Suicide Risk Factor Assessment Scale

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Suicide Risk Factor Assessment Scale

Feelings of hopelessness (+3)

Recent negative life events (+1)

Paranoia or auditory hallucinations with persecutory content (+1)

Depression/loss of interest or lack of pleasure (+3)

Withdrawal from interpersonal and social activities (+1)

Verbal expression of suicidal intent (+1)

Planning to commit suicide (+3)

Family history of suicide (+1)

Recent death of a loved one or significant loss of an intimate relationship (+3)

History of mental illness (+1)

Widower/Widow (+1)

History of suicide attempts (+3)

Low socioeconomic status (+1)

History of alcohol use or abuse (+1)

Suffering from a terminal illness (+1)

Score:

Result Interpretation

The scale consists of 15 items evaluated by trained nurses, and the total score is obtained based on the scoring rules. A higher score indicates a higher risk of suicide.

① ≤5 points indicate low suicide risk;

② 6-8 points indicate moderate suicide risk;

③ 9-11 points indicate high suicide risk;

④ ≥12 points indicate extremely high suicide risk.

References

Chen Yuesin, Ye Minjie, Ji Xianqiong, et al. Study on the reliability and validity of the Nurse Suicide Risk Assessment Scale (NGASR) in hospitalized schizophrenia patients. Chinese Journal of Mental Health, 2011, 23(3):270-272

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