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Protocol - Deterrents to Suicide - Epidemiology

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Description:

The Attitudes Towards Suicide Scale (ATTS) includes 37 self-report items that measure the respondent’s attitudes about committing suicide. The ATTS includes a section about suicide expressions among family and friends, a section on attitudes and common beliefs about suicide, and a section about the respondent’s suicidal expressions. Each item is rated on a 5-point Likert scale ranging from 1 ("strongly agree") to 5 ("strongly disagree"). Ratings for each subscale are constructed by calculating the mean rating for all items in the subscale. The total ATTS inventory 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:

Attitudes Towards Suicide Scale

The following questions concern your opinion about suicide. Please mark the alternative that you find is in best accordance with your opinion. There are no "right" or "wrong" answers!

1. It is always possible to help a person with suicidal thoughts.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

2. Suicide can never be justified.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

3. Taking one’s own life is among one of the worst things to do to one’s relatives.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

4. Most suicide attempts are impulsive actions (by nature).

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

5. Suicide is an acceptable means to terminate an incurable disease.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

6. Once a person has made up his/her mind about taking his/her own life, no one can stop him/her.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

7. Many suicide attempts are made because of revenge or to punish someone else.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

8. People who take their own lives are usually mentally ill.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

9. It is a human duty to try to stop someone from dying by suicide.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

10. When a person dies by suicide, it is something that he/she has considered for a long time.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

11. There is a risk of evoking suicidal thoughts in a person’s mind if you ask about it.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

12. People who make suicidal threats seldom complete suicide.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

13. Suicide is a subject that one should not talk about.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

14. Loneliness could for me be a reason to take my life.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

15. Almost everyone has at one time or another thought about suicide.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

16. There may be situations where the only reasonable resolution is suicide.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

17. I could say that I would take my life without actually meaning it.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

18. Suicide can sometimes be a relief for those involved.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

19. Suicides among young people are particularly puzzling since they have everything to live for.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

20. I would consider the possibility of taking my life if I were to suffer from a severe, incurable disease.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

21. A person once they have suicidal thoughts will never let them go.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

22. Suicide happens without warning.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

23. Most people avoid talking about suicide.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

24. If someone wants to commit suicide it is their business, and we should not interfere.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

25. It is mainly loneliness that drives people to suicide.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

26. A suicide attempt is essentially a cry for help.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

27. On the whole, I do not understand how people can take their lives.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

28. Usually relatives have no idea about what is going on when a person is thinking of suicide.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

29. A person suffering from a severe, incurable disease expressing wishes to die should get that help to do so.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

30. I am prepared to help a person in a suicidal crisis by making contact.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

31. Anybody can die by suicide.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

32. I can understand that people suffering from a severe, incurable disease die by suicide.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

33. People who talk about suicide do not die by suicide.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

34. People do have the right to take their own lives.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

35. Most suicide attempts are caused by conflicts with a close person.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

36. I would like to get help to take my own life if I were to suffer from a severe, incurable disease.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

37. Suicide can be prevented.

1[ ]Strongly Agree

2[ ]Agree

3[ ]Neutral

4[ ]Disagree

5[ ]Strongly Disagree

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 Attitudes Towards Suicide Scale is a brief, low-burden instrument that can be used to assess attitudes toward a range of suicidal ideation in the general population.

Language

Chinese, English, French, Romanian

Standards
StandardNameIDSource
Common Data Elements (CDE) Psychological Attitude Towards Suicide Scale 4588833 CDE Browser
Human Phenotype Ontology Suicidal Ideation HP:0031592 HPO
Derived Variables

None

Process and Review

Not applicable.

Source

Renberg, E. S., & Jacobsson, L. (2003). Development of a questionnaire on Attitudes Towards Suicide (ATTS) and its application in a Swedish population. Suicide and Life-Threatening Behavior, 33(1), 52-64.

General References

Omma, L., Sandlund, M., & Jacobsson, L. (2013). Suicidal expressions in young Swedish Sami, a cross-sectional study. International Journal of Circumpolar Health, 72.

Protocol ID:

640903

Variables:
Export Variables
Variable Name Variable IDVariable DescriptiondbGaP Mapping
PX640903_Suicide_Acceptable_For_Incurable_Disease
PX640903010500 Suicide is an acceptable means to terminate more
an incurable disease show less
N/A
PX640903_Suicide_Avoid_Talking
PX640903012300 Most people avoid talking about suicide N/A
PX640903_Suicide_Can_Die
PX640903013100 Anybody can die by suicide N/A
PX640903_Suicide_Can_Stop
PX640903010600 Once a person has made up his/her mind about more
taking his/her own life, no one can stop him/her show less
N/A
PX640903_Suicide_Conflicts_With_Close_Person
PX640903013500 Most suicide attempts are caused by more
conflicts with a close person show less
N/A
PX640903_Suicide_Considered_Long_Time
PX640903011000 When a person dies by suicide, it is more
something that he/she has considered for a long time show less
N/A
PX640903_Suicide_Cry_For_Help
PX640903012600 A suicide attempt is essentially a cry for help N/A
PX640903_Suicide_Duty_To_Stop
PX640903010900 It is a human duty to try to stop someone more
from dying by suicide show less
N/A
PX640903_Suicide_Everyone_Thought_About_Suicide
PX640903011500 Almost everyone has at one time or another more
thought about suicide show less
N/A
PX640903_Suicide_Get_Help_Incurable_Disease
PX640903013600 I would like to get help to take my own life more
if I were to suffer from a severe, incurable disease show less
N/A
PX640903_Suicide_Help_With_Suicidal_Thoughts
PX640903010100 It is always possible to help a person with more
suicidal thoughts show less
N/A
PX640903_Suicide_Impulsive_Actions
PX640903010400 Most suicide attempts are impulsive actions more
(by nature) show less
N/A
PX640903_Suicide_Loneliness_A_Reason
PX640903011400 Loneliness could for me be a reason to take more
my life show less
N/A
PX640903_Suicide_Mainly_Loneliness
PX640903012500 It is mainly loneliness that drives people more
to suicide show less
N/A
PX640903_Suicide_Mentally_Ill
PX640903010800 People who take their own lives are usually more
mentally ill show less
N/A
PX640903_Suicide_Never_Justified
PX640903010200 Suicide can never be justified N/A
PX640903_Suicide_Not_Interfere
PX640903012400 If someone wants to commit suicide it is more
their business, and we should not interfere show less
N/A
PX640903_Suicide_Only_Resolution
PX640903011600 There may be situations where the only more
reasonable resolution is suicide show less
N/A
PX640903_Suicide_Possibility_Suffer_Incurable_Disease
PX640903012000 I would consider the possibility of taking more
my life if I were to suffer from a severe, incurable disease show less
N/A
PX640903_Suicide_Prepared_To_Help
PX640903013000 I am prepared to help a person in a suicidal more
crisis by making contact show less
N/A
PX640903_Suicide_Prevented
PX640903013700 Suicide can be prevented N/A
PX640903_Suicide_Punish_Someone_Else
PX640903010700 Many suicide attempts are made because of more
revenge or to punish someone else show less
N/A
PX640903_Suicide_Relatives_Idea_About_Suicide
PX640903012800 Usually relatives have no idea about what is more
going on when a person is thinking of suicide show less
N/A
PX640903_Suicide_Relief_For_Those_Involved
PX640903011800 Suicide can sometimes be a relief for those more
involved show less
N/A
PX640903_Suicide_Right
PX640903013400 People do have the right to take their own lives N/A
PX640903_Suicide_Risk_Evoking_Suicidal_Thoughts
PX640903011100 There is a risk of evoking suicidal thoughts more
in a person's mind if you ask about it show less
N/A
PX640903_Suicide_Say_Without_Meaning_It
PX640903011700 I could say that I would take my life more
without actually meaning it show less
N/A
PX640903_Suicide_Should_Get_Help
PX640903012900 A person suffering from a severe, incurable more
disease expressing wishes to die should get that help to do so show less
N/A
PX640903_Suicide_Should_Not_Talk_About
PX640903011300 Suicide is a subject that one should not more
talk about show less
N/A
PX640903_Suicide_Talk_Suicide_Not_Die
PX640903013300 People who talk about suicide do not die by more
suicide show less
N/A
PX640903_Suicide_Thoughts_Never_Let_Go
PX640903012100 A person once they have suicidal thoughts more
will never let them go show less
N/A
PX640903_Suicide_Threats_Seldom_Complete
PX640903011200 People who make suicidal threats seldom more
complete suicide show less
N/A
PX640903_Suicide_Understand
PX640903012700 On the whole, I do not understand how people more
can take their lives show less
N/A
PX640903_Suicide_Understand_Incurable_Disease_Suicide
PX640903013200 I can understand that people suffering from more
a severe, incurable disease die by suicide show less
N/A
PX640903_Suicide_Without_Warning
PX640903012200 Suicide happens without warning N/A
PX640903_Suicide_Worst_For_Relatives
PX640903010300 Taking one's own life is among one of the more
worst things to do to one's relatives show less
N/A
PX640903_Suicide_Young_To_Live_For
PX640903011900 Suicides among young people are particularly more
puzzling since they have everything to live for 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