Part I:

Please circle the appropriate number below each statement to indicate the degree to which you agree or disagree with that statement.

1.  I feel that some element that I can't quite define is missing from my life.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

2.  I expect the future to hold more promise for me than the past has.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

3.  A period of personal hardship and suffering can give a person a better understanding of the real meaning of life.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

4.  In my life I have very clear goals and aims.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

5.  Everyone is held accountable for his or her life.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

6.  I daydream of finding a new place for my life and a new identity.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

7.  I look forward to the future with great anticipation.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

8.  Every day is constantly new and different.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

9.  I think about the ultimate meaning of life.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

10.  I feel a need to develop career goals for my life.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

11.  My life is in my hands and I am in control of it.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

12.  Even though death is inevitable, I cannot help but be concerned about dying.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

13.  I have experienced the feeling that, while I am destined to accomplish something important, I cannot put my finger on just what it is.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

14.  I think of achieving new goals in the future.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

15.  In achieving life's goals, I have felt completely fulfilled.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

16.  In thinking of my life, I see a reason for my being here.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

17.  I am restless.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

18.  Concerning my freedom to make my own choices, I believe I am absolutely free.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

19.  I think I am generally much less concerned about death than those around me.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

20.  I feel a lack of, and a need to find, a real meaning and purpose in my life.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

21.  I hope for something exciting in the future.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

22.  I get a real thrill out of just being alive.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

23.  The meaning of life is evident in the world around us.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

24.  I try new activities or areas of interest and then these soon lose their attractiveness.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

25.  Death makes little difference to me one way or another.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

26.  I am seeking a meaning, purpose, or mission for my life.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

27.  I feel the need for adventure and Anew worlds to conquer.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

28.  My life is running over with exciting and good things.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

29.  I have discovered a satisfying life purpose.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

30.  I seem to change my main objectives in life.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

31.  It is possible for me to live my life in terms of what I want to do.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

32.  I would neither fear death nor welcome it.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

33.  Over my lifetime, I have felt a strong urge to find myself.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

34.  I feel that the greatest fulfillment of my life lies yet in the future.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

35.  Life to me seems very exciting.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

36.  I've been aware of an all-powerful and consuming purpose towards which my life has been directed.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

37.  Before I achieve one goal, I start towards a different one.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

38.  I regard the opportunity to direct my life as very important.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

39.  New and different things appeal to me.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

40.  I am more afraid of death than of old age.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

41.  I determine what happens in my life.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

42.  Basically, I am living the kind of life I want to live.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

43.  Some people are very frightened of death, but I am not.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

44.  My accomplishments in life are largely determined by my own efforts.

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strongly disagree     disagree   probably disagree   neutral      probably agree      agree         strongly agree

Part II:

On a survey to learn more about the reasons why people do not kill themselves, the statements on this questionnaire represent the wide range of reasons that people gave.  Many people have thought of suicide at least once.  Others have never considered it.  Whether or not you have considered it, we are interested in the reasons you would have for not committing suicide if the thought were to occur to you.  We would like to know how important each of these statements would be to you at this time in your life as a reason for you to not kill yourself.  Please circle a number after each statement to rate the importance to you of that reason for not killing yourself, from 1 (not at all important) to 6 (extremely important).  If a reason does not apply to you or if you do not believe it is true, then it is likely not important and you should rate it as 1.  Even if you believe you never would seriously consider killing yourself, it is still important to rate each reason.

1.  I have a responsibility and commitment to my family.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

2.  I believe I can learn to adjust or cope with my problems.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

3.  I believe I have control over my life and destiny.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

4.  I have a desire to live.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

5.  I believe only God has the right to end a life.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

6.  I am afraid of death.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

7.  My family might believe I did not love them.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

8.  I do not believe that things get miserable or hopeless enough that I would rather be dead.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

9.  My family depends upon me and needs me.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

10.  I do not want to die.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

11.  I want to watch my children as they grow.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

12.  Life is all we have and is better than nothing.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

13.  I have future plans I am looking forward to carrying out.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

14.  No matter how badly I feel, I know that it will not last.

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  important      unimportant    unimportant       important        important        important

15.  I am afraid of the unknown.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

16.  I love and enjoy my family too much and could not leave them.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

17.  I want to experience all that life has to offer and there are many experiences I haven't had yet which I want to have.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

18.  I am afraid that my method of killing myself would fail.

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  important      unimportant    unimportant       important        important        important

19.  I care enough about myself to live.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

20.  Life is too beautiful and precious to end it.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

21.  It would not be fair to leave the children for others to take care of.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

22.  I believe I can find other solutions to my problems.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

23.  I am afraid of going to hell.

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  important      unimportant    unimportant       important        important        important

24.  I have a love of life.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

25.  I am too stable to kill myself.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

26.  I am a coward and do not have the guts to do it.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

27.  My religious beliefs forbid it.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

28.  The effect on my children would be harmful.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

29.  I am curious about what will happen in the future.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

30.  It would hurt my family too much and I would not want them to suffer.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

31.  I am concerned about what others would think of me.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

32.  I believe everything has a way of working out for the best.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

33.  I could not decide where, when, and how to do it.

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  important      unimportant    unimportant       important        important        important

34.  I consider it morally wrong.

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  important      unimportant    unimportant       important        important        important

35.  I still have many things left to do.

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  important      unimportant    unimportant       important        important        important

36.  I have the courage to face life.

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  important      unimportant    unimportant       important        important        important

37.  I am happy and content with my life.

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  important      unimportant    unimportant       important        important        important

38.  I am afraid of the actual act of killing myself (the pain, blood, violence).

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

39.  I believe killing myself would not really accomplish or solve anything.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

40.  I have hope that things will improve and the future will be happier.

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  not at all	     quite           somewhat        somewhat           quite            extremely
  important      unimportant    unimportant       important        important        important

41.  Other people would think I am weak and selfish.

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  important      unimportant    unimportant       important        important        important

42.  I have an inner drive to survive.

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  important      unimportant    unimportant       important        important        important

43.  I would not want people to think I did not have control over my life.

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  important      unimportant    unimportant       important        important        important

44.  I believe I can find a purpose in life and a reason to live.

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  important      unimportant    unimportant       important        important        important

45.  I see no reason to hurry death along.

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  important      unimportant    unimportant       important        important        important

46.  I am so inept that my method would not work.

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  important      unimportant    unimportant       important        important        important

47.  I would not want my family to feel guilty afterwards.

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  important      unimportant    unimportant       important        important        important

48.  I would not want my family to think I was selfish or a coward.

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  important      unimportant    unimportant       important        important        important

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