The inability to recognize when someone is at acute risk for suicidal behavior (within 3 months) has been an enormous barrier to our ability to determine which patients need intensive treatment. Led by Dr. Herbert Hendin, SPI's CEO and Director of Special Projects, SPI scientists have developed the Affective States Questionnaire (ASQ), an instrument that is enabling us to do just that. It has been pilot tested successfully at the Michael De Bakey VA Medical Center in Houston. SPI and the Center have now extended use of the ASQ to veterans who are at high risk for suicide particularly veterans of the Iraq and Afghanistan wars who have Posttraumatic Stress Disorders. Our aim is to gradually expand the use of the ASQ throughout the VA system.