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Protocol - Deterrents to Suicide - Epidemiology

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Protocol Name from Source:

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

Availability:

Publicly available

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

Personnel and Training Required

None

Equipment Needs

None

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingNo

Mode of Administration

Self-administered

Life Stage:

Adolescent

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:

[link[ora.research.ucla.edu/OHRPP/Documents/Policy/8/Risk_of_Suicide.pdf|ora.research.ucla.edu/OHRPP/Documents/Policy/8/Risk_of_Suicide.pdf]]

[link[www.nimh.nih.gov/health/topics/suicide-prevention/issues-to-consider-in-intervention-research-with-persons-at-high-risk-for-suicidality.shtml|www.nimh.nih.gov/health/topics/suicide-prevention/issues-to-consider-in-intervention-research-with-persons-at-high-risk-for-suicidality.shtml]]

Research Domain Information

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.

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 Scale4588833CDE Browser

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_Help_With_Suicidal_ThoughtsPX640903010100It is always possible to help a person with suicidal thoughts4N/A
PX640903_Suicide_Never_JustifiedPX640903010200Suicide can never be justified4N/A
PX640903_Suicide_Worst_For_RelativesPX640903010300Taking one¿¿¿s own life is among one of the worst things to do to one¿¿¿s relatives4N/A
PX640903_Suicide_Impulsive_ActionsPX640903010400Most suicide attempts are impulsive actions (by nature)4N/A
PX640903_Suicide_Acceptable_For_Incurable_DiseasePX640903010500Suicide is an acceptable means to terminate an incurable disease4N/A
PX640903_Suicide_Can_StopPX640903010600Once a person has made up his/her mind about taking his/her own life, no one can stop him/her4N/A
PX640903_Suicide_Punish_Someone_ElsePX640903010700Many suicide attempts are made because of revenge or to punish someone else4N/A
PX640903_Suicide_Mentally_IllPX640903010800People who take their own lives are usually mentally ill4N/A
PX640903_Suicide_Duty_To_StopPX640903010900It is a human duty to try to stop someone from dying by suicide4N/A
PX640903_Suicide_Considered_Long_TimePX640903011000When a person dies by suicide, it is something that he/she has considered for a long time4N/A
PX640903_Suicide_Risk_Evoking_Suicidal_ThoughtsPX640903011100There is a risk of evoking suicidal thoughts in a person¿¿¿s mind if you ask about it4N/A
PX640903_Suicide_Threats_Seldom_CompletePX640903011200People who make suicidal threats seldom complete suicide4N/A
PX640903_Suicide_Should_Not_Talk_AboutPX640903011300Suicide is a subject that one should not talk about4N/A
PX640903_Suicide_Loneliness_A_ReasonPX640903011400Loneliness could for me be a reason to take my life4N/A
PX640903_Suicide_Everyone_Thought_About_SuicidePX640903011500Almost everyone has at one time or another thought about suicide4N/A
PX640903_Suicide_Only_ResolutionPX640903011600There may be situations where the only reasonable resolution is suicide4N/A
PX640903_Suicide_Say_Without_Meaning_ItPX640903011700I could say that I would take my life without actually meaning it4N/A
PX640903_Suicide_Relief_For_Those_InvolvedPX640903011800Suicide can sometimes be a relief for those involved4N/A
PX640903_Suicide_Young_To_Live_ForPX640903011900Suicides among young people are particularly puzzling since they have everything to live for4N/A
PX640903_Suicide_Possibility_Suffer_Incurable_DiseasePX640903012000I would consider the possibility of taking my life if I were to suffer from a severe, incurable disease4N/A
PX640903_Suicide_Thoughts_Never_Let_GoPX640903012100A person once they have suicidal thoughts will never let them go4N/A
PX640903_Suicide_Without_WarningPX640903012200Suicide happens without warning4N/A
PX640903_Suicide_Avoid_TalkingPX640903012300Most people avoid talking about suicide4N/A
PX640903_Suicide_Not_InterferePX640903012400If someone wants to commit suicide it is their business, and we should not interfere4N/A
PX640903_Suicide_Mainly_LonelinessPX640903012500It is mainly loneliness that drives people to suicide4N/A
PX640903_Suicide_Cry_For_HelpPX640903012600A suicide attempt is essentially a cry for help4N/A
PX640903_Suicide_UnderstandPX640903012700On the whole, I do not understand how people can take their lives4N/A
PX640903_Suicide_Relatives_Idea_About_SuicidePX640903012800Usually relatives have no idea about what is going on when a person is thinking of suicide4N/A
PX640903_Suicide_Should_Get_HelpPX640903012900A person suffering from a severe, incurable disease expressing wishes to die should get that help to do so4N/A
PX640903_Suicide_Prepared_To_HelpPX640903013000I am prepared to help a person in a suicidal crisis by making contact4N/A
PX640903_Suicide_Can_DiePX640903013100Anybody can die by suicide4N/A
PX640903_Suicide_Understand_Incurable_Disease_SuicidePX640903013200I can understand that people suffering from a severe, incurable disease die by suicide4N/A
PX640903_Suicide_Talk_Suicide_Not_DiePX640903013300People who talk about suicide do not die by suicide4N/A
PX640903_Suicide_RightPX640903013400People do have the right to take their own lives4N/A
PX640903_Suicide_Conflicts_With_Close_PersonPX640903013500Most suicide attempts are caused by conflicts with a close person4N/A
PX640903_Suicide_Get_Help_Incurable_DiseasePX640903013600I would like to get help to take my own life if I were to suffer from a severe, incurable disease4N/A
PX640903_Suicide_PreventedPX640903013700Suicide can be prevented4N/A