What is the Columbia Suicide Severity Rating Scale (C-SSRS)?

The C-SSRS is a comprehensive suicide risk assessment tool that evaluates the presence and severity of suicidal ideation and behavior. It is widely used in clinical, research, and community settings.

Who developed the C-SSRS and when?

Developed by Dr. Kelly Posner and colleagues at Columbia University, first published in 2011.

What type of assessment is the C-SSRS?

It is a structured clinical interview that can also be administered as a self-report screening tool.

What does the C-SSRS assess?

• Suicidal Ideation: Passive and active thoughts of death and suicide
• Intensity of Ideation: Frequency, duration, controllability, deterrents, reasons
• Suicidal Behavior: Actual attempts, aborted attempts, preparatory acts
• Lethality: Potential medical damage from suicidal behavior

How is the C-SSRS structured?

Six categories of suicidal ideation and behavior, rated in order of severity from least to most severe.

Who can use the C-SSRS?

Can be used across all age groups (6+ years) with appropriate modifications.

What are the strengths of the C-SSRS?

Evidence-based, easy to use, brief administration time, sensitive to changes over time, standardized across populations.

What are the critical considerations?

Requires immediate clinical intervention for positive screens, should be administered by trained personnel, follow-up safety planning essential.