Table 5.

STARS-p PART B – summary of suggestions for improvement of item wording, language, and ordering.

Domain of enquiry	Type of change			Summary of suggestions	Example suggestion (quote)
Home	Addition	Reorder	Reword	Alternative wording suggestions concerning ‘safety’ and temporal experience.	“Are there times you feel unsafe at home?”
	0	0	2
Education/employment	Addition	Reorder	Reword	Suggestions for reordering of items on: work, occupation, school. Rewording suggestions focused on positively reframing questions on work roles.	“Are you working at the moment? What is your occupation? How are things at school/work?” (Reorder)
	0	2	3		“Are you working (paid or unpaid) at the moment?” (Reword from: Are you not working at the moment?)
Sexual/physical/emotional abuse	Addition	Reorder	Reword	Suggestions for additional items for trauma (not abuse) and generational experiences. Rewording suggestions focused on seeking clients’ view of these items and their impacts/implications.	“[is there] any generational trauma etc.?” (Addition)
	3	0	8		“Have you experienced trauma, abuse or neglect in the past or currently” [Reword from: Have you been abused (past) or are you currently being abused?]
Marital/ De Facto relationship	Addition	Reorder	Reword	Rewording suggestions focused on questioning ‘any relationship’ issues from the outset.	“Are you experiencing any relationship issues (not limiting to breakup) “(Reword from: Are you experiencing a relationship breakup/separation?)
	0	0	4
Financial problems	0	0	0
Mental health condition	Addition	Reorder	Reword	Suggestions for ‘additions’ concerned obtaining clients’ view and impacts of their diagnosis. Rewording suggestions focused firstly on more broadly asking about mental health or ill-health.	“Do you agree with your diagnosis? What are your thoughts on your diagnosis?” (Addition)
	2	0	8		“Have you been formally diagnosed with a mental health condition ^ or thought that you could be?” (Reword from: Do you have a psychological problem?)
Health	Addition	Reorder	Reword	Suggested additional content concerned expanding questions in this domain and rewording focused on more direct enquiry.	“[Part B] may need to be expanded” (Addition)
	1	0	2		“Have you been diagnosed with a health condition?” (Reword from: How is your physical health?)
Sexual identity/orientation	Addition	Reorder	Reword	Suggested additions for gender identification item. Rewording suggestions concerned sensitivity, while reordering focused on questioning impacts of negative experiences first.	“How would you describe your gender identity?”; “What pronouns do you use?” (Addition)
	9	1	9		“If you know it’s not the sexuality/home life/money etc. but its effect on the person, why do not you flip those two elements around and focus on the pain, loss, stress, marginalization etc.?” (Reorder)
					“What has your experience of your sexuality and gender been like?” (Reword from: Are you comfortable with your sexual identity or orientation?)
Sense of self	Addition	Reorder	Reword	Alternative wording concerned distinguishing between self-concept and others’ expectations of self.	“Invalidated self – incongruence between internal self-conceptualisation and the expectations of family, community, culture, religion” (Reword from: How do you feel about yourself?)
	0	0	3
Loss of hope	Addition	Reorder	Reword	Rewording suggested to be more specific and focused on future.	“What are your hopes and aspirations for the future?” (Reword from: How do you see your future?)
	0	0	1
Drugs/alcohol	Addition	Reorder	Reword	Suggested additions to the question on drug/alcohol behavior, methods and relational contexts of drug use.	“[ask about].Method of use, IV, smoking, alone, with others, motivation to address their use” (In addition to - Do you use drugs and alcohol?)
	3	0	0
Family history of mental health condition	Addition	Reorder	Reword	Alternative wording suggestions concerned terminology around diagnosis.	“Has anyone in your family been diagnosed with a mental health condition (as they may not have “suffered”)?” (Reword from: Has anyone in your family suffered from a mental illness?)
	0	0	2
Family history of suicide/attempt or behavior	0	0	0
Other known suicide	Addition	Reorder	Reword	Alternative wording suggestions focused on knowledge of someone’s else’s suicide or suicidality.	“.enquiry about whether they may know someone with suicidal history…. [and/or who has died by suicide]” [Reword from: Do you know someone who died by suicide (either personally or someone unknown or another who has had an impact on you?)]
	0	0	1
Grief and loss	Addition	Reorder	Reword	Alternative rewording for referring to types of loss (including loss of self).	“Grief and loss is also about the loss of self, particularly for someone with chronic pain conditions.” (Reword from: Has someone you cared for, loved, or had a close relationship with died recently or has an anniversary at or around this time?)
	0	0	1
All/admin	Addition	Reorder	Reword	Reordering suggestion focused on moving some items (from Part B) to Part A; earlier in questioning.	“Some part B items should be placed earlier, especially things like recent changes in irritability, changes in AOD, and sense of connection OR burden on others – (or to at least have several of these added to the summary sheet at the end).”
	0	1	0