S - Sex: male A - Age( <19 or >45) D - Depressive symptoms P - Previous suicide attempt/psychiatric care E- Excessive ethanol/drug use R- Rational thinking loss, sever psychiatric symptoms as delusion, hallucination S - Separated/ divorce/drug use/widowed O - Organized or serious attempt, who had severe and objective self-harm behavior before like carbon monoxide poisoning, overdose medicine taking and need to be hospitalized…etc.