Assessment Instruments | Behavioral Research & Therapy Clinics 9/23/22, 4:56 PM
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RESOURCES
(HTTPS://DEPTS.WASHINGTON.E
Assessment Instruments
DU/UWBRTC/RESOURCES/)
Assessments developed/adapted by Dr. Linehan (and her colleagues) on this website are available for research,
Treatment Resources clinical and educational uses only (free of charge). Under no circumstances shall these assessments be used for
(https://depts.washington.edu/uwbrt commercial purposes.
c/resources/treatment-resources/)
When using these assessments, please be sure to include proper citation(s) of Dr. Linehan’s work.
Assessment Instruments
(https://depts.washington.edu/uwbrt
c/resources/assessment-
LINEHAN RISK ASSESSMENT & MANAGEMENT PROTOCOL (LRAMP)
instruments/) Linehan Risk Assessment & Management Protocol (LRAMP) (http://depts.washington.edu/uwbrtc/wp-content/uploads/LSSN-
LRAMP-v1.0.pdf)
Dr. Linehan Press Kit
(https://depts.washington.edu/uwbrt Citation:
c/resources/info-on-dr-linehans-life- Linehan, M.M. (2009) University of Washington Risk Assessment Action Protocol: UWRAMP, University of WA, Unpublished
work-and-building-a-life-worth- Work.
living/)
Linehan, M. M., Comtois, K. A., & Ward-Ciesielski, E. F. (2012). Assessing and managing risk with suicidal
Q&A with Marsha Series individuals. Cognitive and Behavioral Practice,19(2), 218-232.
(https://depts.washington.edu/uwbrt
c/resources/qa-with-marsha-
linehan/) UNIVERSITY OF WA RISK ASSESSMENT PROTOCOL (UWRAP)
University of Washington Risk Assessment Protocol (UWRAP) (http://depts.washington.edu/uwbrtc/wp-
Resources Overview content/uploads/UWRAP.pdf)
(https://depts.washington.edu/uwbrt
c/resources/) Citations: Reynolds, S.K., Lindenboim, N., Comtois, K.A.Murray, A., Linehan, M.M. (2006) Risky Assessments: Participant
Suicidality and Distress Associated with Research Assessments in a Treatment Study of Suicidal Behavior. Suicide and Life-
Threatening Behavior (36) 1, 19-33.
Linehan, M. M., Comtois, K. A., & Ward-Ciesielski, E. F. (2012). Assessing and managing risk with suicidal
individuals. Cognitive and Behavioral Practice,19(2), 218-232.
BORDERLINE SYMPTOM LIST (BSL)
Borderline Symptom List (http://depts.washington.edu/uwbrtc/wp-content/uploads/Borderline-Symptom-List-BLS-23.pdf) |
Scoring Instructions (http://depts.washington.edu/uwbrtc/wp-content/uploads/BSL23-scoring-1.pdf)
Citation: Bohus M., Limberger, M.F., Frank, U., Chapman, A.L., Kuhler, T., Stieglitz, R.D. (2007) Psychometric Properties of the
Borderline Symptom List (BSL). Psychopahology, 40, 126-132.
DBT-WCCL SCALE AND SCORING
DBT-WCCL Scale (http://depts.washington.edu/uwbrtc/wp-content/uploads/DBT-WCCL.pdf) | DBT-WCCL Scoring
(http://depts.washington.edu/uwbrtc/wp-content/uploads/Scoring-description-for-the-DBT-WCCL.pdf) | DBT-WCCL translated in
Spanish (http://depts.washington.edu/uwbrtc/wp-content/uploads/DBTWCCL_Spanish.pdf)
DBT-WCCL in Chinese (http://depts.washington.edu/uwbrtc/wp-content/uploads/DBT-WCCL-Chinese.pdf) | DBT-WCCL in
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Assessment Instruments | Behavioral Research & Therapy Clinics 9/23/22, 4:56 PM
German (http://depts.washington.edu/uwbrtc/wp-content/uploads/DBT-WCCL-German.pdf)
DBT-WCCL in Lithuanian (http://depts.washington.edu/uwbrtc/wp-content/uploads/DBT-WCCL-Swedish.pdf) | DBT-WCCL in
Swedish (http://depts.washington.edu/uwbrtc/wp-content/uploads/DBT-WCCL-Lithuanian.pdf)
Citation: Neacsiu, A.D., Rizvi, S.L., Vitaliano, P. P., Lynch, T.R., & Linehan, M.M. (2010) The Dialectical Behavior Therapy
Ways of Coping Checklist (DBT-WCCL): Development and Psychometric Properties. Journal of Clinical Psychology, 66(61), 1-
20.
DEMOGRAPHIC DATA SCALE (DDS)
Demographic Data Scale (DDS) (http://depts.washington.edu/uwbrtc/wp-content/uploads/DDS.pdf)
The DDS is a self-report questionnaire used to gather extensive demographic information from the client.
Citation: Linehan, M.M. (1982). Demographic Data Schedule (DDS). University of Washington, Seattle, WA, Unpublished work.
DIARY CARDS
NIMH S-DBT Diary Card (includes instructions) (http://depts.washington.edu/uwbrtc/wp-content/uploads/NIMH4-S-DBT-Diary-
Cards-with-Instructions.pdf) | NIDA Diary Card (includes instructions) (http://depts.washington.edu/uwbrtc/wp-
content/uploads/NIDA5-Diary-Card-with-Instructions.pdf) | CARES Diary Card (http://depts.washington.edu/uwbrtc/wp-
content/uploads/CARES-Diary-Card.pdf)
Citation: citation pending
IMMINENT RISK AND ACTION PLAN
Imminent Risk and Action Plan (http://depts.washington.edu/uwbrtc/wp-content/uploads/2008-10-
10_Imminent_Risk_And_Action_Plan.pdf)
Citation: citation pending
LIFETIME – SUICIDE ATTEMPT SELF-INJURY COUNT (L-SASI)
Lifetime Suicide Attempt Self-Injury (http://depts.washington.edu/uwbrtc/wp-content/uploads/L-SASI-Count.pdf) | Instructions
(http://depts.washington.edu/uwbrtc/wp-content/uploads/LPC-instructions.pdf) | Scoring
(http://depts.washington.edu/uwbrtc/wp-content/uploads/L-SASI-Count-scoring.pdf)
The L-SASI is an interview to obtain a detailed lifetime history of non-suicidal self-injury and suicidal behavior.
Citation: Linehan, M. M. & Comtois, K. (1996). Lifetime Parasuicide History. University of Washington, Seattle, WA,
Unpublished work.
SUICIDE ATTEMPT SELF-INJURY INTERVIEW (SASII)
SASII Instructions For Published SASII (http://depts.washington.edu/uwbrtc/wp-content/uploads/SASII-Instructions-For-
Published-SASII.pdf) | SASII Standard Short Form with Supplemental Questions (http://depts.washington.edu/uwbrtc/wp-
content/uploads/SASII-Standard-Short-Form-with-Supplemental-Questions.pdf) | SASII Short Form with Variable Labels
(http://depts.washington.edu/uwbrtc/wp-content/uploads/SASII-Short-Form-with-Variable-Labels.pdf) | SASII Scoring Syntax
(http://depts.washington.edu/uwbrtc/wp-content/uploads/SASII-Syntax-Scoring.pdf) | Detailed Explanation of SPSS Scoring
Syntax (http://depts.washington.edu/uwbrtc/wp-content/uploads/Detailed-Explanation-of-SPSS-Scoring-Syntax.pdf)
The SASII (formerly the PHI) is an interview to collect details of the topography, intent, medical severity, social context,
precipitating and concurrent events, and outcomes of non-suicidal self-injury and suicidal behavior during a target time period.
Major SASII outcome variables are the frequency of self-injurious and suicidal behaviors, the medical risk of such behaviors,
suicide intent, a risk/rescue score, instrumental intent, and impulsiveness.
Citation: Linehan, M.M., Comtois, K.A., Brown, M.Z., Heard, H.L., Wagner, A. (2006). Suicide Attempt Self-Injury Interview
(SASII): Development, Reliability, And Validity of A Scale To Assess Suicide Attempts And Intentional Self-Injury. Psychological
Assessment, 18(3), 303-312.
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Assessment Instruments | Behavioral Research & Therapy Clinics 9/23/22, 4:56 PM
PARENTAL AFFECT TEST (PAT)
Parental Affect Test (http://depts.washington.edu/uwbrtc/wp-content/uploads/Parental-Affect-Test.pdf)
The Linehan Parental Affect Test is a self-report questionnaire that assesses parent responses to typical child behaviors.
Article: Linehan, M. et al (1983) The Parent Affect Test – Development, Validity and Reliability
(http://depts.washington.edu/uwbrtc/wp-content/uploads/Linehan-M.-et-al-1983-The-Parent-Affect-Test-Development-Validity-
and-Reliability.pdf)
Citation: Linehan, M. M., Paul, E., & Egan, K. J. (1983). The Parent Affect Test – Development, Validity and Reliability. Journal
of Clinical Child Psychology, 12, 161-166.
REASONS FOR LIVING SCALE (RFL)
Scoring Instructions (http://depts.washington.edu/uwbrtc/wp-content/uploads/RFL-Scoring-Instructions.pdf) | RFL Scale (short
form – 48 items) (http://depts.washington.edu/uwbrtc/wp-content/uploads/Reasons-for-Living-Scale-short-form-48-items.pdf) |
RFL Scale (Portuguese) (http://depts.washington.edu/uwbrtc/wp-content/uploads/RFL-Scale-Portuguese.pdf) | RFL Scale
(Romanian) (http://depts.washington.edu/uwbrtc/wp-content/uploads/RLF-Scale-ROMANIAN-Translation.pdf) | RFL Scale
(Simplified Chinese) (http://depts.washington.edu/uwbrtc/wp-content/uploads/RFL-Scale-Simplified-CHINESE-Translation.pdf) |
RFL Scale (Traditional Chinese) (http://depts.washington.edu/uwbrtc/wp-content/uploads/RFL-Scale-Traditional-CHINESE-
Translation.pdf) | RFL Scale (Thai) (http://depts.washington.edu/uwbrtc/wp-content/uploads/Reasons-for-Living-Scale-into-
Thai-language.pdf)
The RFL is a self-report questionnaire that measures clients’ expectancies about the consequences of living versus killing
oneself and assesses the importance of various reasons for living. The measure has six subscales: Survival and Coping
Beliefs, Responsibility to Family, Child-Related Concerns, Fear of Suicide, Fear of Social Disapproval, and Moral Objections.
Citation: Linehan M.M., Goodstein J.L., Nielsen S.L., & Chiles J.A. (1983). Reasons for Staying Alive When You Are Thinking
of Killing Yourself: The Reasons for Living Inventory. Journal of Consulting and Clinical Psychology, 51, 276-286.
SOCIAL HISTORY INTERVIEW (SHI)
Social History Interview (SHI) (http://depts.washington.edu/uwbrtc/wp-content/uploads/SHI.pdf)
The SHI is an interview to gather information about a client’s significant life events over a desired period of time. The SHI was
developed by adapting and modifying the psychosocial functioning portion of both the Social Adjustment Scale-Self Report
(SAS-SR) and the Longitudinal Interview Follow-up Evaluation Base Schedule (LIFE) to assess a variety of events (e.g., jobs,
moves, relationship endings, jail) during the target timeframe. Using the LIFE, functioning is rated in each of 10 areas (e.g.,
work, household, social interpersonal relations, global social adjustment) for the worst week in each of the preceding four
months and for the best week overall. Self-report ratings using the SAS-SR are used to corroborate interview ratings.
Citations: Weissman, M.M., & Bothwell, S. (1976). Assessment of social adjustment by patient self-report. Archives of General
Psychiatry, 33, 1111-1115.
Keller, M.B., Lavori, P.W., Friedman, B., Nielsen, E.C., Endicott, J., McDonald-Scott, P., & Andreasen, N.C. (1987). The
longitudinal interval follow-up evaluation: A comprehensive method for assessing outcome in prospective longitudinal studies.
Archives of General Psychiatry, 44, 540-548.
SUBSTANCE ABUSE HISTORY INTERVIEW (SAHI)
Substance Abuse History Interview (http://depts.washington.edu/uwbrtc/wp-content/uploads/SAHI.pdf)
The SAHI is an interview to assess periods of drug use (by drug), alcohol use, and abstinence in a client’s life over a desired
period of time. The SAHI combines the drug and alcohol use items from the Addiction Severity Index (ASI) and the Time Line
Follow-back Assessment Method to collect information about the quantity, frequency, and quantity X frequency of alcohol and
drug consumption.
Citations: McLellan, A.T., Luborsky, L., Woody, G.E., & O’Brien, C.P. (1980). An improved diagnostic evaluation instrument for
substance abuse patients: The Addiction Severity Index. Journal of Nervous and Mental Disease, 168, 26-33.
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Assessment Instruments | Behavioral Research & Therapy Clinics 9/23/22, 4:56 PM
Sobell, M.B., Sobell, L.C., Klajner, F., Pavan, D.,& Basian, E. (1986). The reliability of a timeline method for assessing normal
drinker college students’ recent drinking history: Utility for alcohol research. Addictive Behaviors, 11, 149-161.
SUICIDAL BEHAVIORS QUESTIONNAIRE (SBQ)
Suicidal Behaviors Questionnaire (http://depts.washington.edu/uwbrtc/wp-content/uploads/Suicidal-Behaviors-
Questionnaire_SBQ-18.pdf) | SBQ with Variable Labels (http://depts.washington.edu/uwbrtc/wp-content/uploads/SBQ-with-
Variable-Labels.pdf) | SBQ Scoring Syntax (http://depts.washington.edu/uwbrtc/wp-content/uploads/SBQ-scoring-syntax.pdf)
The SBQ is a self-report questionnaire designed to assess suicidal ideation, suicide expectancies, suicide threats and
communications, and suicidal behavior.
Citation: Addis, M. & Linehan, M. M. (1989). Predicting suicidal behavior: Psychometric properties of the Suicidal Behaviors
Questionnaire. Poster presented at the Annual Meeting of the Association for the Advancement Behavior Therapy,
Washington, D.C.
THERAPIST INTERVIEW (TI)
Therapist Interview (http://depts.washington.edu/uwbrtc/wp-content/uploads/Therapist-Interview-4-V1.pdf)
The TI is an interview to gather information from a therapist about their treatment for a specific client.
Citation: Linehan, M. M. (1987). Therapist Interview. University of Washington, Seattle, WA, Unpublished work.
TREATMENT HISTORY INTERVIEW (THI)
Treatment History Interview (http://depts.washington.edu/uwbrtc/wp-content/uploads/THI-4.pdf) | Appendices
(http://depts.washington.edu/uwbrtc/wp-content/uploads/THI-appendices.pdf)
The THI is an interview to gather detailed information about a client’s psychiatric and medical treatment over a desired period
of time. Section 1 assesses the client’s utilization of professional psychotherapy, comprehensive treatment programs (e.g.,
substance abuse programs, day treatment), case management, self-help groups, and other non-professional forms of
treatment. Section 2 assesses the client’s utilization of inpatient units (psychiatric and medical), emergency treatment (e.g.,
emergency room visits, paramedics visits, police wellness checks), and medical treatment (e.g., physician and clinic visits).
Section 3 assesses the use of psychotropic and non-psychotropic medications.
Citation: Linehan, M.M. & Heard, H.L. (1987). Treatment history interview (THI). University of Washington, Seattle, WA,
Unpublished work. Therapy and Risk Notes – do not use without citation. For clarity of how to implement these items, please
see Cognitive-Behavioral Treatment of Borderline Personality Book chapter 15.
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