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. Author manuscript; available in PMC: 2020 Sep 16.
Published in final edited form as: N Engl J Med. 2020 Jan 16;382(3):266–274. doi: 10.1056/NEJMra1902944

Table 2. Tools for Assessing Suicide Risk.

Tool* Intended Population Outcome When Originally Developed Scale or Prediction Tool Selection of Variables and Weighting No. of Items No. of Suicides in External Validation
Beck Hopelessness Scale43 General population (17–70 yr) Hopelessness symptoms Rating scale Not tested, unweighted 20 62
Beck Depression Inventory43 General population (≥13 yr) Depressive symptoms Rating scale Not tested, unweighted 21 76
Scale for Suicide Ideation43 General population Suicidal ideation Rating scale Not tested, unweighted 20 30
Patient Health Questionnaire (PHQ-9)43 Primary care Depressive symptoms Rating scale Not tested, unweighted 9 46
Beck's Suicide Intent Scale43 Self-harm Suicidal ideation Rating scale Not tested, unweighted 20 76
ReACT Self-Harm Rule43 Self-harm Repeated self-harm and suicide Prediction tool Multivariable model, unweighted 4 92
Columbia Suicide Severity Rating Scale (C-SSRS)44 General population, at risk groups Suicidal intent and behavior Prediction tool Decision tree, unweighted 5 10
Army STARRS suicide prediction tool45 U.S. military, after psychiatric hospitalization Suicide Prediction tool Multivariable model, weighted 14 Not available
Army STARRS suicide prediction tool46 U.S. military, after outpatient psychiatric visit Suicide Prediction tool Multivariable model, weighted 61 Not available
OxMIS tool47 Severe mental illness Suicide Prediction tool Multivariable model, weighted 17 139
*

OxMIS denotes Oxford Mental Illness and Suicide, and STARRS Study to Assess Risk and Resilience in Servicemembers.