Description of the Questionnaire

The Pierce Suicide Intent Scale (1977) was developed to measure the degree of intent in cases of self-harm or suicide attempts. This tool examines various aspects of the attempt, such as circumstances, the individual’s self-reports, and medical risk. The questionnaire consists of twelve items, which are divided into three subcategories.

Data Analysis and Use

The results are divided into three categories. The first six questions (1–6) concern circumstances, the next four (7–10) concern self-report, and the last two (11–12) concern medical risk. The scale contributes to the overall assessment of suicidal intent and may be used in conjunction with other clinical observations or tools such as the Beck Hopelessness Scale. It does not constitute an independent diagnosis but rather a supportive tool for mental health professionals.

Purpose

The primary aim of the scale is to assess the seriousness of intent in a suicide attempt or self-harm episode. It serves as an aid in understanding the individual’s psychological state, identifying possible risk factors, and guiding appropriate clinical decisions.

Scoring

Each question has three possible answers, corresponding to increasing levels of intent or risk. Questions 1 through 6 assess the circumstances of the attempt, such as isolation, timing, and precautions taken. Questions 7 through 10 address intent as stated by the individual, such as the wish to die and feelings of regret. Questions 11 and 12 evaluate the likelihood of survival without medical intervention. Overall, a higher score indicates stronger suicidal intent, while a lower score indicates lesser intent, though every case requires careful evaluation by a qualified professional.

References

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