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Suicidality Assessments

The Columbia-Suicide Severity Rating Scale (C-SSRS)

The Columbia-Suicide Severity Rating Scale (C-SSRS) is a tool used to assess the severity and immediacy of suicide risk through a series of structured questions. It evaluates both suicidal ideation and behavior, helping to identify whether someone is at risk and the level of support they need. The scale includes questions about thoughts of suicide, plans, and any actions taken toward attempting suicide. It is widely used in various settings, such as hospitals, schools and military services, to guide appropriate interventions.

Who Can Use?

The Columbia-Suicide Severity Rating Scale (C-SSRS) can be administered by anyone, including individuals without formal mental health training. While training is not mandatory, it is highly recommended to ensure proper use and understanding of the tool. Various free training options are available online, including interactive modules, webinars and in-person sessions. This makes the C-SSRS accessible for use in diverse settings such as schools, hospitals and emergency response situations.

Where Can I Find this Assessment?

The Columbia-Suicide Severity Rating Scale (C-SSRS) is run by the Columbia Lighthouse Project, which disseminates the C-SSRS, optimizes the scale’s impact through support for its users, and continues to build the science behind the scale. You can find out more information about The Columbia Lighthouse Project and a link to the C-SSRS at: https://www.columbiapsychiatry.org/research-labs/columbia-suicide-severity-rating-scale-c-ssrs.

The assessment itself is available here: https://cssrs.columbia.edu/wp-content/uploads/Columbia_Protocol.pdf.

Citations

Posner K, Brown GK, Stanley B, et al. The Columbia-Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. Am J Psychiatry. 2011;168(12):1266–1277. DOI: 10.1176/appi.ajp.2011.10111704.