The Suicidality Modifiers Scale (SMS) assesses factors that can influence some domains of suicidality. It covers the domains of:
1. impulsive suicidality
3. loss of enjoyment
4. overwhelmed feeling
For each domain covered, it assesses:
1. the severity of each domain
2. the ability to experience / resist the domain
3. the loss of desire to experience / resist the domain
4. how much memories impacted the domain
5. how much events outside the patient’s control impacted the domain
6. how much events within the patient’s control impacted the domain
The answers to items 4 through 6 above provide the clinician with information about critical target domains. This helps the clinician to understand and to assist the patient in coping with these memories and events. The SMS sometimes provided an early warning sign of impending worsening of suicidality before it became apparent in other ways. This was particularly true of question 3 – “the loss of desire to hold back the impulse to plan or to act in any suicidal way”. The change in the score on this question tended to consistently precede other changes during deterioration in a subject with Impulse Attack Suicidality Disorder. Question 3 also lagged behind improvement in other areas and was one of the last questions in that domain to fully resolve.
The SMS may be particularly helpful in assessing impulsive suicidality and hopelessness in a way that is very sensitive to change and may provide an early warning sign of impending worsening of suicidality before it becomes apparent in other ways.
For any scientific questions relating to the SMS, contact David V Sheehan MD MBA directly by email at firstname.lastname@example.org or contact Jennifer M Giddens directly by email at email@example.com
License Agreements for Use of the SMS
To license the SMS 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 SMS 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)
Training for the SMS
Translations and Linguistic Validation of the SMS
Mapi (http://www.mapigroup.com) is the official translation and linguistic validation service for all variants of the SMS.
MAPI Language Services is the exclusive coordinating center to ensure the production of consistent and conceptually equivalent translations of the SMS 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.
MAPI Research Trust
27 Rue de la Villette
69003 Lyon France
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 SMS
Use the following citations in referencing the SMS:
1. Giddens, J. M., & Sheehan, D. V. (2014). The Complexity of Assessing Overall Severity of Suicidality: A Case Study. Innovations in clinical neuroscience, 11(9-10), 164. PDF: http://innovationscns.epubxp.com/i/425963/164
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