MDCalc

Columbia Suicide Severity Rating Scale (C-SSRS)

Screens for suicidal ideation and behavior.

There are several versions of the C-SSRS. This version is intended for use in emergency settings.

Have you wished you were dead or wished you could go to sleep and not wake up?

Have you actually had any thoughts of killing yourself?

Have you ever done anything, started to do anything, or prepared to do anything to end your life?

Result:

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Advice

Protocols vary by institution, but most suggest complete assessment by a psychiatrist and inpatient admission for high risk patients (level 4-5). Low and moderate risk patients should be reassessed by a trained clinician and may not require admission.

Critical Actions

Should not replace a complete clinical evaluation; may be employed as an initial screener to guide a clinician’s suicide risk assessment and to help stratify patients into low, moderate, or high risk categories.

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