SSG Fox SPGP - Columbia Suicide Risk Screening (CSSRS)

COLUMBIA-SUICIDE SEVERITY RATING SCALE

Screen Version - Recent

SUICIDE IDEATION DEFINITIONS AND PROMPTS
Ask questions that are bolded and underlined.

Past
month
YES NO

Ask Questions 1 and 2
1) Have you w ished you w ere dead or w ished you could go to sleep and not w ake up?
2) Have you actually had any thoughts of killing yourself?
If YES to 2, ask questions 3, 4, 5, and 6. If NO to 2, go directly to question 6.
3) Have you been thinking about how you m ight do this?
E.g. “I thought about taking an overdose but I never made a specific plan as to when
where or how I would actually do it….and I would never go through with it.”
4) Have you had these thoughts and had som e intention of acting on them ?
As opposed to “I have the thoughts but I definitely will not do anything about them.”
5) Have you started to w ork out or w orked out the details of how to kill yourself?

Do you intend to carry out this plan?

6) Have you ever done anything, started to do anything, or prepared to do anything to

end your life?

YES NO

Examples: Collected pills, obtained a gun, gave away valuables, wrote a will or suicide note,
took out pills but didn’t swallow any, held a gun but changed your mind or it was grabbed from
your hand, went to the roof but didn’t jump; or actually took pills, tried to shoot yourself, cut
yourself, tried to hang yourself, etc.
If YES, ask: W as this w ithin the past three m onths?

Low Risk
Moderate Risk
High Risk

For inquiries and training information contact: Kelly Posner, Ph.D.
New York State Psychiatric Institute, 1051 Riverside Drive, New York, New York, 10032; [email protected]
© 2008 The Research Foundation for Mental Hygiene, Inc.