TABLE 5.
Instrument and measure purposes and changes.
| # | Instrument/measure | Purpose | Cultural adaptations |
|---|---|---|---|
| A | Suicidal Ideation Questionnaire (SIQ-JR) | Measures suicidal ideation and will be used to determine eligibility with score of <32. Validated with AI/AN individuals | Switched to the junior version that has more concise language and a lower reading level, so it is more inclusive of variations in reading ability. |
| B | AI/AN Suicide Attempt Self Injury Count—Lifetime/Recent (SASI Count) | Determines first, most recent, and most severe attempt or SI | Improved language for clarity. Added methods of suicide that are common in AI/AN communities. Added assessment of concurrent drug/alcohol use with SI or attempt. |
| C | AI-SUPERPFP Health Services Measure | Collects information on use of medical services | Removed non-critical or deficit-based questions. |
| D | Caring Contacts Experience Survey | Satisfaction survey for overall study | Clarified language. |
| E | Interpersonal Needs Questionnaire (INQ) | Measures belonging and perceived burdensomeness | N/A |
| F | Duke-UNC Functional Social Support Questionnaire (FSSQ) | Measures perceived social support | New measure added after focus groups and interviews. |
| G | Loneliness Scale | Measure of loneliness that is part of the NIH Toolbox Social Relationship Scales | New measure added after focus groups and interviews. |
| H | Social Distress Scale | Brief measure of two dimensions of social distress—Perceived Rejection and Perceived Hostility. Also part of the NIH Toolbox | New measure added after focus groups and interviews. |
| I | Social Contact Questionnaire | Characterizes the participant’s use of social contact | Edited to include different methods of social contact such as texting, email, postal mail, and social media. |
| J | Client Satisfaction Survey | Evaluates standard community mental healthcare; will be used to evaluate satisfaction with outpatient healthcare identified on the AI-SUPERPFP | N/A |
| K | Center for Epidemiologic Studies Depression Scale (CES-D) | Identifies depressive symptoms | N/A |
| L | Addiction Severity Index—Native Version | Measures lifetime and current drug and alcohol use | Removed demographic questions that overlapped with our Demographic form. Alaska site removed questions on reservations. Moved a question regarding services utilization to the AI-SUPERPFP. |
| N | Brief Resilience Scale | Assesses resilience as the ability to recover from stress | N/A |
| O | Acquired Capability for Suicide Scale | Assesses one’s fearlessness about suicide | N/A |
| P | Exposure to Suicide Questionnaire | Assesses for possible contagion | In Alaska only, removed question asking participant to identify blood relation of person they lost to suicide. |
| Q | Historical Loss Scale | Assesses the frequency of thoughts regarding specific aspects of historical trauma | N/A |
| R | Trauma History Screen | Assesses personal experiences and level of distress from traumatic events | N/A |
| S | American Indian Enculturation Scale | Assesses frequency of participation in Native cultural activities | N/A |
| T | Baseline Demographic Interview | Questionnaire that asks about gender, sexuality, religion/spiritual preferences, relationship status, # of children, employment, living situation, education level, etc. | Added religious groups common to each community. |
| U | UW Risk Assessment Protocol (UWRAP) | A step-by-step suicide risk management tool | N/A |
AI/AN: American Indian and Alaska Native; SI:suicidal ideation.