Evidence-based assessment/Instruments/Columbia Suicide Severity Rating Scale

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It is understandable to feel hopeless right now. Below are some important resources you can use to improve mental health and find relief. If you are having thoughts of suicide please seek help. Please know you are not alone. There is help.
Link to Suicide Resources:

~ National suicide hotline 24/7: 1-800-273-8255 ~ Crisis Textline 24/7: Text HOME to 741741 ~
~ Coping With Suicidal Thoughts ~ Suicide Prevention in Schools ~

Not suicidal but still want help? Click on a link below!
~ Coping with COVID-19 ~ Coping with Social Isolation ~ Finding a Therapist ~ Other Resources ~
[Master List of Mental Health Resources]
~ More at HGAPS.org ~



Wikipedia-logo-v2.svg Wikipedia has more about this subject: Columbia Suicide Severity Rating Scale

The Columbia Suicide Severity Rating Scale, or C-SSRS, is a suicidal ideation rating scale created by researchers at Columbia University to evaluate suicidality in children ages 12 and up.[1] It rates an individual's degree of suicidal ideation on a scale, ranging from "wish to be dead" to "active suicidal ideation with specific plan and intent." Questions are phrased for use in an interview format, but the C-SSRS may be completed as a self-report measure if necessary. The scale identifies behaviors which may be indicative of an individual's intent to commit suicide. An individual exhibiting even a single behavior identified by the scale was 8 to 10 times more likely to commit suicide.

The "Lifetime/Recent version allows practitioners to gather lifetime history of suicidality as well as any recent suicidal ideation and/or behavior." The "Since Last Visit version of the scale assesses suicidality since the patient’s last visit." The "Screener version of the C-SSRS is a truncated form of the Full Version" designed for "first responders, in ER settings and crisis call centers, for non-mental health users like teachers or clergy or in situations where frequent monitoring is required." The "Risk Assessment Page provides a checklist for protective and risk factors for suicidality."

Scoring and interpretation[edit | edit source]

This measure contains 6 "yes" or "no" questions in which respondents are asked to indicate whether they have experienced several thoughts or feelings relating to suicide over the past month. Each question addresses a different component of the respondent's suicide ideation severity.

  • Question 1: desire to be dead
  • Question 2: suicidal thoughts
  • Questions 3-5: more specific suicidal thoughts and intent
  • Question 6: suicidal behavior over the respondent’s lifetime
  • If the respondent answers "yes" to Question 2, he/she is instructed to answer Questions 3-5. If the respondent answers "no" to Question 2, he/she may skip to Question 6.

Comprehensive scoring information is only available to trained and certified administrators, but an answer of "yes" to any of the six questions may indicate a need for referral to a trained mental health professional.

External Links[edit | edit source]

References[edit | edit source]

  1. "Columbia Suicide Severity Rating Scale".