24. My family cares about the way I feel.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

25. My future looks quite hopeful and promising.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

26. I am afraid of killing myself.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

27. My friends accept me for what I really am.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

28. I have many future plans I am looking forward to carrying out in the future.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

29. I feel good about myself.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

30. My family cares a lot about what would happen to me.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

31. I am happy with myself.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

32. I would be frightened or afraid to make plans for killing myself.

1[ ] Not At All Important

2[ ]Quite Unimportant

3[ ]Somewhat Unimportant

4[ ] Somewhat Important

5[ ] Quite Important

6[ ]Extremely Important

Scoring:

Family Alliance (FA) Scale (7 items)

  • Calculate mean rating for items: 1, 7, 12, 17, 23, 24, and 30.

Suicide-related Concerns (SRC) Scale (6 items)

  • Calculate mean rating for items: 2, 8, 20, 21, 26, and 32.

Self-Acceptance (SA) Scale (6 items)

  • Calculate mean rating for items: 3, 9, 14, 18, 29, and 31.

Peer-Acceptance and Support (PAS) Scale (6 items)

  • Calculate mean rating for items: 5, 6, 10, 15, 22, and 27.

Future Optimism (FO) Scale (7 items)

  • Calculate mean rating for items: 4, 11, 13, 15, 19, 25, and 28.

Total Score

  • Calculate mean rating for items 1 to 32.
Protocol Name from Source:

Availability:

Publicly available

Personnel and Training Required

None

Equipment Needs

None

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Self-administered questionnaire

Life Stage:

Adolescent

Participants:

Adolescents, ages 15-18

Selection Rationale

The Reasons for Living for Adolescents (RFL-A) inventory is a brief, low-burden, widely used questionnaire with good internal reliability, test-retest reliability, and concurrent validity. The RFL-A can also be used to capture changes in beliefs (e.g., reductions in suicide behaviors).

Language

Chinese, English, French, Romanian

Standards
StandardNameIDSource
Common Data Elements (CDE) Adolescent Reason for Living (RFL-A) Inventory Score 4588826 CDE Browser
Human Phenotype Ontology Suicidal Ideation HP:0031592 HPO
Derived Variables

None

Process and Review

Not applicable.

Source

Osman, A., Kopper, B. A., Barrios, F. X., Besett, T. M., Linehan, M. M., Baker, M. T., & Osman J. R. (1996). The brief Reasons for Living Inventory for Adolescents (BRFL-A). Journal of Abnormal Child Psychology, 24(4), 433-443.

General References

Molock, S. D., Puri, R., Matlin, S., & Barksdale, C. (2006). Relationship Between Religious Coping and Suicidal Behaviors Among African American Adolescents. The Journal of Black Psychology, 32(3): 366-389.

Robinson, J., Hetrick, S., Gook, S., Cosgrave, E., Yuen, H. P., McGorry, P., & Yung, A. (2009). Study protocol: the development of a randomised controlled trial testing a postcard intervention designed to reduce suicide risk among young help-seekers. BMC Psychiatry, 23(9) 59.

Osman, A., Downs, W. R., Kopper, B. A., Barrios, F. X., Baker, M. T., Osman J. R., Besett, T. M., & Linehan, M. M. (1998). The Reasons for Living Inventory for Adolescents (RFL-A): Development and psychometric properties. Journal of Clinical Psychology, 54(8), 1063-1078.

Protocol ID:

640901

Variables:
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX640901_Suicide_Accept_Myself
PX640901010300 How important to you is this reason for not more
committing suicide?I accept myself for what I am. show less
N/A
PX640901_Suicide_Afraid_Of_ Methods
PX640901012100 How important to you is this reason for not more
committing suicide? I am afraid of using any method to kill myself. show less
N/A
PX640901_Suicide_Afraid_Of_Killing
PX640901012600 How important to you is this reason for not more
committing suicide? I am afraid of killing myself. show less
N/A
PX640901_Suicide_Afraid_To_Die
PX640901010800 How important to you is this reason for not more
committing suicide? I am afraid to die, so I would not consider killing myself. show less
N/A
PX640901_Suicide_Count_OnFriends
PX640901012200 How important to you is this reason for not more
committing suicide? I can count on my friends to help if I have a problem. show less
N/A
PX640901_Suicide_Deterrent_Scoring
PX640901013300 Family Alliance (FA) Scale (7 items) more
ÔøΩ Calculate mean rating for items: 1, 7, 12, 17, 23, 24, and 30. Suicide-related Concerns (SRC) Scale (6 items) ÔøΩ Calculate mean rating for items: 2, 8, 20, 21, 26, and 32. Self-Acceptance (SA) Scale (6 items) ÔøΩ Calculate mean rating for items: 3, 9, 14, 18, 29, and 31. Peer-Acceptance and Support (PAS) Scale (6 items) ÔøΩ Calculate mean rating for items: 5, 6, 10, 15, 22, and 27. Future Optimism (FO) Scale (7 items) ÔøΩ Calculate mean rating for items: 4, 11, 13, 15, 19, 25, and 28. Total Score Calculate mean rating for items 1 to 32. show less
N/A
PX640901_Suicide_Emotionally_Close_Family
PX640901010700 How important to you is this reason for not more
committing suicide? I feel emotionally close to my family. show less
N/A
PX640901_Suicide_Enjoy_Family
PX640901011700 How important to you is this reason for not more
committing suicide? I enjoy being with my family. show less
N/A
PX640901_Suicide_Expect_Good_Future
PX640901011300 How important to you is this reason for not more
committing suicide? I expect many good things to happen to me in the future. show less
N/A
PX640901_Suicide_Expect_Success
PX640901011900 How important to you is this reason for not more
committing suicide? I expect to be successful in the future. show less
N/A
PX640901_Suicide_Family_Cares_Feelings
PX640901012400 How important to you is this reason for not more
committing suicide? My family cares about the way I feel. show less
N/A
PX640901_Suicide_Family_Cares_WhatHappens
PX640901013000 How important to you is this reason for not more
committing suicide? My family cares a lot about what would happen to me. show less
N/A
PX640901_Suicide_Family_Listens
PX640901011200 How important to you is this reason for not more
committing suicide? My family takes the time to listen to my experiences at school, work, or home. show less
N/A
PX640901_Suicide_Family_Support
PX640901012300 How important to you is this reason for not more
committing suicide? Most of the time, my family encourages and supports my plans or goals. show less
N/A
PX640901_Suicide_Feel_Good
PX640901012900 How important to you is this reason for not more
committing suicide? I feel good about myself. show less
N/A
PX640901_Suicide_Feel_OK
PX640901011800 How important to you is this reason for not more
committing suicide? I feel that I am an OK person. show less
N/A
PX640901_Suicide_Friends_AcceptMe
PX640901012700 How important to you is this reason for not more
committing suicide? My friends accept me for what I really am. show less
N/A
PX640901_Suicide_Friends_AppreciateMe
PX640901011600 How important to you is this reason for not more
committing suicide? I believe my friends appreciate me when I am with them. show less
N/A
PX640901_Suicide_Friends_Care
PX640901011000 How important to you is this reason for not more
committing suicide? My friends care a lot about me. show less
N/A
PX640901_Suicide_Friends_Stand_ByMe
PX640901010500 How important to you is this reason for not more
committing suicide? y friends stand by me whenever I have a problem. show less
N/A
PX640901_Suicide_Frightened_To_MakePlans
PX640901013200 How important to you is this reason for not more
committing suicide? I would be frightened or afraid to make plans for killing myself. show less
N/A
PX640901_Suicide_Future_Hopeful_Promising
PX640901012500 How important to you is this reason for not more
committing suicide? My future looks quite hopeful and promising. show less
N/A
PX640901_Suicide_Future_Plans
PX640901012800 How important to you is this reason for not more
committing suicide? I have many future plans I am looking forward to carrying out in the future. show less
N/A
PX640901_Suicide_Grow_Older
PX640901010400 How important to you is this reason for not more
committing suicide? . I have a lot to look forward to as I grow older. show less
N/A
PX640901_Suicide_Happy_With_Self
PX640901013100 How important to you is this reason for not more
committing suicide? I am happy with myself. show less
N/A
PX640901_Suicide_Hopefully_Future
PX640901011500 How important to you is this reason for not more
committing suicide? I am hopeful about my plans or goals for the future. show less
N/A
PX640901_Suicide_Like_Myself
PX640901010900 How important to you is this reason for not more
committing suicide? I like myself just the way I am. show less
N/A
PX640901_Suicide_Loved_Accepted
PX640901010600 How important to you is this reason for not more
committing suicide?I feel loved and accepted by my close friends. show less
N/A
PX640901_Suicide_Painful_Frightening
PX640901010200 How important to you is this reason for not more
committing suicide? It would be painful and frightening to take my own life. show less
N/A
PX640901_Suicide_Plans_Future
PX640901011100 How important to you is this reason for not more
committing suicide? I would like to accomplish my plans or goals in the future. show less
N/A
PX640901_Suicide_Problem_Support_Advice
PX640901010100 How important to you is this reason for not more
committing suicide? Whenever I have a problem, I can turn to my family for support or advice. show less
N/A
PX640901_Suicide_Satisfied
PX640901011400 How important to you is this reason for not more
committing suicide? I am satisfied with myself. show less
N/A
PX640901_Suicide_Scares_Me
PX640901012000 How important to you is this reason for not more
committing suicide? The thought of killing myself scares me. show less
N/A
Mental Health Research
Measure Name:

Deterrents to Suicide

Release Date:

November 21, 2014

Definition

A questionnaire to assess protective factors that are deterrents to suicide behavior.

Purpose

The presence of protective factors and their interaction with risk factors can help indicate suicide risk.

Keywords

Suicide, Suicide deterrents, Protective factors, Religiosity, Religion, Morality, Morals, Reasons for Living for Adolescents inventory, RFL-A