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Table 1 Screening tool for asylum-seeker and refugee mental health (STAR-MH) items

From: Development and validation of a mental health screening tool for asylum-seekers and refugees: the STAR-MH

 

STAR-MH Item

Scale derivation

1.a

Have you ever seen a doctor or health worker, gone to hospital, or taken medicines for your ‘nerves’? (i.e. mental or emotional health)

 

2.a

Have you often wished you were dead, wanted to kill yourself or ever attempted suicide or harmed yourself?

 

3.b

Have you felt very restless, like you can’t keep still?

HSCL-10 (anxiety item)

4.

Have you lost interest in things? (i.e. things you usually enjoy)

HSCL-23 (depression item)

5.

Have you worried about going crazy or ‘losing your mind’?

PERI-D-11 (also HTQ-24 d; trauma item)

6.c

Have you had a lot of trouble sleeping?

HSCL-16 & HTQ-8 (depression and trauma item)

7.

Have you felt very fearful? (i.e. scared or afraid)

HSCL-2 (anxiety item)

8.

Have you felt very trapped or caught? (e.g. like you are trapped in a situation you cannot get out of)

HSCL-21 (depression item)

9.

Have you had a lot of pain in your body?

HTQ-20 (refugee-specific trauma item)

10.

Have you felt very worthless? (i.e. like you have no worth or value)

HSCL-25 (depression item)

  1. aImmediate screen-in item
  2. bItems 3–10 timeframe is the last 4 weeks
  3. cExcluded from final 9-item scale
  4. dItem from the original HTQ (Original Version)