Columbia-Suicide Severity Rating Scale (C-SSRS) (adult/pediatric)

Description: The measures asks patients about the stages of suicide risk: ideation, planning, and action. Click here to learn more about the Columbia-Suicide Severity Rating Scale.

The Columbia-Suicide Severity Rating Scale - Since Last Visit (C-SSRS) is used to assess suicide risk since a patient was last seen by a provider/asked. 

The Columbia-Suicide Severity Rating Scale - Past Month (C-SSRS) is a screening measure used to assess suicide risk in the past month. For patients who screen positive on the Past Month version, they will receive The Columbia-Suicide Severity Rating Scale - Intensity of Ideation (C-SSRS).

Scoring for Since Last Visit and Past Month: higher score = higher risk/severity of suicidal ideation
Maximum score of 6.

  • 0-2: low risk/severity
  • 3: moderate risk/severity
  • 4-6: high risk/severity

The Columbia-Suicide Severity Rating Scale - Intensity of Ideation (C-SSRS) is a screening measure used to assess the severity of suicidal ideation endorsed by a patient. Patients who screen positive on the Past Month version will receive this measure.

Self-report ages: 8+ years
Pediatric Proxy-report (patient) ages: 5-17 years

Scoring for Intensity of Ideation: higher score = more intense suicidal ideation
Score ranges from 2 to 25.

  • 2-5: low/mild ideation
  • 6-10: moderate ideation
  • 11-15: moderate severe ideation
  • 16-20: severe ideation
  • 21-25: very severe ideation

Click below to view the C-SSRS versions:

Columbia-Suicide Severity Rating Scale - Since Last Visit (C-SSRS) Self-Report (ages 8+)

Columbia-Suicide Severity Rating Scale - Past Month (C-SSRS) Self-Report (ages 8+)

Columbia-Suicide Severity Rating Scale - Intensity of Ideation (C-SSRS) Self-Report (ages 8+)

Columbia-Suicide Severity Rating Scale - Since Last Visit (C-SSRS) Pediatric Proxy-Report (ages 5-17 years)

Columbia-Suicide Severity Rating Scale - Past Month (C-SSRS) Pediatric Proxy-Report (ages 5-17 years)

Columbia-Suicide Severity Rating Scale - Intensity of Ideation (C-SSRS) Pediatric Proxy-Report (ages 5-17 years)