Description

The Hopelessness Scale is a self-reported measure of pessimism and hopelessness. This can help identify patients who are likely to die if suicide is attempted. It also correlates with level of depression and sociopathy. The authors are from the University of Pennsylvania and Philadelphia General Hospital.


 

The scale consists of 20 statements

 

True

False

Statements

1

0

11: 2, 4, 7, 9, 11, 12, 14, 16, 17, 18, 20

0

1

09: 1, 3, 5, 6, 8, 10, 13, 15, 19

 

hopelessness scale =

= SUM(points for all 20 statements)

 

feelings about the future subscore =

= SUM(points for 1, 6, 13, 15, 19)

 

loss of motivation subscore =

= SUM(points for 2, 3, 9, 11, 12, 16, 17, 20)

 

future expectations subscore =

= SUM(points for 4, 7, 8, 14, 18)

 

where:

• Statements 5 and 10 are not included in the subscores.

 

Interpretation:

• minimum total score: 0

• maximum total score: 20

• The higher the score, the greater the sense of hopelessness.

• Patients who eventually died by suicide had higher scores than those who did not die.

• In the series reported in 1985, 91% of people who died by suicide had a score >= 10, while only 9% had a score <= 9.

 


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