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K. Johns MedicalMedical & Behavioral Health

Screening · About 2 minutes

Suicide-risk and safety screening

These questions help us understand your safety. If you are in immediate danger, stop and call 911, or call or text 988 now.

About you

Please give at least a telephone number or an email address so the office can reach you.

In the past month
Have you wished you were dead or wished you could go to sleep and not wake up?*
Have you actually had any thoughts of killing yourself?*
Have you been thinking about how you might do this?*
Have you had these thoughts and had some intention of acting on them?*
Have you started to work out or worked out the details of how to kill yourself, and did you intend to carry out this plan?*
Lifetime and access
Have you ever done anything, started to do anything, or prepared to do anything to end your life?*
Do you currently have access to firearms, large amounts of medication, or other means you have thought about using?*
Support and protective factors

Your responses are scored automatically when you submit. A score is not a diagnosis and is always reviewed by a clinician.

Submitting sends your answers directly to K. Johns Medical over an encrypted connection and creates a PDF for your clinician. It does not book an appointment and is not monitored in real time. For an urgent concern, call the office. In an emergency, call 911 or call or text 988.

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