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Columbia-Suicide Severity Rating Scale (C-SSRS)

About C-SSRS

The C-SSRS supports suicide risk assessment through a series of simple, plain-language questions that anyone can ask. The C-SSRS screens for this wide range of risk factors without becoming unwieldy or overwhelming, because it includes the most essential, evidence-supported questions required for a thorough assessment. The answers help users identify whether someone is at risk for suicide, assess the severity and immediacy of that risk, and gauge the level of support that the person needs.

How it works

Scale administrators ask a series of questions about suicidal thoughts and behaviors. The number and choice of questions they ask depend on each person’s answers. The questioner marks “yes” or “no,” as well as how recently the thought or behavior occurred and — for some versions of the scale — a scoring of its severity. The shortest screeners are condensed to a minimum of two and a maximum of six questions, depending on the answers, to most quickly and simply identify whether a person is at risk and needs assistance.

Users of the C-SSRS tool ask people:

• Whether and when they have thought about suicide (ideation)

• What actions they have taken — and when — to prepare for suicide

• Whether and when they attempted suicide or began a suicide attempt that was either interrupted by another person or stopped of their own volition

Who should get training in C-SSRS?

Because no mental health training is required to ask the questions provided in the C-SSRS, training is available to everyone including families, friends, neighbors, first responders, governments, healthcare, military, schools, corrections and researchers.

Learn more at

Click on the course below for details

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