Press | Sponsors | Donate | Glossary
HomeSigns of SuicideHelp a FriendFacts on SuicideSuicide & Mental IllnessProfessionalsSurvivorsStop A Suicide Today
 
 
 

SIGNS OF SUICIDE

Did you know that 70% of people who commit suicide tell someone about their plans, or give warning signs? Take this questionnaire to find out if someone you know needs help.

Download the Suicide Risk Questionnaire (PDF) - for Community Members
Download the Suicide Risk Questionnaire (PDF) - for Military and their Family Members



Part I: Suicide Risk Questionnaire

Have you heard someone say:

Have you observed:

Life isn't worth living
My family would be better off without me
Next time I'll take enough pills to do the job right
Take my (prized collection, valuables) - I don't need this
stuff anymore
I won't be around to deal with that
You'll be sorry when I'm gone
I won't be in your way much longer
I just can't deal with everything -- life's too hard
Nobody understands me -- nobody feels the way I do
There's nothing I can do to make it better
I'd be better off dead
I feel like there is no way out

Getting affairs in order (paying off debts, changing a will)
Giving away articles of either personal or monetary value
Signs of planning a suicide such as obtaining a weapon or writing a suicide note


Part II: Depression Risk Questionnaire

Have you noticed the following signs of depression:

If depression seems possible, have you also noticed:

Depressed mood
Change in sleeping patterns (too much/little, disturbances)
Change in weight or appetite
Speaking and/or moving with unusual speed or slowness
Loss of interest or pleasure in usual activities
Withdrawal from family and friends
Fatigue or loss of energy
Diminished ability to think or concentrate,
slowed thinking or indecisiveness
Feelings of worthlessness, self-reproach, or guilt
Thoughts of death, suicide, or wishes to be dead
Extreme anxiety, agitation,
irritability or risky behavior
Racing thoughts, excessive energy,
reduced need for sleep
Excessive drug and/or alcohol use or abuse
Neglect of physical health
Feelings of hopelessness




Created by Screening for Mental Health, Inc. with educational facts adapted from material provided by National Depression Screening Day (NDSD) sponsors: the American Foundation of Suicide Prevention, (888) 333-AFSP, www.afsp.org, and the American College Health Association, (410) 859-1500. Consultants: Ross J. Baldessarini, MD and Kay R. Jamison, PhD. We thank everyone for their continued support.
 

 

 


© Copyright 2006 All Rights Reserved. Updated June 2008. Contact Us  |  Disclaimer Information