Columbia Suicide Severity Rating Scale | C-SSRS

The Columbia Suicide Severity Rating Scale (C-SSRS)

Recommended frequency: Manual  View Sample


The Columbia Protocol, also known as the Columbia-Suicide Severity Rating Scale (C-SSRS), supports suicide risk assessment through a series of simple, plain-language questions that anyone can ask. 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. Users of the 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

Psychometric Properties

The C-SSRS evidenced excellent internal consistency (ordinal α = .95). Principal components analysis (PCA) revealed a 2-factor solution, accounting for 65.3% of the variance across items. The severity of ideation and behavioral items loaded onto the first factor, and the intensity of ideation items loaded onto the second factor. The total score, factors, and the most severe ideation single item were moderately correlated with other measures of suicidality (0.27 ≤ r ≤ 0.58; P < .0001). 




The Scale

Suicide Ideation Definition and Prompts:

Printable Version


The “score” is either Low, Moderate or High risk depending on where there are affirmative answers. The most worrisome answers are the same in all settings and are a recent (past month) “yes” to question 4 or 5 on ideation severity and/or any recent (past 3 months) behaviour. 

Copyright Information

Developed by The Columbia Lighthouse Project.

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