COSMIN database

A systematic review and evaluation of measures for suicidal ideation and behaviors in population-based research

Batterham, P. J., Ftanou, M., Pirkis, J., Brewer, J. L., Mackinnon, A. J., Beautrais, A., Fairweather-Schmidt, A. K., and Christensen, H.
The use of measures of suicidal ideation and behavior with sound measurement properties is critical in identifying people most at risk of suicide. In particular, brief self-report measures of suicidal ideation and behaviors are needed for use in large-scale population-based research and in the development and evaluation of suicide prevention programs in the community. This review aimed to identify and recommend psychometrically sound self-report measures of suicidal ideation and behaviors that could be used in population-based research of adults. To identify existing self-report measures for adult use, a systematic search was conducted using MEDLINE (Medical Literature Analysis and Retrieval System Online) and PsycINFO (Psychological Information Database) databases. Abstracts, reference lists, and previous review papers were screened. Once measures were identified, we used a hierarchical criterion-based approach to assess their utility, psychometric properties, and appropriateness for population-based research. Nineteen measures were evaluated against 6 criteria. Three brief measures that met all criteria of the evaluation and demonstrated adequate psychometric properties were the Depressive Symptom Index Suicidality Subscale (DSI-SS), Suicidal Behaviors Questionnaire-Revised (SBQ-R), and Suicidal Ideation Attributes Scale (SIDAS). None of the comprehensive measures met all criteria for use in population-based studies, due to financial costs imposed on use, although the Beck Scale for Suicide Ideation (BSSI) and the Adult Suicidal Ideation Questionnaire (ASIQ) had considerable evidence of psychometric robustness. Suicide researchers are encouraged to further establish the validity of scores on these measures across diverse adult populations.
Psychol Assess
1939-134X (Electronic)
Publication year:
Symptom status:
Cognitive/mental state
Emotional state
Seniors (65+)
Mental and behavioural disorders and related symptoms
PRO / non-PRO:
Patient Reported Outcome
Type of measurement instrument:
1 - Questionnaires
ASIQ - Adult Suicidal Ideation Questionnaire
BSSI - Beck Scale for Suicide Ideation
CHRTSR - Concise Health Risk Tracking Scale
DSISS - Depressive Symptom Index Suicidality Subscale
FAST - Firestone Assessment of Self-Destructive Thoughts
GHQ - General Health Questionnaire (versions: original = GHQ-60; GHQ-12; GHQ-20; GHQ-28; GHQW-30; GHQ-36)
HASS - Harkavy-Asnis Suicide Scale
IDAS - Inventory of Depression and Anxiety Symptoms
P4 Screener
PANSI - Positive and Negative Suicide Ideation Inventory
PSF - Psychiatric Symptom Frequency Scale
SBQ-R - Suicidal Behaviors Questionnaire—Revised
SIDAS - Suicidal Ideation Attributes Scale
SIS - Suicidal Ideation Scale
SMSIS - Self-Monitoring Suicide Ideation Scale
SPS - Suicide Probability Scale
SRS - Suicide Risk Scale
S-STS - Sheehan Suicide Tracking Scale
YES - Yale Evaluation of Suicidality