Data Entry Initials: ___________ Client’s ID # & Initials: _________________________
Date: ______________________ Date: _________________________
Second Entry: _______________ Assessment: _________ Session: ________
Date: ______________________
Reasons for Living Scale Copyright 1996 M. M. Linehan page Page 1 of 3 Yellow 07/19/04
UNIVERSITY OF WASHINGTON
BEHAVIORAL RESEARCH & THERAPY CLINICS
Linehan et. al., 1983
INSTRUCTIONS: Many people have thought of suicide at least once. Others have never considered it. Whether
you have considered it or not, we are interested in the reasons you would have for
thought were to occur to you or if someone were to suggest it to you.
On the following pages are reasons people sometimes give for
know how important each of these possible reasons would be to you at this time in your life as a reason to
yourself. Please rate this in the space at the left on each question.
Each reason can be rated from 1 (Not At All Important) to 6 (Extremely Important). If a reason does not
apply to you or if you do not believe the statement is true, then it is not likely important and you should put a 1.
Please use the whole range of choices so as not to rate only at the middle (2, 3, 4, 5) or only at the extremes (1, 6).
In each space put a number to indicate the importance to you of each reason for
1. Not At All Important (as a reason for
all).
2. Quite Unimportant
3. Somewhat Unimportant
4. Somewhat Important
5. Quite Important
6. Extremely Important (as a reason for
important).
Even if you never have or firmly believe you never would seriously consider killing yourself, it is still
important that you rate each reason. In this case, rate on the basis of
be an alternative for you
____________________________________________________________________________________
In each space put a number to indicate the importance to you of each for
1. Not At All Important 4. Somewhat
not committing suicide if thenot committing suicide. We would like tonot killnot killing yourself.not killing myself, or, does not apply to me, I don't believe this atnot killing myself, I believe this very much and it is verywhy killing yourself is not or would never.not killing yourself.Important
2. Quite Unimportant 5. Quite Important
3. Somewhat
____________________________________________________________________________________
_____ 1. I have a responsibility and commitment to my family.
_____ 2. I believe I can learn to adjust or cope with my problems.
_____ 3. I believe I have control over my life and destiny
_____ 4. I have a desire to live.
_____ 5. I believe only God has the right to end a life.
_____ 6. I am afraid of death
Unimportant 6. Extremely Important
*04202a*
04202a RFLS
NIMH 3 B 1999-2003
1. Not At All Important 4. Somewhat
Important
2. Quite Unimportant 5. Quite Important
3. Somewhat
____________________________________________________________________________________
Unimportant 6. Extremely Important
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_____ 7. My family might believe I did not love them
_____ 8. I do not believe that things get miserable or hopeless enough that I would rather be dead
_____ 9. My family depends upon me and needs me
_____ 10. I do not want to die
_____ 11. I want to watch my children as they grow
_____ 12. Life is all we have and is better than nothing
_____ 13. I have future plans I am looking forward to carrying out
_____ 14. No matter how badly I feel, I know that it will not last
_____ 15. I am afraid of the unknown
_____ 16. I love and enjoy my family too much and could not leave them
_____ 17. I want to experience all that life has to offer and there are many experiences I haven't had yet which
I want to have
_____ 18. I am afraid that my method of killing myself would fail
_____ 19. I care enough about myself to live
_____ 20. Life is too beautiful and precious to end it
_____ 21. It would not be fair to leave the children for others to take care of
_____ 22. I believe I can find other solutions to my problems
_____ 23. I am afraid of going to hell
_____ 24. I have a love of life
_____ 25. I am too stable to kill myself
_____ 26. I am a coward and do not have the guts to do it
_____ 27. My religious beliefs forbid it
_____ 28. The effect on my children could be harmful
_____ 29. I am curious about what will happen in the future
_____ 30. It would hurt my family too much and I would not want them to suffer
_____ 31. I am concerned about what others would think of me
_____ 32. I believe everything has a way of working out for the best
_____ 33. I could not decide where, when, and how to do it
_____ 34. I consider it morally wrong
_____ 35. I still have many things left to do
_____ 36. I have the courage to face life
_____ 37. I am happy and content with my life
_____ 38. I am afraid of the actual "act" of killing myself (the pain, blood, violence
_____ 39. I believe killing myself would not really accomplish or solve anything
_____ 40. I have hope that things will improve and the future will be happier
_____ 41. Other people would think I am weak and selfish.
NIMH 3 B 1999-2003
1. Not At All Important 4. Somewhat
Important
2. Quite Unimportant 5. Quite Important
3. Somewhat
____________________________________________________________________________________
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_____ 42. I have an inner drive to survive
_____ 43. I would not want people to think I did not have control over my life
_____ 44. I believe I can find a purpose in life, a reason to live
_____ 45. I see no reason to hurry death along
_____ 46. I am so inept that my method would not work
_____ 47. I would not want my family to feel guilty afterwards
_____ 48. I would not want my family to think I was selfish or a coward
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