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JUHNKE’S ADAPTED-SAD PERSONS SUICIDE ASSESSMENT SCALE
Gerald A. Juhnke, Ed.D., LPC, NCC, MAC, ACSProfessor The University of Texas at San AntonioACA Fellow
The reproduction, duplication, or distribution of these materials including the PowerPoint, the Adapted-Suicide Probability Scale, and the SCATTT are the are the property of Dr.
Juhnke and strictly prohibited without written consent from Dr. Juhnke.
Adapted-SAD PERSONS Suicide Assessment ScaleAdapted-SAD
PERSONS SCALE
Published:Juhnke, G. A. (1996). The
Adapted SAD PERSONS: A suicide assessment scale designed for use with children. Elementary School Guidance & Counseling, 30, 252-258.
The reproduction, duplication, or distribution of these materials including the PowerPoint, the
Adapted-Suicide Probability Scale, and the SCATTT are the are the
property of Dr. Juhnke and strictly prohibited without written consent
from Dr. Juhnke.
A-SAD PERSONS
10 Risk Factors
Maximum Score = 100
The reproduction, duplication, or distribution of these materials including the PowerPoint,
the Adapted-Suicide Probability Scale, and the SCATTT are the are the property of Dr. Juhnke and strictly prohibited without written consent
from Dr. Juhnke.
Each risk factor can have a score between “zero” meaning a total absence of a risk factor to “10” indicating a “robust presence” of a risk factor.
A-SAD PERSONS
Sex (Males =10)
Age (15-17 =10; 13-14 =9; 12-10 =8; 9=7; 8 or less= 6 or less points)
Depression (0-10)
Previous attempt (0-10)
Ethanol/Drug abuse (0-10)
Rational thinking loss (0-10)
Suicidal modeling (0-10)
Organized suicide plan (0-10)
Negligent parenting/significant family stressor (0-10)
School Problems (0-10)
The reproduction, duplication, or distribution of these materials including the PowerPoint,
the Adapted-Suicide Probability Scale, and the SCATTT are the are the property of Dr. Juhnke and strictly prohibited without written consent
from Dr. Juhnke.
Clinical Action Guidelines**Total Points Proposed Actions 0-29 Encourage participation in
counseling 30-49 Strongly encourage counseling:
follow up 50-69 Strongly consider evaluation for
hospitalization depending upon confidence in follow up arrangements
70-100 Direct interventions are warranted; hospital evaluation should be conducted; contact child protective services IF necessary
** Always consult; these are merely ‘general guidelines’ for you to consider in consultation with a mental health treatment team
The reproduction, duplication, or distribution of these materials including the PowerPoint, the Adapted-Suicide Probability Scale, and the SCATTT are the are the property of Dr.
Juhnke and strictly prohibited without written consent from Dr. Juhnke.
Scores 0 to 9
Suggests Great Incongruence between mother’s/counselor’s original concerns and client’s presented responses
Lack of Counselor’s Original Clinical Judgment or
Client is falsely presenting self
Likely “suspect” responses
Student attempting to present self in a most positive –nonsuicidal manner
The reproduction, duplication, or distribution of these materials including the PowerPoint,
the Adapted-Suicide Probability Scale, and the SCATTT are the are the property of Dr. Juhnke and strictly prohibited without written consent
from Dr. Juhnke.
Scores 0 to 9
Consult clinical supervisor and professional colleagues
Rule out further assessment needs
Provide information to student regarding available services
Describe available services (help line, 911) should mother or youth perceive greater suicide risk.
The reproduction, duplication, or distribution of these materials including the PowerPoint,
the Adapted-Suicide Probability Scale, and the SCATTT are the are the property of Dr. Juhnke and strictly prohibited without written consent
from Dr. Juhnke.
10 to 29 Points
Assess immediate danger to self and others
Find out “WHY/WHY NOT” family members believe youth is or is not suicidal.
Encourage opportunities for continued contacts to monitor and potential for brief counseling
The reproduction, duplication, or distribution of these materials including the PowerPoint,
the Adapted-Suicide Probability Scale, and the SCATTT are the are the property of Dr. Juhnke and strictly prohibited without written consent
from Dr. Juhnke.
Scores 30 to 49 Assess immediate danger to self and
others
Counseling and follow-up counseling offered and strongly encouraged
Document WHY family members believe client is not perceived to be at risk
Document WHY family members believe client is at risk
Rule out additional psychological testing
Identify “SAFETY STEPS” Parents and family can implement if they believe youth becomes a danger.
The reproduction, duplication, or distribution of these materials including the PowerPoint,
the Adapted-Suicide Probability Scale, and the SCATTT are the are the property of Dr. Juhnke and strictly prohibited without written consent
from Dr. Juhnke.
Scores 30 to 49
Establish no harm contract
Review records to determine if a previous suicide or mental health history exists
The reproduction, duplication, or distribution of these materials including the PowerPoint, the
Adapted-Suicide Probability Scale, and the SCATTT are the are the property of Dr. Juhnke and strictly
prohibited without written consent from Dr. Juhnke.
50 to 69 Points
This youth is indicating distress and is reporting concerns and significant potential for self-harm Counseling with Close follow-up
required
Collaborative meeting with parents
Formalized testing warranted
Rule out a restricted living environment depending upon Youth and parent’s willingness to
participate
Supportive family and school environment
The reproduction, duplication, or distribution of these materials including the PowerPoint,
the Adapted-Suicide Probability Scale, and the SCATTT are the are the property of Dr. Juhnke and strictly prohibited without written consent
from Dr. Juhnke.
70 or more points
Evaluation for immediate hospitalization should be conducted and depending upon outcome a restricted living environment should likely be required
Intensive counseling and family counseling
Intensive psychological assessment required
Contact child protective services IF necessary
The reproduction, duplication, or distribution of these materials including the PowerPoint, the
Adapted-Suicide Probability Scale, and the SCATTT are the are the property of Dr. Juhnke and strictly
prohibited without written consent from Dr. Juhnke.
THANK YOU!The reproduction, duplication, or distribution of these materials including the PowerPoint,
the Adapted-Suicide Probability Scale, and the SCATTT are the are the property of Dr. Juhnke and strictly prohibited without written consent
from Dr. Juhnke.