Questionnaire for Assessing Suicide Risk Test - the question form
Questions: 16 · 3 minutes
1. Have you recently had thoughts of suicide?
Yes
No
2. If yes, how often?
Yes
No
3. Did these thoughts occur involuntarily?
Yes
No
4. Do you have a specific idea of how you would prefer to end your life?
Yes
No
5. Have you begun preparing for this?
Yes
No
6. Have you already told anyone about your suicidal intentions?
Yes
No
7. Have you ever tried to take your own life?
Yes
No
8. Has there been a suicide in your family or among your friends or acquaintances?
Yes
No
9. Do you feel your situation is hopeless?
Yes
No
10. Is it difficult for you to take your mind off your problems?
Yes
No
11. Have you been communicating less with relatives, friends, or acquaintances lately?
Yes
No
12. Do you still have interest in what is happening in your work and your surroundings? Do you still have interest in your hobbies?
Yes
No
13. Do you have someone you can talk to openly and in confidence about your problems?
Yes
No
14. Do you live with your family or with acquaintances?
Yes
No
15. Do you still have strong emotional ties to your family and/or professional responsibilities?
Yes
No
16. Do you feel you have a stable sense of belonging to a religious or other worldview community?
Yes
No