Sheehan – Homicidality Tracking Scale (S-HTS)

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About the S-HTS
Adult Versions of the S-HTS
Child / Adolescent Versions of the S-HTS
License Agreements for Use of the S-HTS
Related Documents
Training for the S-HTS
Translations and Linguistic Validation of the S-HTS
How to Cite the S-HTS


About the S-HTS

The Sheehan – Homicidality Tracking Scale (S-HTS) is a short scale designed to assess and monitor the core phenomena of homicidality over time.  The same version can be used either as a clinician-rated scale or as a patient-rated scale, or both together at the same visit.  The standard version is designed for use in clinical research studies as a safety assessment measure, to detect treatment emergent homicidality, and as a treatment outcome measure that is very sensitive to change.  The S-HTS is available in 3 age-related, linguistically validated pediatric versions (for 6 to 8 year olds, for 9 to 12 year olds, and for 13 to 17 year olds).  The more expanded S-HTS Clinically Meaningful Change Measure version (S-HTS CMCM) addresses the needs of those who want to do a more comprehensive homicidality assessment clinically or who want a more comprehensive primary outcome measure when investigating the anti-homicidality treatment effects of medications.  The S-HTS CMCM is available in both adult and adolescent versions (see below).  The S-HTS Combined (Homicide + Suicide) (H + S) version is designed to elicit information about combined acts of homicidality and suicidality (e.g., murder-suicide or suicide terrorism) and is available for use with adults (see below).

Has the S-HTS been validated?

Versions of the S-HTS have not yet been psychometrically validated in a study against another standardized homicide ideation and behavior scale, because there is no other comparable validated homicidality tracking scale against which to validate it at this time.

For any scientific questions relating to the S-HTS, contact Ivan Sascha Sheehan PhD directly by email at isheehan@ubalt.edu or David V Sheehan MD MBA at davidvsheehan@gmail.com

The scales on this page and information about Professor Ivan Sascha Sheehan’s activities are available from his website at ProfessorSheehan.com. (click here)


Adult Versions of the S-HTS

The standard version of the S-HTS has 16 core questions and 9 additional questions contingent on the responses to the core 16. The S-HTS is laid out for ease of navigation on 3 pages. Page 1 contains 16 core homicidality phenomena and can be used as a stand-alone page in clinical settings. It is designed for use in clinical research studies and in clinical settings.

To view a copy of the standard S-HTS (click here)

To purchase and download a copy of the standard S-HTS (click here)

 

The Clinically Meaningful Change Measure (CMCM) version of the S-HTS has 45 risk / protective factors and 20 questions on homicidal compounding features in addition to the standard S-HTS. It is designed for use as a primary outcome measure in clinical research studies investigating the efficacy of anti-homicidality medications. It can also be used for training on how to do a comprehensive homicidality assessment and for comprehensive homicidality assessments in clinical, forensic, and medico-legal settings.

To view a copy of the S-HTS Clinically Meaningful Change Measure (S-HTS CMCM) Version (click here)

To purchase and download a copy of the S-HTS CMCM (click here)

 

The S-HTS Combined (Homicide + Suicide) (H + S) version has the same core questions and phenomena covered as the standard S-HTS.  However, the question for each core phenomenon asks the patient about a combined act of homicidality and suicidality (e.g., murder-suicide or suicide terrorism).  It has 16 core questions and 9 additional questions contingent on the responses to the core 16. The S-HTS Combined (H + S) Version is laid out for ease of navigation on 3 pages. Page 1 contains 16 core phenomena and can be used as a stand-alone page in clinical settings. It is designed for use in clinical research studies and in clinical settings.

To view a copy of the S-HTS Combined (H + S) Version (click here)

To purchase and download a copy of the S-HTS Combined (H + S) Version (click here)


Child / Adolescent Versions of the S-HTS

About the Child / Adolescent S-HTS

The standard S-HTS is available in 3 age-related, linguistically validated pediatric versions: one for 6 to 8 year olds, one for 9 to 12 year olds, and one for 13 to 17 year olds (see below).  The S-HTS CMCM is available in an adolescent version (see below).

Have the Child / Adolescent S-HTS versions been validated?

The child / adolescent versions of the S-HTS have not yet been psychometrically validated in a study against another standardized homicide ideation and behavior scale, because there is no other comparable validated pediatric homicidality tracking scale against which to validate it at this time, nor are there any self-rated pediatric versions of a homicidality scale. The child /adolescent S-HTS has been linguistically validated against the adult S-HTS using a methodology similar to the one used with the child / adolescent S-STS (see Amado, Beamon, & Sheehan 2014 in How to Cite the S-STS on the S-STS page).

For any scientific questions relating to the Child / Adolescent Versions of the S-HTS, contact Ivan Sascha Sheehan PhD directly by email at isheehan@ubalt.edu or David V Sheehan MD MBA at davidvsheehan@gmail.com

 

Child / Adolescent Versions of the S-HTS

There are 3 Child / Adolescent versions of the S-HTS. One is for 6- to 8-year-olds, a second is for 9- to 12-year-olds, and the third is for 13- to 17-year-olds. The child / adolescent versions of the S-HTS are similar structurally to the standard adult version of the S-HTS. Each of the 3 child / adolescent S-HTS versions have 16 core questions and 9 additional questions contingent on the responses to the core 16. The child / adolescent S-HTS versions are laid out for ease of navigation on 3 pages. Page 1 contains 16 core suicidality phenomena and can be used as a stand-alone page in clinical settings. It is designed for use in clinical research studies and in clinical settings.

To view a copy of the 3 child / adolescent S-HTS (6- to 8-year-olds, 9- to 12-year-olds, or 13- to 17-year-olds) (click here)

To purchase and download a copy of the 3 child / adolescent S-HTS (click here)

The Adolescent Sheehan – Homicidality Tracking Scale Clinically Meaningful Change Measure (S-STS CMCM) version for 13- to 17-year-olds has 45 risk / protective factors and 20 questions on homicidal compounding features in addition to the standard S-HTS. It is designed for use as a primary outcome measure in clinical research studies investigating the efficacy of anti-homicidality medications in adolescents aged 13-17 years. It can also be used for training on how to do a comprehensive homicidality assessment and to assist in comprehensive homicidality assessments of adolescents in clinical, forensic, and medico-legal settings.

To view a copy of the Adolescent S-HTS Clinically Meaningful Change Measure (S-HTS CMCM) Version (click here)

To purchase and download a copy of the Adolescent S-HTS CMCM (click here)


License Agreements for Use of the S-STS

License Agreements for the Use of the Adult Standard or Child / Adolescent S-STS

To license the Adult Standard or Child / Adolescent S-HTS for Use in a Study or for a Healthcare System:

  • To License the Paper / PDF Version for Use in a Research Study with Grants >$50,000 or for a Pharmaceutical Company – There is a charge of $1 per single administration (not per patient enrolled). The amount is payable in full before study initiation.  (click here to download this license agreement)
  • To License the Paper / PDF Version for Use in a Research Study with Grants <$50,000 – The S-HTS is available free of charge to undergraduate and graduate students and for academic colleagues for educational use and for use in a small study with less than $50,000 funding as long as it is properly cited and proper copyright attribution is given on any study documents.  (click here to download this license agreement)
  • To License the Paper / PDF Version for Use in a Healthcare System – There is a charge of $1 per single administration (not per patient). The amount is payable in full before use.  (click here to download this license agreement)
  • To LicenseComputerized / Electronic / Mobile or Tablet App Version for Use – contact akozsuch@nviewhealth.com

License Agreements for the Use of the Adult or Adolescent S-HTS CMCM

To license the Adult or Adolescent S-HTS CMCM for Use in a Study or for a Healthcare System:

  • To License the Paper / PDF Version for Use in a Research Study with Grants >$50,000 or for a Pharmaceutical Company – There is a charge of $2 per single administration (not per patient enrolled). The amount is payable in full before study initiation.  (click here to download this license agreement)
  • To License the Paper / PDF Version for Use in a Research Study with Grants <$50,000 – The S-HTS CMCM is available free of charge to undergraduate and graduate students and for academic colleagues for educational use and for use in a small study with less than $50,000 funding as long as it is properly cited and proper copyright attribution is given on any study documents.  (click here to download this license agreement)
  • To License the Paper / PDF Version for Use in a Healthcare System – There is a charge of $2 per single administration (not per patient). The amount is payable in full before use.  (click here to download this license agreement)
  • To LicenseComputerized / Electronic / Mobile or Tablet App Version for Use – contact akozsuch@nviewhealth.com

Scoring Instructions (click here)

Training Slides (coming soon)

Use in Rapid Onset of Action Studies (click here)

Sheehan & Giddens Mapping Tables Scoring Forms (coming soon)

Tracking Logs (click here)

Data Entry & Scoring Spreadsheet (click here)


Training for the S-HTS

For information about training on the S-HTS, please contact: isheehan@ubalt.edu or davidvsheehan@gmail.com


Translations and Linguistic Validation of the S-HTS

Mapi (http://www.mapigroup.com) is the official translation and linguistic validation service for all variants of the S-HTS.

MAPI Language Services is the exclusive coordinating center to ensure the production of consistent and conceptually equivalent translations of the S-HTS and to provide linguistic validation and certification of these translations and should be contacted directly for this purpose.  MAPI Language Services may charge its own usual fees for this work.

Marie-Sidonie Edieux

MAPI Research Trust

27 Rue de la Villette

69003 Lyon France

PROinformation@mapigroup.com

tel: +33 (0)4 72 13 66 67

fax: +33 (0)4 72 13 66 68/ :+33 (0)4 72 13 69 50


How to Cite the S-HTS

Use the following citations in referencing the S-HTS:

  1. Sheehan, Ivan Sascha. “Are suicide terrorists suicidal? A critical assessment of the evidence.” Innovations in clinical neuroscience9-10 (2014): 81-92.
  2. Sheehan IS. Professor Sheehan. Sheehan Research Scales.  Retrieved December 12, 2016 from https://professorsheehan.com/scales/
  3. Sheehan DV, and Giddens JM. Harm Research Institute. Sheehan – Homicidality Tracking Scale (S-HTS). Retrieved January 7th, 2017 from: http://harmresearch.org/index.php/homicidality/sheehan-homicidality-tracking-scale-s-hts/