Sheehan – Suicidality Tracking Scale (S-STS)

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


About the S-STS

The Sheehan – Suicidality Tracking Scale (S-STS) is a short scale designed to assess and monitor over time the core phenomena of suicidality.  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 was designed for use in clinical research studies as a safety assessment measure, to detect treatment emergent suicidality, and as a treatment outcome measure that is very sensitive to change.  The S-STS 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-STS Clinically Meaningful Change Measure version (S-STS CMCM) addresses the needs of those who want to do a more comprehensive suicidality assessment clinically or who want a more comprehensive primary outcome measure when investigating the anti-suicidality treatment effects of medications.  The S-STS CMCM is available in both adult and adolescent versions (see below).

Has the S-STS been validated?

The standard version of the S-STS has been validated in 2 studies against other standardized suicide rating scales (see Sheehan et al. 2014 and Youngstrom et al. 2015 in How to Cite the S-STS below). The validation and reliability statistics have been presented at scientific meetings and have been published in peer-reviewed scientific journals.

The Clinically Meaningful Change Measure (CMCM) version of the S-STS is currently being validated in a study against another standardized suicide ideation and behavior rating scale called the Suicidal Ideation and Behavior Assessment Tool (SIBAT), which has comparable modules. The validation and reliability results are expected in the 3rd quarter of 2017 and will be presented at scientific meetings and will be published in peer-reviewed scientific journals.

For any scientific questions relating to the S-STS, contact David V Sheehan MD MBA directly by email at: davidvsheehan@gmail.com


Adult Versions of the S-STS

The standard version of the S-STS has 14 core questions and 9 additional questions contingent on the responses to the core 14. The S-STS is laid out for ease of navigation on 3 pages. Page 1 contains 14 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 standard S-STS (click here)

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

 

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

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

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


Child / Adolescent Versions of the S-STS

About the Child / Adolescent S-STS

The standard S-STS 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-STS CMCM is available in an adolescent version (see below).

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

The child / adolescent versions of the S-STS have not yet been psychometrically validated in a study against another standardized suicide ideation and behavior scale, because there is no other validated pediatric suicidality tracking scale against which to validate it, nor are there any self-rated pediatric versions of a suicidality scale. The child /adolescent S-STS has been linguistically validated against the adult S-STS and the results of this validation and the methodology used have been published in a peer-reviewed journal (see Amado, Beamon, & Sheehan 2014 in How to Cite the S-STS below).

The adult CMCM version of the S-STS is currently being validated in a study against another standardized suicide ideation and behavior rating scale called the SIBAT, which has comparable modules. The validation and reliability results are expected in the 3rd quarter of 2017 and will be presented at scientific meetings and will be published in peer-reviewed scientific journals.  The Adolescent S-STS CMCM has not yet been psychometrically validated in a study against another standardized suicide ideation and behavior scale, because there is no other validated adolescent suicidality tracking scale against which to validate it, nor are there any self-rated adolescent versions of a suicidality scale.

For any scientific questions relating to the Child / Adolescent Versions of the S-STS, contact David V Sheehan MD MBA directly by email at: davidvsheehan@gmail.com

 

Child / Adolescent Versions of the S-STS

There are 3 Child / Adolescent versions of the S-STS. 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-STS are similar structurally to the standard adult version of the S-STS. Each of the 3 child / adolescent S-STS versions have 14 core questions and 9 additional questions contingent on the responses to the core 14. The child / adolescent S-STS versions are laid out for ease of navigation on 3 pages. Page 1 contains 14 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-STS (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-STS (click here)

 

The Adolescent Sheehan – Suicidality Tracking Scale Clinically Meaningful Change Measure (S-STS CMCM) version for 13- to 17-year-olds has 44 risk / protective factors and 20 questions on suicidal compounding features in addition to the standard S-STS. It is designed for use as a primary outcome measure in clinical research studies investigating the efficacy of anti-suicidality medications in adolescents aged 13-17 years. It can also be used for training on how to do a comprehensive suicidality assessment and for comprehensive suicidality assessments of adolescents in clinical, forensic, and medico-legal settings.

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

To purchase and download a copy of the Adolescent S-STS 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-STS 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-STS 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-STS CMCM

To license the Adult or Adolescent S-STS 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-STS 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)

Study Stopping Rules (click here)

Use in Rapid Onset of Action Studies (click here)

FDA 2010 Mapping Table (click here)

FDA 2010 Scoring Form (click here)

FDA 2012 Mapping Tables (click here)

FDA 2012 Scoring Forms (click here)

Sheehan & Giddens Mapping Tables Scoring Forms (click here)

Tracking Logs (click here)

Data Entry & Scoring Spreadsheet (click here)


Training for the S-STS

For information about training on the S-STS, please contact: davidvsheehan@gmail.com


Translations and Linguistic Validation of the S-STS

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

MAPI Language Services is the exclusive coordinating center to ensure the production of consistent and conceptually equivalent translations of the S-STS 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-STS

Use the following citations in referencing the Adult Standard S-STS:

  1. Sheehan, D. V., Alphs, L. D., Mao, L., Li, Q., May, R. S., Bruer, E. H., McCullumsmith, C.B., Gray, C.R., Li, X. and Williamson, D. J. (2014). Comparative validation of the S-STS, the ISST-Plus, and the C–SSRS for assessing the suicidal thinking and behavior FDA 2012 suicidality categories. Innovations in clinical neuroscience, 11(9-10), 32.  PDF:  http://innovationscns.epubxp.com/i/425963/32
  2. Youngstrom, E.A., Hameed, A., Mitchell, M.A., Van Meter, A.R., Freeman, A.J., Algorta, G.P., White, A.M., Clayton, P.J., Gelenberg, A.J. and Meyer, R.E. (2015). Direct comparison of the psychometric properties of multiple interview and patient-rated assessments of suicidal ideation and behavior in an adult psychiatric inpatient sample. The Journal of clinical psychiatry, 76(12), 1676-1682. DOI:  http://dx.doi.org/4088/JCP.14m09353
  3. Sheehan DV, Giddens JM. (2015). Suicidality: A Roadmap for Assessment and Treatment. (1st ed.). Tampa, FL: Harm Research Press. Nov. 2015 (Available from: http://HarmResearch.org) ISBN: 978-0-9969729-0-1
  4. Sheehan DV, Giddens JM. (2016). Suicidality Assessment and Documentation for Healthcare Providers: A Brief, Practical Guide. (1st ed.). Tampa, FL: Harm Research Press. April 2016. (Available from: http://HarmResearch.org) ISBN: 978-0-9969729-1-8

Use the following citations in referencing the Adult S-STS CMCM:

  1. Sheehan DV, Giddens JM, Sheehan IS. Status Update on the Sheehan Suicidality Tracking Scale (S-STS) 2014. Innov Clin Neurosci. 2014;11(9–10):93–140.  PDF:  http://innovationscns.epubxp.com/i/425963/93
  2. Sheehan, D. V., Alphs, L. D., Mao, L., Li, Q., May, R. S., Bruer, E. H., McCullumsmith, C.B., Gray, C.R., Li, X. and Williamson, D. J. (2014). Comparative validation of the S-STS, the ISST-Plus, and the C–SSRS for assessing the suicidal thinking and behavior FDA 2012 suicidality categories. Innovations in clinical neuroscience, 11(9-10), 32. PDF:  http://innovationscns.epubxp.com/i/425963/32
  3. Sheehan DV, Giddens JM. (2015). Suicidality: A Roadmap for Assessment and Treatment. (1st ed.). Tampa, FL: Harm Research Press. Nov. 2015 (Available from: http://HarmResearch.org) ISBN: 978-0-9969729-0-1
  4. Sheehan DV, Giddens JM. (2016). Suicidality Assessment and Documentation for Healthcare Providers: A Brief, Practical Guide. (1st ed.). Tampa, FL: Harm Research Press. April 2016. (Available from: http://HarmResearch.org) ISBN: 978-0-9969729-1-8

Use the following citations in referencing the 3 Child / Adolescent S-STS:

  1. Amado DM, Beamon DA, Sheehan DV. The linguistic validation of the Pediatric versions of the Sheehan-Suicidality Tracking Scale (S-STS). Innov Clin Neurosci 2014;11(9–10):141–163. PDF: http://innovationscns.epubxp.com/i/425963/140
  2. Sheehan DV, Giddens JM. (2015). Suicidality: A Roadmap for Assessment and Treatment. (1st ed.). Tampa, FL: Harm Research Press. Nov. 2015 (Available from: http://HarmResearch.org) ISBN: 978-0-9969729-0-1
  3. Sheehan DV, Giddens JM. (2016). Suicidality Assessment and Documentation for Healthcare Providers: A Brief, Practical Guide. (1st ed.). Tampa, FL: Harm Research Press. April 2016. (Available from: http://HarmResearch.org) ISBN: 978-0-9969729-1-8

Use the following citations in referencing the Adolescent S-STS CMCM:

  1. Amado DM, Beamon DA, Sheehan DV. The linguistic validation of the Pediatric versions of the Sheehan-Suicidality Tracking Scale (S-STS). Innov Clin Neurosci 2014;11(9–10):141–163. PDF: http://innovationscns.epubxp.com/i/425963/140
  2. Sheehan DV, Giddens JM. (2015). Suicidality: A Roadmap for Assessment and Treatment. (1st ed.). Tampa, FL: Harm Research Press. Nov. 2015 (Available from: http://HarmResearch.org) ISBN: 978-0-9969729-0-1
  3. Sheehan DV, Giddens JM. (2016). Suicidality Assessment and Documentation for Healthcare Providers: A Brief, Practical Guide. (1st ed.). Tampa, FL: Harm Research Press. April 2016. (Available from: http://HarmResearch.org) ISBN: 978-0-9969729-1-8