<p>Appendix A Table 1. Suicide Risk Screening Instruments250</p><p>Tim e fra me Estimated Range of ass Number of time to score, Target behavior ess Instrument Administrator items administer threshold or purpose Target user ed Validation Adult Suicidal Self-administered 25 5 minutes 0 to 150 Suicide ideation Adults Pa High internal consistency (0.96 Ideation and behavior st to 0.98); administered among Questionnaire m different populations and (ASIQ)99 on settings; highly correlated with th HRSD and other measures of depression Beck Depression Self-administered 21 (1 suicide NR Single suicide Depression Adults and N Suicide item moderately Inventory (BDI), item) item, ranges including suicide adolescents R correlated with BSI (0.56 to versions I and from 1 to 4 ideation 0.58) in inpatient and II251,252 outpatient psychiatric patients Beck Self-administered 20 5 minutes 0 to 20 Positive and Adults and Pa High internal reliability in Hopelessness negative beliefs adolescents st clinical and nonclinical Scale (BHS)101 about future w populations (0.87 to 0.93); ee standardized in psychiatric in- k and outpatients; used in many other populations and settings; significant associations with SIS and moderately correlated with SSI Beck Scale for Self-administered 21 (19 10 minutes 0 to 38 Suicidal ideation Adults and Pa High interrater reliability (0.87 Suicide Ideation summed for and behavior adolescents st to 0.97); development samples (BSI)253 total score) w include psychiatric adolescent ee and adult in- and outpatients; k used in many other settings and populations; highly correlated with SSI (0.90 to 0.94); moderately correlated with BDI and BHS Harkavy Asnis Self-administered 21 5 to 10 NR Suicide ideation N NR Suicide Survey (HASS-I and II) minutes and behavior R (HASS), versions or clinician- I, II, and Demo254 administered (HASS-Demo) Hamilton Rating Clinician- 17-, 21-, and NR Single suicide Depressive Adults N High interrater reliability (0.92) Scale for administered 24-item item, ranges symptom severity R for suicide item; suicide item Depression versions (1 from 0 to 4 including suicide highly correlated with ASIQ, (HRSD)255 suicide item) ideation and SSI, and BDI behavior</p><p>Screening for Suicide Risk 1 Kaiser Permanente Research Affiliates EPC Appendix A Table 1. Suicide Risk Screening Instruments250</p><p>Tim e fra me Estimated Range of ass Number of time to score, Target behavior ess Instrument Administrator items administer threshold or purpose Target user ed Validation Positive and Self-administered 20 5 minutes 20 to 100 Positive and Pa High internal reliability for both Negative Suicide negative thoughts st subscales (0.80 to 0.93); Ideation Inventory related to suicide 2 standardized among (PANSI)256 attempts w undergraduate college ee students ks , in cl ud in g to da y Paykel Suicide Clinical- 5 A few NA (yes or no Suicide ideation Pa Studied in a psychiatric Items257 administered minutes questions; not st catchment area initially w designed as a ee scale) k, m on th, ye ar, or lif eti m e Suicide Self-administered 4 (original 5 minutes 5 to 19 Suicidal ideation Adults Pa Adequate internal consistency Behaviors version and behavior st (0.75 to 0.80); used in many Questionnaire included 34 ye settings and populations; (SBQ)258 items) ar significantly correlated with SSI</p><p>Screening for Suicide Risk 2 Kaiser Permanente Research Affiliates EPC Appendix A Table 1. Suicide Risk Screening Instruments250</p><p>Tim e fra me Estimated Range of ass Number of time to score, Target behavior ess Instrument Administrator items administer threshold or purpose Target user ed Validation Suicidal Self-administered 34 (10 of 14 NR NR Suicidal ideation Adults Pr High internal reliability (0.73 to Behaviors items measure and behavior es 0.92); standardized among Questionnaire 5 suicide en men and women, used in Revised (SBQ- behavior t many settings and populations; 14)259 domains for da total score positively correlated total score) y, with SSI, BDI, and BHS pa st, an d lif eti m e Suicidal Self-administered 4 5 minutes NR Suicidal ideation Children (younger than N Moderate reliability (alphas Behaviors and behavior age 10 years) R 0.83 to 0.79) Questionnaire for Children (SBQ- C)260 Symptom Driven Self-administered 16 (3 suicide 5 minutes NA (checklist) Suicide ideation N Diagnostic (part 1), clinician- items) followed R System for administered by 6 5-minute Primary Care, (part 2) modules by Suicide Items clinician (SDDS-PC)261,262</p><p>Screening for Suicide Risk 3 Kaiser Permanente Research Affiliates EPC Appendix A Table 1. Suicide Risk Screening Instruments250</p><p>Tim e fra me Estimated Range of ass Number of time to score, Target behavior ess Instrument Administrator items administer threshold or purpose Target user ed Validation Self-Harm Self-administered 22, four NR 0 to 78; Comprehensive Adolescents Lif College students, ethnically Behavior sections suicide screening for eti diverse high school students Questionnaire attempt (0 to suicidal thoughts m (all U.S.); assessed internal (SHBQ)263 25), suicide and behavior and e consistency (alphas all ≥0.90), threat (0 to nonsuicidal self- (at convergent validity (correlation 21), and harm. 4 subscales: te 0.25 to 0.49 with SIQ, suicide nonsuicidal self- m correlation -0.11 to -0.48 with ideation (0 to harm, suicide pt Reasons for Living Scale); 14) attempts, suicide s), factor structure consistent for threat, and suicide pa Caucasian, African American, 0 to 22 for ideation st and Hispanic students; some inpatients ye differences in strength of ar correlation between the (at groups264 te m pt s), cu rre nt (id ea tio n, pl an s, be ha vi or)</p><p>Screening for Suicide Risk 4 Kaiser Permanente Research Affiliates EPC Appendix A Table 1. Suicide Risk Screening Instruments250</p><p>Tim e fra me Estimated Range of ass Number of time to score, Target behavior ess Instrument Administrator items administer threshold or purpose Target user ed Validation Suicidal Ideation Self-administered 30 (adult form 10 minutes 0 to 180; 41 is Suicidal ideation Adolescentsgrades Pa Strong reliability (alphas of Questionnaire has 25 items) raw cutoff 10-12 st 0.97 for adolescents, 0.96 for (SIQ)265 score m young adults, and 0.93 for indicative of on younger adolescents [SIQ- potential for th JR]); high consistency (0.72 to suicidal risk 0.76); failed to discriminate between high and low risk for suicide attempt among adolescents Suicidal Ideation Self-administered 15 NR 0 to 90 Suicidal ideation Adolescentsjunior high Pa See SIQ Questionnaire- (ages 12 to 14 years) st Junior (SIQ-JR)265 m on th Suicide Ideation Self-administered 10 5 minutes 10 to 50 Suicidal ideation College students (age Pa High internal consistency Scale (SIS)266 NR) st (0.86); standardized with ye college psychology students; ar moderately correlated with CES-D and BHS Suicidal Ideation Clinician- 4 NR NR Suicide ideation; Pa Correctly identified 84% of Screening administered sleep disturbance, st general medical population Questionnaire mood disturbance, ye with suicide ideation; studied in (SIS-Q)267 and hopelessness ar adults and general medical settings Suicide Self-administered 36 10 minutes 36 to 144 Suicidal ideation, Adolescents and C High internal reliability (0.93), Probability Scale hopelessness, children (age NR) urr also high for subscales (0.62 (SPS)268 negative self- en to 0.89); standardized with evaluation, and t adolescents and adults from hostility general population; significantly associated with SPSS, BHS, and BDI in college students and adult psychiatric inpatients</p><p>Screening for Suicide Risk 5 Kaiser Permanente Research Affiliates EPC Appendix A Table 1. Suicide Risk Screening Instruments250</p><p>Tim e fra me Estimated Range of ass Number of time to score, Target behavior ess Instrument Administrator items administer threshold or purpose Target user ed Validation Scale for Suicide Clinician- 21 (19 10 minutes 0 to 38 Suicide ideation D Moderately high internal Ideation (SSI)269 administered summed for and behavior ay consistency (0.84 to 0.89); total score) of high interrater reliability (0.83 int to 0.98); standardized with er adult psychiatric in- and vi outpatients; used in many e other settings and populations; w significantly associated with suicide items from BDI and HRSD Scale for Suicide Self-administered 21 (19 10 minutes 0 to 38 Suicide ideation High internal consistency (0.90 Ideation, Self- summed for and behavior to 0.97); positive correlation Report (SSI- total score) with SSI and BDI; respondents SR)270 typically score higher with computer-generated test than paper Abbreviations: CES-D = Center for Epidemiologist Studies Depression Scale; NA = not applicable; NR = not reported; SPSS: Social Problem Solving Scale.</p><p>Screening for Suicide Risk 6 Kaiser Permanente Research Affiliates EPC</p>