The Schedule of Attitudes toward Hastened Death (SAHD) is a self-reporting questionnaire for a seriously ill patient with a terminal disease which measures the patient's desire for death.


Statements, with responses True or False - 20 items



(1) True indicates desire for life, False desire for death: 1, 7, 9, 12, 15, 19, 20

(2) True indicates desire for death, False a desire for life: 2, 3, 4, 5, 6, 8, 10, 11, 13, 14, 16, 17, 18



Desire for Life Questions

Desire for Death Questions








SAHD score =

= SUM(points for all 20 questions)



• minimum score: 0

• maximum score: 20

• The higher the score, the greater the desire for death. The lower the score, the greater the desire to continue living. A score of >= 10 was associated with a high level of desire for death, while a score <= 3 was associated with a low desire.

• In patients with HIV/AIDS who experienced pain, there was a correlation between pain intensity and the SAHD score. In patients with cancer, pain-related interference in physical functioning correlated with the SAHD score while pain intensity did not.

• Higher scores were moderately correlated with depression and/or hopelessness.


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