The Columbia Suicide Severity Rating Scale (C-SSRS)

The Columbia-Suicide Severity Rating Scale (C-SSRS) is a suicide assessment questionnaire jointly developed by various institutions, including Columbia University.

The Columbia Suicide Severity Rating Scale

Please take the following quiz to assess if you are experiencing signs and symptoms of being suicidal. Ensure you answer the questions honestly and thoroughly, reflecting your current emotional state rather than how you aspire to feel. It is important to remember that seeking help is always an option, regardless of the time that has passed. Let’s begin with the “Columbia Suicide Severity Rating Scale Assessment” from We Level Up’s treatment center network.

Suicide involves deliberately causing one’s death. Suicidal feelings may manifest as abstract contemplations of ending one’s life or the belief that others would be better off without them. Alternatively, these feelings could involve specific thoughts about suicide methods or the formulation of explicit plans to take one’s own life. Some common behavioral symptoms of suicidal thoughts include:

  • Loss of appetite.
  • The desire to isolate from others.
  • Having a hard time expressing yourself.

Please complete the free Columbia Suicide Severity Rating Scale Assessment to gain insights into your circumstances. This concise Columbia Suicide Severity Rating Scale Assessment aims to identify behavioral patterns that may indicate a tendency toward having a mental health disorder.

While it can provide valuable information, it is essential to note that it is not intended as a comprehensive diagnosis or for diagnosing a specific type of mental health disorder. Depending on your responses, you may receive a potential indication of mental health disorder. If so, we are here and prepared to offer assistance. However, consulting with a healthcare professional for a clinical diagnosis is crucial. Please feel free to contact us 24/7 with any questions, and rest assured that no obligations are involved.

Take Our Free Columbia Suicide Severity Rating Scale Assessment

Take Our Columbia Suicide Severity Rating Scale Assessment Online Confidential Results

The Columbia Suicide Severity Rating Scale (C-SSRS) is a comprehensive tool designed to assess and measure the severity of suicidal ideation and behavior. Developed by researchers at Columbia University, it is widely used in both clinical and research settings.

*By taking this free quiz, you may obtain your results online and in your email box. You’ll have the opportunity to opt-in to learn more about your symptoms, talk to a mental health consultant and join our newsletter. Rest assured your information is private and confidential. Results, consultations and assessment are provided without any cost to you and without any obligation. If you do not wish to provide your contact information, you may omit it during your quiz. Thank you for opting in and participating. To you best of health.

1. Name:

2. Phone:

3. In the past month, have you wished you were dead?
4. In the past month, have you had thoughts of killing yourself?
5. In the past month, have you had the intention of acting on these thoughts?
6. How often have you had these thoughts in the past month?
7. How long do these thoughts typically last?
8. Can you control these thoughts, or do they happen whether you want them to or not?
9. Have you ever made a suicide attempt?
10. Have you engaged in any self-harming behaviors without the intent to die?
11. How much harm did you actually do to yourself during your most recent suicide attempt?


What Is The Columbia Suicide Severity Rating Scale Scoring?

Take our Columbia Suicide Severity Rating Scale Assessment and learn how to improve your mental health.
Take our Columbia Suicide Severity Rating Scale Assessment and learn how to improve your mental health.

The Columbia-Suicide Severity Rating Scale (C-SSRS) is typically scored based on the information gathered during the assessment. The scale is not a diagnostic tool but rather a systematic way to evaluate the severity and intensity of suicidal ideation and behaviors. It is often used in clinical and research settings to assess suicide risk.

The C-SSRS doesn’t have a specific “score” in the traditional sense. Instead, it categorizes individuals into different levels of suicidal ideation and behavior based on their responses to the questions. The key categories include:

  1. Severity of Suicidal Ideation:
    • Wish to Die (Severity 1): Passive thoughts about death or a desire to be dead.
    • Non-Specific Active Suicidal Thoughts (Severity 2): More specific thoughts about wanting to die but without a clear plan.
    • Suicidal Ideation with a Plan (Severity 3): Thoughts about wanting to die with a specific plan in mind.
  2. Intensity of Suicidal Ideation:
    • Without Intent to Act (Intensity 1): Suicidal thoughts without a clear intent to act on them.
    • Some Intent to Act, No Plan (Intensity 2): Suicidal thoughts with some intent to act but without a specific plan.
    • Some Intent to Act, With a Plan (Intensity 3): Suicidal thoughts with both intent and a specific plan.
  3. Suicide-Related Behaviors:
    • Preparatory Acts or Behavior (Intensity 4): Behavior that is not a direct attempt to die by suicide but indicates some preparation.
    • Interrupted or Aborted Attempt (Intensity 5): An attempt to die by suicide that was interrupted or stopped before completion.
    • Engagement in Actual Lethal Behavior (Intensity 6): A completed suicide attempt with varying degrees of lethality.

The evaluation helps clinicians and researchers understand the nature and severity of suicidal thoughts and behaviors in an individual. The responses are used to determine the appropriate level of intervention and support, ranging from monitoring and outpatient care to hospitalization in more severe cases.

It’s important to note that the interpretation and response to C-SSRS results should be conducted by trained mental health professionals to ensure a comprehensive and appropriate assessment of suicide risk. If you or someone you know is struggling with suicidal thoughts, seeking immediate help from a mental health professional or a crisis hotline is crucial.

What Is The Columbia Suicide Severity Rating Scale Training?

Training in the use of the Columbia-Suicide Severity Rating Scale (C-SSRS) is typically provided to mental health professionals, clinicians, and researchers to ensure accurate and consistent administration of the tool. The training aims to equip individuals with the knowledge and skills needed to assess and categorize suicidal ideation and behaviors effectively. The specifics of the training process may vary, but here are standard components:

  1. Overview of the C-SSRS:
    • Introduction to the purpose and background of the C-SSRS.
    • Understanding the importance of a standardized and evidence-based approach to suicide risk assessment.
  2. Components of the C-SSRS:
    • In-depth exploration of the different components of the scale, including questions related to suicidal ideation, intensity, and behaviors.
    • Training on how to gather and interpret information to determine appropriate risk levels.
  3. Case Examples and Practice:
    • Reviewing case examples to illustrate the application of the C-SSRS in various scenarios.
    • Opportunities for hands-on practice, allowing participants to apply their knowledge in simulated situations.
  4. Role-Playing Exercises:
    • Engaging in role-playing exercises to simulate real-world interactions with individuals at risk of suicide.
    • Practicing effective communication and questioning techniques.
  5. Interpretation of Results:
    • Guidance on interpreting the results of the C-SSRS and making appropriate clinical decisions based on the severity and intensity of suicidal thoughts and behaviors.
  6. Ethical Considerations:
    • Discussion of ethical considerations and best practices in suicide risk assessment.
    • Ensuring participant understanding of the ethical responsibility in working with individuals at risk of suicide.
  7. Supervision and Ongoing Support:
    • Providing information on ongoing supervision and support mechanisms to enhance participants’ competence using the C-SSRS.
    • Addressing any questions or challenges that may arise during practical application.

Training in the use of the C-SSRS is crucial for maintaining the reliability and validity of the tool and ensuring that professionals can accurately assess and respond to suicide risk. Mental health professionals may seek out training opportunities through workshops, online courses, or organizations specializing in suicide prevention and mental health. Additionally, ongoing professional development and updates on best practices are recommended to stay current in the field.

Once you have finished answering the Columbia Suicide Severity Rating Scale Assessment, please submit your responses and wait for the results. Sharing your test results with a professional healthcare counselor or mental health expert is advisable. If you require assistance, feel free to contact the We Level Up treatment center advocates for a complimentary evaluation and consultation regarding mental health. Rest assured, no obligations are involved, and your call will remain confidential and free of charge.

Get Help. Get Better. Get Your Life Back.

Searching for Accredited Drug and Alcohol Rehab Centers Near You?

Even if you have failed previously and relapsed, or are in the middle of a difficult crisis, we stand ready to support you. Our trusted behavioral health specialists will not give up on you. When you feel ready or just want someone to speak to about therapy alternatives to change your life call us. Even if we cannot assist you, we will lead you to wherever you can get support. There is no obligation. Call our hotline today.

(844) 597-1011

Columbia Suicide Severity Rating Scale PDF

What Is The Columbia Suicide Severity Rating Scale?

The Columbia-Suicide Severity Rating Scale (C-SSRS) is a structured and evidence-based tool designed to assess suicidal ideation and behavior. Developed by researchers at Columbia University, it provides a standardized way to evaluate and categorize the severity and intensity of suicidal thoughts and behaviors in individuals. The primary goal of the C-SSRS is to identify and measure suicide risk to guide appropriate intervention and support.

The C-SSRS is often used in clinical, research, and educational settings. It consists of a series of questions that cover different aspects of suicidal ideation and behavior. These questions are designed to be administered by trained professionals, such as mental health clinicians or researchers. The scale assesses various levels of suicidal ideation, the presence of a suicide plan, and any suicide-related behaviors.

The critical components of the C-SSRS include:

  1. Suicidal Ideation:
    • Questions assess the presence and severity of suicidal thoughts, ranging from general thoughts of death to specific thoughts about wanting to die.
  2. Intensity of Suicidal Ideation:
    • The scale evaluates the intensity of suicidal thoughts, considering whether there is an intent to act and whether a specific plan is in place.
  3. Suicide-Related Behaviors:
    • The scale categorizes behaviors related to suicide, such as preparatory acts, interrupted attempts, or completed attempts.

The responses to the C-SSRS questions help determine the appropriate level of intervention and support needed for individuals at risk of suicide. The scale is not intended for self-administration, and it must be administered by trained professionals who can accurately interpret the responses and make informed clinical decisions.

The C-SSRS has become widely used in suicide prevention efforts, clinical assessments, and research studies. It provides a standardized and systematic approach to evaluating suicide risk, contributing to improved identification and intervention for individuals experiencing suicidal thoughts and behaviors.

columbia suicide severity rating scale
Take care of your mental health and take our free Columbia Suicide Severity Rating Scale Assessment!

How To Prevent Suicidal Thoughts

If you or someone you know is experiencing suicidal thoughts, it’s essential to seek help promptly. Suicide prevention is a complex and multifaceted process that often involves professional assistance and support from friends and family. Here are some general strategies for preventing suicidal thoughts:

  1. Seek Professional Help:
    • Therapy and Counseling: Reach out to a mental health professional, such as a psychologist, psychiatrist, or counselor. Therapies like Cognitive-Behavioral Therapy (CBT) have been proven effective in treating suicidal ideation.
    • Medication: In some cases, medication may be prescribed to manage underlying mental health conditions contributing to suicidal thoughts.
  2. Crisis Hotlines:
    • Contact a suicide prevention hotline in your country. In the United States, the National Suicide Prevention Lifeline can be reached at 1-800-273-TALK (1-800-273-8255). Many countries have similar services.
  3. Involve Supportive Networks:
    • Family and Friends: Share your feelings with trusted friends or family members. Sometimes, having a supportive network can make a significant difference.
    • Peer Support Groups: Connecting with individuals who have experienced similar struggles can provide a sense of understanding and community.
  4. Educate Yourself:
    • Learn about mental health conditions and suicide. Understanding the underlying factors can contribute to increased empathy and practical support.
  5. Address Substance Abuse:
    • If substance abuse is a concern, seek help for addiction. Substance abuse can exacerbate mental health issues and increase the risk of suicidal thoughts.
  6. Create a Safety Plan:
    • Develop a safety plan with the help of a mental health professional. This plan can include coping strategies, contact information for support, and steps to take during a crisis.
  7. Encourage Professional Assessment:
    • If you are concerned about someone’s well-being, encourage them to seek professional assessment and treatment. Offer to assist in finding a mental health professional or accompanying them to appointments.
  8. Remove Means of Self-Harm:
    • If possible, reduce access to items that could be used for self-harm. This might include securing medications or firearms.
  9. Encourage Healthy Habits:
    • Promote a healthy lifestyle with regular exercise, proper nutrition, and sufficient sleep. Physical well-being can have a positive impact on mental health.
  10. Stay Connected:
    • Regularly check in with friends and family members, especially if they have a history of mental health struggles. Isolation can contribute to feelings of despair.
  11. Encourage Self-Care:
    • Emphasize the importance of self-care activities, such as engaging in hobbies, taking breaks, and practicing relaxation techniques. Establishing a routine prioritizing mental and emotional well-being can contribute to overall resilience.
  12. Promote Open Communication:
    • Foster an environment where open and honest communication about emotions and struggles is encouraged. Removing the stigma around discussing mental health can make it easier for individuals to reach out for support.
  13. Raise Awareness:
    • Participate in or support initiatives that raise awareness about mental health and suicide prevention. Education and awareness campaigns can help reduce stigma and encourage early intervention.
  14. Encourage Problem-Solving:
    • Assist individuals in identifying specific challenges contributing to their distress and collaboratively develop problem-solving strategies. Breaking down overwhelming problems into manageable steps can be empowering.
  15. Teach Coping Skills:
    • Work with mental health professionals to learn and practice coping skills. This may include mindfulness, deep breathing exercises, or other techniques that can help manage stress and negative thoughts.
  16. Create a Supportive Environment:
    • Foster a supportive and non-judgmental environment where individuals feel comfortable expressing their feelings without fear of rejection or criticism. Knowing there is a safe space to share thoughts can be crucial.
  17. Monitor Risk Factors:
    • Be aware of potential risk factors for suicide, such as previous suicide attempts, a family history of suicide, substance abuse, or mental health disorders. Regular monitoring, especially during challenging times, can aid in early intervention.

Remember that addressing suicidal thoughts often requires professional intervention. If you or someone you know is in immediate danger or experiencing a crisis, please call emergency services or a local crisis hotline. Suicide prevention is a shared responsibility, and everyone can play a role in supporting those who are struggling.

How to Improve Mental Health? 8 Steps & Tips for Maintaining Your Mental Wellbeing

Video Script

8 Steps for Mental Wellbeing & How To Improve Mental Health In The Workplace

  1. Staying Positive.
  2. Practicing Gratitude.
  3. Taking Care of Your Physical Health.
  4. Connecting With Others.
  5. Developing a Sense of Meaning and Purpose in Life.
  6. Developing Coping Skills.
  7. Meditation.
  8. Relaxation Techniques.
Search We Level Up Columbia Suicide Severity Rating Scale & Recovery Resources
  1. [1] NCBI – Heslin KC, Elixhauser A, Steiner CA. Hospitalizations Involving Mental and Substance Use Disorders Among Adults, 2012. 2015 Jun. In: Healthcare Cost and Utilization Project (HCUP) Statistical Briefs [Internet]. Rockville (MD): Agency for Healthcare Research and Quality (US); 2006 Feb-. Table 3, tags: Columbia Suicide Severity Rating Scale
  2. [2] NCBI – – Columbia Suicide Severity Rating Scale – Lee S, Rothbard AB, Noll EL. Length of inpatient stay of persons with serious mental illness: effects of hospital and regional characteristics. Psychiatr Serv. 2012 Sep 1;63(9):889-95. doi: 10.1176/ PMID: 22751995.
  3. [3] Depression Treatment » Drug Alcohol Addiction Rehab tags: Columbia Suicide Severity Rating Scale
  4. [4]  Bandelow B, Michaelis S, Wedekind D. Treatment of anxiety disorders. Dialogues Clin Neurosci. 2017 Jun;19(2):93-107. doi: 10.31887/DCNS.2017.19.2/bbandelow. PMID: 28867934; PMCID: PMC5573566. tags: Columbia Suicide Severity Rating Scale
  5. [5] NIMH – tags: Therapist Fort Lauderdale
  6. [6] Selective Serotonin Reuptake Inhibitors – National Center for Biotechnology InformationU.S. National Library of Medicine tags: Am I Being Gaslighted Quiz
  7. high functioning social anxiety[7] ‘Anxiety Disorders’ – National Institute Of Mental Health ( Am I Being Gaslighted Quiz
  8. [8] Psychopharmacology of anxiety disorders – National Center for Biotechnology Information, U.S. National Library of Medicine Am I Being Gaslighted Quiz
  9. [9]  Products – Data Briefs – Number 379 – September 2020 ( Depression – National Institute of Mental Health Am I Being Gaslighted Quiz
  10. [10] Coping with Stress – Centers for Disease Control and Prevention