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C-SSRS (Columbia Suicide Severity Rating Scale)
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Suicidal Ideation
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Ask questions 1 and 2. If both are negative, proceed to “Suicidal Behavior” section. If the answer to question 2 is “yes,” ask questions 3, 4, and 5. If the answer to question 1 and/or 2 is “yes,” complete “Intensity of Ideation” section.
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1. Person endorses thoughts about a wish to be dead or not alive anymore, or wish to fall asleep and not wake up. "Have you wished you were dead or wished you could go to sleep and not wake up?"
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1a. Wish to be Dead
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Describe:
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2. General, non-specific thoughts of wanting to end one’s life/die by suicide. "Have you actually had any thoughts of killing yourself?"
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2a. Non-Specific Active Suicidal Thoughts
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Describe:
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3. Person endorses thoughts of suicide and has thought of at least one method. "Have you been thinking about how you might do this?"
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3a. Active Suicidal Ideation with Any Methods (Not Plan) without Intent to Act
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Describe:
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4. Active suicidal thoughts of killing oneself and some intent to act on such thoughts. "Have you had these thoughts and had some intention of acting on them?"
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4a. Active Suicidal Ideation with Some Intent to Act, without Specific Plan
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Describe:
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5. Thoughts of killing oneself with details at least partially worked out and some intent to carry it out. "Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?"
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5a. Active Suicidal Ideation with Specific Plan and Intent
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Describe:
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Intensity of Ideation
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Most Severe Ideation
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Select the highest level of ideation identified above.
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Frequency. "How many times a day or week have you had these thoughts?"
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Select one.
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Duration. "When you have the thoughts, how long do they last?"
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Select one.
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Controllability. "Could/can you stop thinking about killing yourself or wanting to die if you wanted to?"
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Select one.
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Deterrents. "Is there anyone/anything (family/religion/pain/fear of death/etc) that stopped you from wanting/acting on suicide?"
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Select one.
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Reasons for ideation. "What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to stop the pain or the way you were feeling, or to get attention, revenge, a reaction, and/or help? Or both?"
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Select one.
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Suicidal Behavior
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Actual Attempt: a potentially self-injurious act committed with at least some wish to die.
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Select one.
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If yes, what were the number and description of attempts/self-harm?
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Interrupted Attempt: a person is interrupted by an outside circumstance from starting the potentially self-injurious act.
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Select one.
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If yes, number of attempts and description
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Aborted or Self-Interrupted Attempt: a person begins to take steps towards making an attempt, but stops themselves before engaging in any self-destructive behavior.
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Select one.
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If yes, number of attempts and description
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Preparatory Acts or Behavior: acts or preparation towards imminently making a suicide attempt
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Select one.
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If yes, describe type(s) of preparations.
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Actual Lethality/Medical Damage
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Potential Lethality: Only answer if actual lethality is zero
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C-SSRS Total Score
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