Table 6.

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

Domain of Enquiry	Type of change			Summary of suggestions	Example suggestion (quote)
Social Support/ Sense of Belonging	Addition	Reorder	Reword	Alternative wording suggestions mainly for ‘additions’ concerning presence, types and use of social supports. Rewording suggestions included a focus on trusted sources of support	“Are there any issues (political, religious, personal opinions, moral etc) that would stop you from communicating with normally supportive family or friends about your suicidality?” (Addition).
	7	0	5		“Do you have anyone you trust enough to talk or confide in?” (Reword for: Do you feel closely/intimately connected to others?)
Self-Esteem	Addition	Reorder	Reword	Suggestions for additions as well as rewording of items to gain the view of others on personal qualities.	“What would someone say they like about you / you are good at?” (Addition)
	5	0	5		“… what are 3 positive qualities other people would say about you?” (Reword for: Can you list 3 positive qualities about yourself?)
Coping/Problem Solving Ability	Addition	Reorder	Reword	Rewording suggestions focused on eliciting examples about coping.	“Can you think back to a time when you last felt like this? what helped you cope and get through?” (Reword for: How do you usually cope when you ‘do not feel yourself’/feel down and distressed?)
	0	0	2
Cultural Identity	Addition	Reorder	Reword	Suggestions for additions focused on trauma while rewording focused on understanding experience of culture /services.	“It would be good to elicit whether the individual has experienced trauma, whether they are a refugee” (Addition)
	1	0	3		“Do you have access to culturally appropriate services/ cultural access?” (Reword for: Do you feel that the community supports your cultural identity?)
Religion	Addition	Reorder	Reword	Reordering suggestions focused on addressing both protective and risk dimensions.	“Risk factor as well as protective factor (many religions shame suicide and this can block the conversation about suicide both before and after the fact)” (Reorder)
	0	2	0
Child Rearing/ Care Taking	Addition	Reorder	Reword	Suggestions for rewording focused on use of more appropriate and sensitive terms.	“The word obligation could be triggering to some and could be part of the risk factors” (Reword for: Do you have meaningful and/or positive obligations to another/others?)
	0	0	2
Help-Seeking	Addition	Reorder	Reword	Rewording suggestions concerned obtaining evidence of ‘intention’ to seek help.	“How have you sought help from any sources?” (Reword for: Do you feel comfortable seeking help?)
	0	0	2
Unspecified	Addition	Reorder	Reword	This suggestion is for a newly created item, namely perceived-control.	“Ask about their sense of control in their life, do they feel out of control, do they feel they can regain control?” (Addition)
	1	0	0