Select the statements that best reflect your actual feelings over the last few months.
Please be honest with your answers. This inventory is anonymous; no information about you will be collected.
Understanding my answers
This tool was developed to help you become more familiar with what you or someone you care about may be experiencing. If it can help
explain your feelings, share this inventory with someone who cares about you or with a mental health professional.
You checked "I think about dying or killing myself." Seek help immediately.
To assure your safety, please take any of these steps:
Seek out someone you trust and can help you be safe.
Call 911 or the nearest emergency medical service.
You checked five or more statements. If you have felt this way every day for several months, you should see a qualified
mental health professional, for example, a...
You checked less than five statements but if you still feel your ability to function in life is impaired, you should see a
qualified mental health professional, for example, a...
It's important to note that only a health care professional can diagnose a mental health disorder. For help, contact the nearest Allina Mental Health location.
Source:Allina Mental Health Reviewed by: Susan Tabor, BSN, MBA, RN, executive director, Allina Mental Health First Published: 02/05/2001 Last Reviewed: 10/02/2009
Select the statements that best reflect your actual feelings over the last few months.
Please be honest with your answers. This inventory is anonymous; no information about you will be collected.
Understanding my answers
This tool was developed to help you become more familiar with what you or someone you care about may be experiencing. If it can help
explain your feelings, share this inventory with someone who cares about you or with a mental health professional.
You checked statement 10, seek help immediately, regardless of the other statements you checked. This involves taking any of
these steps needed to assure your safety:
Seek out someone you trust and can help you be safe.
Call "911" or the nearest emergency medical service.
You checked five or more of these statements and have felt this way every day for several months, you should see a qualified
mental health professional, for example, a...
You checked less than five statements but still feel your ability to function in life is impaired, you should see a qualified
mental health professional, for example, a...
It's important to note that only a health care professional can diagnose a mental health disorder. For help, contact the nearest Allina Mental Health location.
Source:Allina Mental Health Reviewed by: Paul Goering, MD, exectuvie medical director, Allina Mental Health; Steve Schneider, manager of mental health services, New Ulm Medical Center; Susan Tabor, BSN, MBA, RN, executive director, Allina Mental Health First Published: 02/05/2001 Last Reviewed: 10/30/2008
Select the statements that best reflect what you have been experiencing over the last few months.
Please be honest with your answers. This inventory is anonymous; no information about you will be collected.
Understanding my answers
This tool was developed to help you become more familiar with what you or someone you care about may be experiencing. If it can help
explain your feelings, share this inventory with someone who cares about you or with a mental health professional.
You checked statement 10, seek help immediately, regardless of the other statements you checked. This involves taking any
of these steps needed to assure your safety:
Seek out someone you trust and can help you be safe.
You checked less than two statements but still feel your ability
to function in life is impaired, you should see a qualified
mental health professional, for example, a...
It's important to note that only a health care professional can diagnose a mental health disorder. For help, contact the nearest Allina Mental Health location.
