Assessment Instruments

University of WA Risk Assessment Protocol (UWRAP)

CITATION:

Reynolds, S.K., Lindenboim, N., Comtois, K.A.Murray, A., Linehan, M.M. (2006) Risky Assessments: Participant Suicidality and Distress Associated with Research Assessments in a Treatment Study of Suicidal Behavior. Suicide and Life-Threatening Behavior (36) 1, 19-33.

Linehan, M. M., Comtois, K. A., & Ward-Ciesielski, E. F. (2012). Assessing and managing risk with suicidal individuals. Cognitive and Behavioral Practice,19(2), 218-232.

Linehan Risk Assessment & Management Protocol (LRAMP, Formerly UWRAMP)

CITATION: 

Linehan, M.M. (2009) University of Washington Risk Assessment Action Protocol: UWRAMP, University of WA, Unpublished Work.

Linehan, M. M., Comtois, K. A., & Ward-Ciesielski, E. F. (2012). Assessing and managing risk with suicidal individuals. Cognitive and Behavioral Practice,19(2), 218-232.

Borderline Symptom List (BSL)

The BSL is a self-report questionnaire that assesses specific complaints and subjective impairments of individuals with BPD.

ARTICLE:

Bohus M., Limberger, M.F., Frank, U., Chapman, A.L., Kuhler, T., Stieglitz, R.D. (2007) Psychometric Properties of the Borderline Symptom List (BSL). Psychopahology, 40, 126-132.

DBT-WCCL Scale and Scoring

CITATION:

Neacsiu, A.D., Rizvi, S.L., Vitaliano, P. P., Lynch, T.R., & Linehan, M.M.  (2010) The Dialectical Behavior Therapy Ways of Coping Checklist (DBT-WCCL):  Development and Psychometric Properties.  Journal of Clinical Psychology, 66(61), 1-20.

Demographic Data Scale (DDS)

The DDS is a self-report questionnaire used to gather extensive demographic information from the client.

CITATION:

Linehan, M.M. (1982). Demographic Data Schedule (DDS). University of Washington, Seattle, WA, Unpublished work.

Diary Cards

Imminent Risk and Action Plan

Lifetime – Suicide Attempt Self-Injury Count (L-SASI)

The L-SASI is an interview to obtain a detailed lifetime history of non-suicidal self-injury and suicidal behavior.

Citation:

Linehan, M. M. & Comtois, K. (1996). Lifetime Parasuicide History. University of Washington, Seattle, WA, Unpublished work.

Suicide Attempt Self-Injury Interview (SASII)  (formerly PHI)

The SASII (formerly the PHI) is an interview to collect details of the topography, intent, medical severity, social context, precipitating and concurrent events, and outcomes of non-suicidal self-injury and suicidal behavior during a target time period. Major SASII outcome variables are the frequency of self-injurious and suicidal behaviors, the medical risk of such behaviors, suicide intent, a risk/rescue score, instrumental intent, and impulsiveness.

Detailed explanation of the scoring of SPSS syntax:

  • Thank you for your interest in using the SASII. There are two sets of instructions on the website. One explains what each question/variable name refers to, and the other one offers the SPSS syntax for scoring the instrument. Here are some explanations that may help you better understand the SPSS syntax:
  1. This form: https://depts.washington.edu/brtc/files/SASII%20Standard%20(Short)%20Form.pdf has the instrument with labeled variables. You can see that next to every question there is a label in parenthesis for that question. For example the first question starts with : S1______(PHISO2), which means the variable corresponding to the question is called PHISO2. you can identify what each variable is based on this document. So, for example, variable ph47 refers to question 25 (below). In spss language, the variable name will be PH47, the variable label will be something on the lines of “category of behavior” and the possible values this variable can take are 1, 2, 3, 4, … etc. The value labels would be “accidental self harm” for value 1, “other” for 9, etc
    • 25 _____(PH47) INTERVIEWER:  BASED ON DEFINITION OF SASII ON APPENDIX, CATEGORIZE BEHAVIORCODING SHOULD REFLECT YOUR BEST JUDGMENT BASED ON ALL INFORMATION.
    • 1 = Accidental self-harm, without undue risk taking and without unreasonable expectation of safety
    • 2 = Accidental self-harm, with undue risk taking or with unreasonable expectation of safety
    • 3 = Victim-precipitated self-harm, without intent to be harmed by others but with undue risk taking or wiunreasonable expectation of safety
    • 4 = “Victim-precipitated” self-harm with intent to be harmed by other 9 = OTHER, including absence of a behavior, which results in harm or illness (e.g., stopped taking impomedicines such as insulin)
    • 5 = Intentional self-injury, but not a suicide attempt
    • 6 = Ambivalent suicide attempt
    • 7 = Suicide attempt with no ambivalence
    • 8 = Suicide attempt that is a “failed suicide”, with continued life purely accidental and a near miracle

2. Using this information, you can parse out of the scoring syntax what variables the syntax refers to. For example, the first block of syntax attempts to compute the number of non suicidal self injury (NSSI) episodes (variable name=phcnosa). Basically this syntax says that if variable ph47 is coded less than 5 or greater than 5, then the NSSI variable, phcnosa, should be defined as 0; if ph47 is coded as 5, then phcnosa should take the value recorded in the ph04 (# of parasuicidal acts) variable. In this way, the phcnosa variable will represent the number of non-suicidal self injury acts. The same logic goes behind each block of syntax that computes SASII variables.********# of non-suicidal self-injury (NSSI) acts********.IF ((ph47< 5) or (ph47 > 5)) phcnosa=0.IF (ph47=5) phcnosa=ph04.

3. Last important command to understand is the Variable labels command. This simply tells you and SPSS how to name each variable (or what the variable label should be). for example, ph04 is labeled “number of parasuicide events in cluster”, ph11 is labeled “medical risk of death” etc.

    • VARIABLE LABELS
    • PH04 ‘Number of parasuicide events in cluster’
    • PH11 ‘Medical risk of death’
    • PH13b ‘Conscious expectation of fatal outcome’
    • PH14 ‘Did consider episode a suicide attempt’
    • PH15 ‘Now do you consider episode a suicide attempt’PH18 ‘Communicated suicide ideation’
    • PH19 ‘Did subject threaten suicide’

4. other commands referenced in the document are:

    1. RECODE (changes the values of a variable). this is like other instruments where you want to inverse the scores, or do other such manipulations before you compute your final score
    2. COMPUTE: creates a new variable
    3. MEAN.4 (or MEAN.5, or MEAN.x in general) computes the mean of whatever is between the parentheses, as long as at least 4 (5 or x) items are actual data (not missing data)
    4. MISSING VALUES ph32r (LO THRU -1): this says that for variable ph32R everything below -1 should be considered a missing value. for example, if ph32r was coded as -8, that’s not an actual value, it is a “not applicable” value which should not be used when computing any score
    5. VALUE LABELS: indicate the labels for each value that each variable can take.

Article:

Linehan, M.M., Comtois, K.A., Brown, M.Z., Heard, H.L., Wagner, A. (2006). Suicide Attempt Self-Injury Interview (SASII): Development, Reliability, And Validity of A Scale To Assess Suicide Attempts And Intentional Self-Injury. Psychological Assessment, 18(3), 303-312.

Parental Affect Test

The Linehan Parental Affect Test is a self-report questionnaire that assesses parent responses to typical child behaviors.

ARTICLE:

Linehan, M. et al (1983) The Parent Affect Test – Development, Validity and Reliability

CITATION:

Linehan, M. M., Paul, E., & Egan, K. J. (1983). The parent affect test: Development, validity, and reliability.  Journal of Clinical Child Psychology, 12, 161-166.

Reasons for Living Scale (RFL)

The RFL is a self-report questionnaire that measures clients’ expectancies about the consequences of living versus killing oneself and assesses the importance of various reasons for living. The measure has six subscales: Survival and Coping Beliefs, Responsibility to Family, Child-Related Concerns, Fear of Suicide, Fear of Social Disapproval, and Moral Objections. Scoring Instructions

ARTICLE:

Linehan (1983) Reasons for staying alive when you’re thinking of killing yourself

CITATION:

Linehan M.M., Goodstein J.L., Nielsen S.L., & Chiles J.A. (1983). Reasons for staying alive when you are thinking of killing yourself: The Reasons for Living Inventory.  Journal of Consulting and Clinical Psychology, 51, 276-286.

Social History Interview (SHI)

The SHI is an interview to gather information about a client’s significant life events over a desired period of time. The SHI was developed by adapting and modifying the psychosocial functioning portion of both the Social Adjustment Scale-Self Report (SAS-SR) and the Longitudinal Interview Follow-up Evaluation Base Schedule (LIFE) to assess a variety of events (e.g., jobs, moves, relationship endings, jail) during the target timeframe. Using the LIFE, functioning is rated in each of 10 areas (e.g., work, household, social interpersonal relations, global social adjustment) for the worst week in each of the preceding four months and for the best week overall. Self-report ratings using the SAS-SR are used to corroborate interview ratings.

CITATIONS:

Weissman, M.M., & Bothwell, S. (1976). Assessment of social adjustment by patient self-report.  Archives of General Psychiatry, 33, 1111-1115.

Keller, M.B., Lavori, P.W., Friedman, B., Nielsen, E.C., Endicott, J., McDonald-Scott, P., & Andreasen, N.C. (1987).  The longitudinal interval follow-up evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies. Archives of General Psychiatry, 44, 540-548.

Substance Abuse History Interview (SAHI)

The SAHI is an interview to assess periods of drug use (by drug), alcohol use, and abstinence in a client’s life over a desired period of time. The SAHI combines the drug and alcohol use items from the Addiction Severity Index (ASI) and the Time Line Follow-back Assessment Method to collect information about the quantity, frequency, and quantity X frequency of alcohol and drug consumption.

CITATIONS:

McLellan, A.T., Luborsky, L., Woody, G.E., & O’Brien, C.P. (1980). An improved diagnostic evaluation instrument for substance abuse patients: The Addiction Severity Index.  Journal of Nervous and Mental Disease, 168, 26-33.

Sobell, M.B., Sobell, L.C., Klajner, F., Pavan, D.,& Basian, E. (1986). The reliability of a timeline method for assessing normal drinker college students’ recent drinking history: Utility for alcohol research.  Addictive Behaviors, 11, 149-161.

Suicidal Behaviors Questionnaire (SBQ)

The SBQ is a self-report questionnaire designed to assess suicidal ideation, suicide expectancies, suicide threats and communications, and suicidal behavior.

CITATION:

Addis, M. & Linehan, M. M. (1989). Predicting suicidal behavior: Psychometric properties of the Suicidal Behaviors Questionnaire.  Poster presented at the Annual Meeting of the Association for the Advancement Behavior Therapy, Washington, D.C.

Therapist Interview (TI)

The TI is an interview to gather information from a therapist about their treatment for a specific client.

CITATION:

Linehan, M. M. (1987). Therapist Interview. University of Washington, Seattle, WA, Unpublished work.

Treatment History Interview (THI)

The THI is an interview to gather detailed information about a client’s psychiatric and medical treatment over a desired period of time. Section 1 assesses the client’s utilization of professional psychotherapy, comprehensive treatment programs (e.g., substance abuse programs, day treatment), case management, self-help groups, and other non-professional forms of treatment. Section 2 assesses the client’s utilization of inpatient units (psychiatric and medical), emergency treatment (e.g., emergency room visits, paramedics visits, police wellness checks), and medical treatment (e.g., physician and clinic visits). Section 3 assesses the use of psychotropic and non-psychotropic medications.

CITATION:

Linehan, M.M. & Heard, H.L. (1987). Treatment history interview (THI). University of Washington, Seattle, WA, Unpublished work.

Therapy and Risk Notes – do not use without citation

For clarity of how to implement these items, please see Cognitive-Behavioral Treatment of Borderline Personality Book chapter 15.

CITATION:

Linehan, M.M. (2009) Session Notes – Individual, University of WA, Unpublished Work.