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In the following questions below you will find reasons people sometimes give for not commiting suicide.

Please rate how important each reason is to you right now, using a scale from 1 to 6. Use the full range of choices, from "Not At All Important" to "Extremely Important."

1. Not At All Important (as a reason for not killing myself, or, does not apply to me, I don't believe this at all).

2. Quite Unimportant

3. Somewhat Unimportant

4. Somewhat Important

5. Quite Important

6. Extremely Important (as a reason for not killing myself, I believe this very much and it is very important).

Even if you've never thought about suicide or firmly believe you wouldn't consider suicide, it's important to rate each reason based on why suicide isn't or would never be an option for you.

In each space put a number to indicate the importance to you of each for not killing yourself.

1 – Not At All Important

2 – Quite Unimportant

3 – Somewhat Unimportant

4 – Somewhat Important

5 – Quite Important

6 – Extremely Important

I have a responsibility and commitment to my family

I believe I can learn to cope with my problems

I believe I have control over my life and future

I have a desire to live

I believe only God has the right to end a life

I am afraid of death

My family might think I did not love them

I don't think things would ever get so miserable or hopeless that I'd rather be dead

My family depends upon me and needs me

I do not want to die

1 – Not At All Important

2 – Quite Unimportant

3 – Somewhat Unimportant

4 – Somewhat Important

5 – Quite Important

6 – Extremely Important

I have a responsibility and commitment to my family

I believe I can learn to cope with my problems

I believe I have control over my life and future

I have a desire to live

I believe only God has the right to end a life

I am afraid of death

My family might think I did not love them

I don't think things would ever get so miserable or hopeless that I'd rather be dead

My family depends upon me and needs me

I do not want to die

In each space put a number to indicate the importance to you of each for not killing yourself.

1 – Not At All Important

2 – Quite Unimportant

3 – Somewhat Unimportant

4 – Somewhat Important

5 – Quite Important

6 – Extremely Important

I want to watch my children as they grow

Life is all we have and better than nothing

I have future plans I look forward to

No matter how bad I feel, I know it will not last

I am afraid of the unknown

I love and enjoy my family too much and couldn't leave them

I want to experience everything life has to offer, including experiences I haven't had yet

I am afraid that my method of killing myself would fail

I care enough about myself to live

Life is too beautiful and precious to end it.

1 – Not At All Important

2 – Quite Unimportant

3 – Somewhat Unimportant

4 – Somewhat Important

5 – Quite Important

6 – Extremely Important

I want to watch my children as they grow

Life is all we have and better than nothing

I have future plans I look forward to

No matter how bad I feel, I know it will not last

I am afraid of the unknown

I love and enjoy my family too much and couldn't leave them

I want to experience everything life has to offer, including experiences I haven't had yet

I am afraid that my method of killing myself would fail

I care enough about myself to live

Life is too beautiful and precious to end it.

In each space put a number to indicate the importance to you of each for not killing yourself.

1 – Not At All Important

2 – Quite Unimportant

3 – Somewhat Unimportant

4 – Somewhat Important

5 – Quite Important

6 – Extremely Important

It wouldn't be fair to leave my children for others to care for

I believe I can find other solutions to my problems

I am afraid of going to hell

I have a love of life

I am too stable to kill myself

I am a coward and do not have the guts to do it

My religious beliefs forbid it

The effect on my children could be harmful

I am curious about what will happen in the future

It would hurt my family too much and I would not want them to suffer

1 – Not At All Important

2 – Quite Unimportant

3 – Somewhat Unimportant

4 – Somewhat Important

5 – Quite Important

6 – Extremely Important

It wouldn't be fair to leave my children for others to care for

I believe I can find other solutions to my problems

I am afraid of going to hell

I have a love of life

I am too stable to kill myself

I am a coward and do not have the guts to do it

My religious beliefs forbid it

The effect on my children could be harmful

I am curious about what will happen in the future

It would hurt my family too much and I would not want them to suffer

In each space put a number to indicate the importance to you of each for not killing yourself.

1 – Not At All Important

2 – Quite Unimportant

3 – Somewhat Unimportant

4 – Somewhat Important

5 – Quite Important

6 – Extremely Important

I am concerned about what others would think of me

I believe everything has a way of working out for the best

I could not decide where, when, and how to do it

I consider it morally wrong

I still have many things left to do

I have the courage to face life

I am happy and content with my life

I am afraid of the actual "act" of killing myself (the pain, blood, violence)

I believe killing myself would not really accomplish or solve anything

I have hope that things will improve and the future will be happier

1 – Not At All Important

2 – Quite Unimportant

3 – Somewhat Unimportant

4 – Somewhat Important

5 – Quite Important

6 – Extremely Important

I am concerned about what others would think of me

I believe everything has a way of working out for the best

I could not decide where, when, and how to do it

I consider it morally wrong

I still have many things left to do

I have the courage to face life

I am happy and content with my life

I am afraid of the actual "act" of killing myself (the pain, blood, violence)

I believe killing myself would not really accomplish or solve anything

I have hope that things will improve and the future will be happier

In each space put a number to indicate the importance to you of each for not killing yourself.

1 – Not At All Important

2 – Quite Unimportant

3 – Somewhat Unimportant

4 – Somewhat Important

5 – Quite Important

6 – Extremely Important

Other people would think I am weak and selfish

I have an inner drive to survive

I wouldn't want others to think I didn't have control over my life

I believe I can find a purpose in life, a reason to live

I see no reason to hurry death along

I am so inept that my method would not work

I would not want my family to feel guilty afterwards

I would not want my family to think I was selfish or a coward

1 – Not At All Important

2 – Quite Unimportant

3 – Somewhat Unimportant

4 – Somewhat Important

5 – Quite Important

6 – Extremely Important

Other people would think I am weak and selfish

I have an inner drive to survive

I wouldn't want others to think I didn't have control over my life

I believe I can find a purpose in life, a reason to live

I see no reason to hurry death along

I am so inept that my method would not work

I would not want my family to feel guilty afterwards

I would not want my family to think I was selfish or a coward

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