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In clinical settings, the Suicidal Ideation Scale is used to structure an interview-based assessment of suicidal thoughts and related intent. It helps characterize the severity and nature of ideation, including passive thoughts of death, active intent, and preparatory behaviors.
The measure consists of 21 items and typically takes about 4 minutes to complete when administered by a clinician. It is commonly used to support initial risk evaluation and to monitor change over time in response to treatment or changes in clinical status.
The Suicidal Ideation Scale was originally developed by Aaron Beck, M. Kovacs, and A. Weissman (1978) and is intended to inform clinical judgment rather than function as a standalone determinant of risk.