Self-Injurious Thoughts and Behaviors Interview (SITBI)

*These questions ask about your thoughts and feelings of suicide and self-injurious behaviors. Please listen carefully and respond as accurately as you can. Do you have any questions before we begin?*
Suicidal ideation
1. Have you ever had thoughts of killing yourself?				1. ________________
(0) No	(1) Yes
2. How old were you the first time you had thoughts of killing yourself? (age)				2. ________________
3. How old were you the last time? (age)				3. ________________
4. How many separate times in your life have you had thoughts of killing yourself? (Please give your best estimate)				4. ________________
5. How many separate times in the past year?				5. ________________
6. How many separate times in the past month?				6. ________________
7. How many separate times in the past week?				7. ________________
8. When was the last time?				8. ________________
Hand respondent 0 to 4 rating scale. *On the last page, at the bottom, is a 0 to 4 rating scale for a number of the upcoming questions.*
9. On this scale of 0 to 4, at the worst point, how intense were your thoughts of killing yourself?				9. ________________
10. On the scale of 0 to 4, on average, how intense were these thoughts?				10. ________________
11. When you had thoughts of killing yourself, what method did you think of using?				11. ________________
(1) Own prescription drugs (2) Illicit drugs (not prescription) (3) Over-counter drugs (4) Other's prescription drugs (5) Poison (6) Firearms	(7) Immolation (8) Sharp object (9) Auto exhaust (10) Other gases (11) Train/car (12) Jump from height	(13) Drowning (14) Suffocation (15) Hanging (16) Other: ________________ (17) Multiple methods: ________________
12. When you had thoughts of killing yourself, how long did they usually last?				12. ________________
(0) 0 seconds (1) 1 to 60 seconds (2) 2 to 15 minutes (3) 16 to 60 minutes	(4) Less than 1 day (5) 1 to 2 days (6) More than 2 days (7) Wide range (spans >2 responses)
13. On the scale of 0 to 4, what do you think the likelihood is that you will have thoughts of killing yourself in the future?				13. ________________
Suicide plan
14. Have you ever actually made a plan to kill yourself?				14. ________________
(0) No	(1) Yes
*We will refer to this as a suicide plan.*
15. How old were you the first time you made a suicide plan? (age)				15. ________________
16. How old were you the last time? (age)				16. ________________
17. How many separate times in your life have you made a suicide plan?				17. ________________
18. How many separate times in the past year?				18. ________________
19. How many separate times in the past month?				19. ________________
20. How many separate times in the past week?				20. ________________
21. On the scale of 0 to 4, at the worst point, how seriously did you consider acting on the plan?				21. ________________
22. On the scale of 0 to 4, on average, how seriously have you considered acting on them?				22. ________________
23. When you had a plan(s), what method(s) did you think of using?				23. ________________
(1) Own prescription drugs (2) Illicit drugs (not prescription) (3) Over-counter drugs (4) Other's prescription drugs (5) Poison (6) Firearms	(7) Immolation (8) Sharp object (9) Auto exhaust (10) Other gases (11) Train/car (12) Jump from height	(13) Drowning (14) Suffocation (15) Hanging (16) Other: ________________ (17) Multiple methods: ________________
24. When you had a plan, how long did you think about it before either moving onto something else or acting on the plan?				24. ________________
(0) 0 seconds (1) 1 to 60 seconds (2) 2 to 15 minutes (3) 16 to 60 minutes	(4) Less than 1 day (5) 1 to 2 days (6) More than 2 days (7) Wide range (spans >2 responses)
25. When you had a plan(s), did you take steps to prepare to act on the plan(s)?				25. ________________
(0) No	(1) Yes
(If "yes", go to question 26)
26. What did you do?				26. ________________

27. On the scale of 0 to 4, what do you think the likelihood is that you will make a suicide plan in the future?				27. ________________
Suicide gesture
Say slowly – make sure they understand exactly what you are saying.
28. Have you ever done something to lead someone to believe that you wanted to kill yourself when you really had no intention of doing so?				28. ________________
(0) No	(1) Yes
(Only score if there was NO suicidal intent, and they wanted someone else to BELIEVE they wanted to make a suicide attempt)
*We will refer to this as a suicide gesture.*
29. How old were you the first time you made a suicide gesture? (age)				29. ________________
30. How old were you the last time? (age)				30. ________________
31. How many separate times in your life have you made a suicide gesture?				31. ________________
32. How many separate times in the past year?				32. ________________
33. How many separate times in the past month?				33. ________________
34. How many separate times in the past week?				34. ________________
35. What have you done?				35. ________________

36. When you made a suicide gesture, how long did you think about it before doing it?				36. ________________
(0) 0 seconds (1) 1 to 60 seconds (2) 2 to 15 minutes (3) 16 to 60 minutes	(4) Less than 1 day (5) 1 to 2 days (6) More than 2 days (7) Wide range (spans >2 responses)
37. On the scale of 0 to 4, what do you think the likelihood is that you will make a suicide gesture in the future?				37. ________________
Suicide attempt
38. Have you ever made an actual attempt to kill yourself in which you had at least some intent to die?				38. ________________
(0) No	(1) Yes
*We will refer to this as a suicide attempt.*
39. How old were you the first time you made a suicide attempt? (age)				39. ________________
40. How old were you the last time? (age)				40. ________________
41. When was the most recent suicide attempt?				41. ________________
42. How many days was that from today? (Note to the data enterer: Please calculate how many days the most recent suicide attempt was from the interview date)				42. ________________
43. How many suicide attempts have you made in your lifetime?				43. ________________
44. How many separate attempts in the past year?				44. ________________
45. How many separate attempts in the past month?				45. ________________
46. How many separate attempts in the past week?				46. ________________
47. For your most recent suicide attempt, what method did you use?				47. ________________
(1) Own prescription drugs (2) Illicit drugs (not prescription) (3) Over-counter drugs (4) Other's prescription drugs (5) Poison (6) Firearms	(7) Immolation (8) Sharp object (9) Auto exhaust (10) Other gases (11) Train/car (12) Jump from height	(13) Drowning (14) Suffocation (15) Hanging (16) Other: ________________ (17) Multiple methods: ________________
48. What were the circumstances that contributed most to your most recent suicide attempt? (Put in order of importance)				48a. ________________ 48b. ________________ 48c. ________________
(1) Job loss/job stress/academic failure (2) Problems with family or friends (3) Problems with spouse/lover (4) Financial problems	(5) Eviction (6) Health problems (7) Death of another person (8) Psychiatric symptoms	(9) Humiliating event (10) Loneliness (11) Other: ________________
49. What kind of injuries did you have as a result of this suicide attempt?				49. ________________
Regarding the most lethal attempt:
50. How old were you when you made the suicide attempt that caused you the most physical harm? (age)				50. ________________
51. When did it occur?				51. ________________
52. How many days was that from today? (Note to the data enterer: Please calculate how many days the most lethal suicide attempt was from the interview date)				52. ________________
53. What kind of injuries did you have as a result of this attempt?				53. ________________
54. Is the most harmful attempt also the most recent?				54. ________________
(0) No	(1) Yes
Regarding all your past suicide attempts:
55. How long did you usually think about suicide before making an attempt?				55. ________________
(0) 0 seconds (1) 1 to 60 seconds (2) 2 to 15 minutes (3) 16 to 60 minutes	(4) Less than 1 day (5) 1 to 2 days (6) More than 2 days (7) Wide range (spans >2 responses)
56. On the scale of 0 to 4, what do you think the likelihood is that you will make a suicide attempt in the future?				56. ________________
Thoughts of nonsuicidal self-injury
People sometimes have thoughts about hurting themselves without wanting to die. Other times they actually do things to hurt themselves. Right now I'm going to ask you some questions about what some people think, and then I'll ask you about what some people do in a bit.
57. Have you ever had thoughts of purposely hurting yourself without wanting to die (for example, cutting or burning)?				57. ________________
(0) No	(1) Yes
*We will refer to this as a nonsuicidal self-injury (NSSI).*
58. How old were you the first time you thought about engaging in NSSI? (age)				58. ________________
59. How old were you the last time? (age)				59. ________________
60. How many separate times in your life have you had thoughts about engaging in NSSI? (Please give your best estimate)				60. ________________
61. How many separate times in the past year?				61. ________________
62. How many separate times in the past month?				62. ________________
63. How many separate times in the past week?				63. ________________
64. On the scale of 0 to 4, at the worst point, how intense were your thoughts about engaging in NSSI?				64. ________________
65. On the scale of 0 to 4, on average, how intense were these thoughts?				65. ________________
66. What method did you think of using?				66. ________________
(1) Cut or carved skin (2) Burned your skin (ie, with a cigarette, match, or other hot object) (3) Inserted sharp objects into your skin or nails	(4) Picked areas of your body to the point of drawing blood (10) Hit yourself on purpose (11) Gave yourself a tattoo	(12) Scraped your skin to the point skin or nails of drawing blood (13) Other (specify): ________________
67. When you had these thoughts, how long do they usually last?				67. ________________
(0) 0 seconds (1) 1 to 60 seconds (2) 2 to 15 minutes (3) 16 to 60 minutes	(4) Less than 1 day (5) 1 to 2 days (6) More than 2 days (7) Wide range (spans >2 responses)
68. On the scale of 0 to 4, what do you think the likelihood is that you will have thoughts about engaging in NSSI in the future?				68. ________________
Nonsuicidal self-injury
69. Have you ever actually purposely engaged in NSSI?				69. ________________
(0) No	(1) Yes
70. How old were you the first time you purposely engaged in NSSI? (age)				70. ________________
71. How old were you the last time? (age)				71. ________________
72. How many separate times in your life have you engaged in NSSI? (Please give your best estimate)				72. ________________
73. How many separate times in the past year?				73. ________________
74. How many separate times in the past month?				74. ________________
75. How many separate times in the past week?				75. ________________
76. Now I'm going to go through a list of things that people sometimes purposely do to harm themselves without wanting to die. Please let me know which of these you've done:				76a. ________________ 76b. ________________ 76c. ________________ 76d. ________________ 76e. ________________
(1) Cut or carved skin (2) Burned your skin (ie, with a cigarette, match, or other hot object) (3) Inserted sharp objects into your skin or nails	(4) Picked areas of your body to the point of drawing blood (10) Hit yourself on purpose (11) Gave yourself a tattoo	(12) Scraped your skin to the point skin or nails of drawing blood (13) Other (specify): ________________
77. On average, how long have you thought about NSSI before engaging in it?				77. ________________
(0) 0 seconds (1) 1 to 60 seconds (2) 2 to 15 minutes (3) 16 to 60 minutes	(4) Less than 1 day (5) 1 to 2 days (6) More than 2 days (7) Wide range (spans >2 responses)
78. Have you ever received medical treatment for harm caused by NSSI?				78. ________________
(0) No	(1) Yes
79. On a scale of 0 to 4, what do you think the likelihood is that you will purposely engage in NSSI in the future?				79. ________________
0 to 4 rating scale
0 Not at all	1 A little bit	2 Somewhat	3 Very much	4 Extremely

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Self-Injurious Thoughts and Behaviors Interview (SITBI)