SBQ-R Suicide Behaviors Questionnaire-Revised

  • Choices Mental Health Counseling PLLC

    Narrowsburg, NY 12764

  • Suicide Behaviors Questionnaire-Revised

    (SBQ-R)
  • Today's Date*
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  • Instructions: Please check the statement or phrase that best applies to you. 

  • 1. Have you ever thought about or attempted to kill yourself? (check one only)
  • 2. How often have you thought about killing yourself in the past year? (check one only)
  • 3. Have you ever told someone that you were going to commit suicide, or that you might do it? (check one only)
  • 4. How likely is it that you will attempt suicide someday? (check one only)

  • Please note: Your answers on this form may not be seen immediately. If you are having suicidal thoughts NOW, please call the National Suicide Prevention Hotline at 800-273-8255. Thank you.

  • © Osman et al (1999) Revised. Permission for use granted by A.Osman, MD

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