Pierce Suicide Intent Scale

In suicide-risk assessment‚ results from a suicide intent scale can contribute to clinical observation and add valuable information about a suicidal person’s intention. All suicide attempts should be taken very seriously‚ this measure is not intended to trivia lise in any way any suicide attempt. This assessment is intended for use by professionals. If you are concerned about your results in any way‚ please speak with a qualified health professional.
Someone present
Someone nearby or on telephone
No-one nearby
Timed so intervention probable
Intervention unlikely
Intervention highly unlikely
Precautions against rescue
Passive (e.g. alone in room‚ door unlocked)
Active precautions
Acting to get help
Notifies helper of attempt
Contacts helper‚ doesn’t tell
No Contact with helper
Final acts in anticipation
Partial preparation
Define plans (e.g. will‚ insurance‚ gifts)
Suicide note
Note torn up
Presence of note
Thought would not kill
Unsure if lethal action
Believed would kill
Stated intent
Did not want to die
Want to die
Considered less than 1 hour
Considered less than 1 day
Considered more than 1 day
Reaction to act
Glad recovered
Sorry he or she failed
Predictable outcome
survival certain
Death unlikely
Death likely or certain
Death without medical intervention
Items (1 + 2 + 3 + 4 + 5 + 6) = ‘Circumstances’ score =
Items (7 + 8 + 9 + 10) = ‘Self-report’ score =
Items (11 + 12) = ‘Medical risk’ score=
Privacy – please note – this form does not transmit any information about you or your assessment scores. If you wish. These results are intended as a guide to your health and are presented for educational purposes only. They are not intended to be a clinical diagnosis. If you are concerned in any way about your health‚ please consult with a qualified health professional.

Suicidal intent in the event of self-injury can be difficult to ascertain. Pierce (1977) describes the construction of a scale to measure this intent. Originally researched in 500 cases of self-injury‚ Pierce’s scale proved to be practical and reliable. Results show that the scores derived from it are closely related to those obtained from the Beck Hopelessness Scale (BHS).

Scores Me also related to age‚ sex‚ social isolation‚ method of self-injury‚ previous history of self-injury‚ physical health and alcohol abuse.

1 Pierce‚ D.W. (1977) Suicidal intent in self injury. British Journal of Psychiatry. 130‚377-385.