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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.

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:

This section will be completed when reviewed by an Expert Review Panel.

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

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

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
Derived Variables

None

Process and Review

This section will be completed when reviewed by an Expert Review Panel.

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 NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX640903_Suicide_Acceptable_For_Incurable_Disease PX640903010500 Suicide is an acceptable means to terminate an incurable disease 4 N/A
PX640903_Suicide_Avoid_Talking PX640903012300 Most people avoid talking about suicide 4 N/A
PX640903_Suicide_Can_Die PX640903013100 Anybody can die by suicide 4 N/A
PX640903_Suicide_Can_Stop PX640903010600 Once a person has made up his/her mind about taking his/her own life, no one can stop him/her 4 N/A
PX640903_Suicide_Conflicts_With_Close_Person PX640903013500 Most suicide attempts are caused by conflicts with a close person 4 N/A
PX640903_Suicide_Considered_Long_Time PX640903011000 When a person dies by suicide, it is something that he/she has considered for a long time 4 N/A
PX640903_Suicide_Cry_For_Help PX640903012600 A suicide attempt is essentially a cry for help 4 N/A
PX640903_Suicide_Duty_To_Stop PX640903010900 It is a human duty to try to stop someone from dying by suicide 4 N/A
PX640903_Suicide_Everyone_Thought_About_Suicide PX640903011500 Almost everyone has at one time or another thought about suicide 4 N/A
PX640903_Suicide_Get_Help_Incurable_Disease PX640903013600 I would like to get help to take my own life if I were to suffer from a severe, incurable disease 4 N/A
PX640903_Suicide_Help_With_Suicidal_Thoughts PX640903010100 It is always possible to help a person with suicidal thoughts 4 N/A
PX640903_Suicide_Impulsive_Actions PX640903010400 Most suicide attempts are impulsive actions (by nature) 4 N/A
PX640903_Suicide_Loneliness_A_Reason PX640903011400 Loneliness could for me be a reason to take my life 4 N/A
PX640903_Suicide_Mainly_Loneliness PX640903012500 It is mainly loneliness that drives people to suicide 4 N/A
PX640903_Suicide_Mentally_Ill PX640903010800 People who take their own lives are usually mentally ill 4 N/A
PX640903_Suicide_Never_Justified PX640903010200 Suicide can never be justified 4 N/A
PX640903_Suicide_Not_Interfere PX640903012400 If someone wants to commit suicide it is their business, and we should not interfere 4 N/A
PX640903_Suicide_Only_Resolution PX640903011600 There may be situations where the only reasonable resolution is suicide 4 N/A
PX640903_Suicide_Possibility_Suffer_Incurable_Disease PX640903012000 I would consider the possibility of taking my life if I were to suffer from a severe, incurable disease 4 N/A
PX640903_Suicide_Prepared_To_Help PX640903013000 I am prepared to help a person in a suicidal crisis by making contact 4 N/A
PX640903_Suicide_Prevented PX640903013700 Suicide can be prevented 4 N/A
PX640903_Suicide_Punish_Someone_Else PX640903010700 Many suicide attempts are made because of revenge or to punish someone else 4 N/A
PX640903_Suicide_Relatives_Idea_About_Suicide PX640903012800 Usually relatives have no idea about what is going on when a person is thinking of suicide 4 N/A
PX640903_Suicide_Relief_For_Those_Involved PX640903011800 Suicide can sometimes be a relief for those involved 4 N/A
PX640903_Suicide_Right PX640903013400 People do have the right to take their own lives 4 N/A
PX640903_Suicide_Risk_Evoking_Suicidal_Thoughts PX640903011100 There is a risk of evoking suicidal thoughts in a person's mind if you ask about it 4 N/A
PX640903_Suicide_Say_Without_Meaning_It PX640903011700 I could say that I would take my life without actually meaning it 4 N/A
PX640903_Suicide_Should_Get_Help PX640903012900 A person suffering from a severe, incurable disease expressing wishes to die should get that help to do so 4 N/A
PX640903_Suicide_Should_Not_Talk_About PX640903011300 Suicide is a subject that one should not talk about 4 N/A
PX640903_Suicide_Talk_Suicide_Not_Die PX640903013300 People who talk about suicide do not die by suicide 4 N/A
PX640903_Suicide_Thoughts_Never_Let_Go PX640903012100 A person once they have suicidal thoughts will never let them go 4 N/A
PX640903_Suicide_Threats_Seldom_Complete PX640903011200 People who make suicidal threats seldom complete suicide 4 N/A
PX640903_Suicide_Understand PX640903012700 On the whole, I do not understand how people can take their lives 4 N/A
PX640903_Suicide_Understand_Incurable_Disease_Suicide PX640903013200 I can understand that people suffering from a severe, incurable disease die by suicide 4 N/A
PX640903_Suicide_Without_Warning PX640903012200 Suicide happens without warning 4 N/A
PX640903_Suicide_Worst_For_Relatives PX640903010300 Taking one's own life is among one of the worst things to do to one's relatives 4 N/A
PX640903_Suicide_Young_To_Live_For PX640903011900 Suicides among young people are particularly puzzling since they have everything to live for 4 N/A
Research Domain Information
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