Select the appropriate answers below. The results will be automatically generated and can be copied for documentation.
1. Have you wished you were dead or wished you could go to sleep and not wake up?
2. Have you had actual thoughts of killing yourself?
3. Have you been thinking about how you might kill yourself?
4. Have you had these thoughts and had some intention of acting on them?
5. Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?
6. Have you done anything, started to do anything, or prepared to do anything to end your life?
7. Have you ever done something to end your life, but then stopped yourself before you were able to complete it?
8. Have you ever done something to end your life, but were stopped by someone or something else?
9. Have you ever done anything to harm yourself with any intent to end your life?
10. Have you ever hurt yourself without wanting to end your life?