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Document Name: SSAND: SU: Suicidal Ideation
Document Accession: phd001342.1

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SSAND: SU: Suicidal Ideation

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General Information:

Suicidal behavior is a non-diagnostic section that assesses suicidal ideation and attempts. Only if R stated explicitly in the Depression section that s/he attempted suicide should the interviewer include the word “further” when reading the introductory sentence. There may be some respondents who think about, seriously consider, or attempt suicide but do not go through the Depression section because they did not meet duration criteria. Still, others may ponder or attempt suicide when not depressed. Thus, SU1, SU2, and SU7 are asked of all respondents. Although the total number of suicide attempts is obtained, the interviewer is instructed to ask questions SU3-SU6 for the most serious attempt only. R must determine for him/herself which attempt was the most serious.

SU1. Have you ever thought about killing yourself?
1 = NO. SKIP TO SU25 = YES
SU1A_NUM. . How many days in a row did these thoughts last?

IF LESS THAN 1 DAY, CODE 00.

ASK FOR MOST SEVERE PERIOD OF SUICIDAL THOUGHTS.

UNITS
SU1A_UNIT. CODE UNITS:
1 = DAYS2 = WEEKS3 = MONTHS4 = YEARS
SU1A_1. IF DK: Did those thoughts last for at least 7 days in a row?
1 = NO5 = YES
SU1AgeOns. How old were you the first time you had these thoughts? AGE
SU1AgeRec. How old were you the last time you had these thoughts? AGE
SU1Rec. Was it within the past month?
1 = NO5 = YES
C. Did you have a plan? (Did you actually consider a way to take your life?)
1 = NO5 = YES

Spec: This includes any thoughts about suicide. Check for onset and persistence of most severe suicidal thoughts.

SU2. Have you ever tried to kill yourself?
1 = NO. SKIP TO SU75 = YES
A. How many times? TIMES
SU2AgeOns. How old were you the first time? AGE
SU2AgeRec. How old were you the last time? AGE
SU2Rec. Was it within the past month?
1 = NO5 = YES

Think about your most serious suicide attempt.

SU3. How did you try to kill yourself?
1 = Overdose
2 = Cutting wrists
3 = Knife/cutting
4 = Hanging
5 = Gun
6 = Asphyxiation/CO poisoning
7 = Jumping from a height
8 = Purposeful car accident
9 = Drowning
10 = Other SPECIFY
SU3_SPEC. SPECIFY:

Spec: If multiple suicide attempts were made, record the method of the most serious attempt, determined by asking R which attempt that s/he considers to be the most serious. This could be the attempt that R was certain would be lethal, or it could be the attempt that caused the most serious medical consequence.

SU4. Did you receive medical treatment after you tried to kill yourself?
1 = NO5 = YES

Spec: Medical care does NOT include psychiatric care. Medical care includes going to ER or receiving care for injury.

SU5. Were you admitted to a hospital after the attempt?
1 = NO. SKIP TO SU65 = YES
A. Were you admitted to a general hospital or a psychiatric hospital or unit?
1 = General Hospital5 = Psychiatric Hospital/Unit

Spec: Hospital admission can be for treatment of physical trauma or for psychiatric care.

Did you try to kill yourself while:
SU6_1. Feeling depressed?
1 = NO5 = YES
SU6_2. You had been drinking?
1 = NO5 = YES
SU6_3. You had been using drugs?
1 = NO5 = YES
SU6_4. Having strange thoughts or experiences, or while seeing visions?
1 = NO5 = YES

Spec: This question refers to all attempts made. In one attempt R may have been depressed. In another attempt, R may have used drugs. If R states that s/he thought everyone hated her/him, in the context of depression, code it under SU6.1 (while feeling depressed).

SU7. (Other than when you tried to take your own life) did you ever hurt yourself on purpose, for example, by cutting or burning yourself?
1 = NO SKIP TO NEXT SECTION5 = YES
A. How many times? TIMES
SU7AgeOns. How old were you the first time? AGE
SU7AgeRec. How old were you the last time? AGE
SU7Rec. Was it within the past month?
1 = NO5 = YES

Spec: Do NOT include suicide attempts here – only attempts to hurt oneself.