In the past month, have you wished you were dead or wished you could go to sleep and not wake up? {formmenu: Yes; default=No; name=q1}

In the past month, have you actually had any thoughts about killing yourself? {formmenu: Yes; default=No; name=q2}{if: q2}

Have you been thinking about how you might do this? {formmenu: Yes; default=No;name=q3}

Have you had these thoughts and had some intention of acting on them? {formmenu: Yes; default=No; name=q4}

Have you started to work out or worked out the details of how to kill yourself? Did you intend to carry out this plan? {formmenu: Yes; default=No; name=q5}{endif}

Have you done anything, started to do anything, or prepared to do anything to end your life? Examples: took pills, held a gun but changed your mind, wrote a will or suicide note {formmenu: Yes; default=No; name=q6} Examples: Took pills, tried to shoot yourself, cut yourself, tried to hang yourself, 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, collected pills, obtained a gun, gave away valuables, wrote a will or suicide note, etc.{if: q6}

Was this in the past 3 months? {formmenu: Yes; default=No; name=q3months}{endif}

RISK ASSESSMENT: {if: (q1=no and q2=no and q6=no)}No Risk{elseif: ((q1=yes or q2=yes) and (q3=no and q4=no and q5=no and q6=no)) OR (q1=yes and q2=no)}Low Risk C-SSRS{elseif: (q2=yes and ((q3=yes or q3months=no) and q4=no and q5=no)) or (q1=no and q2=no and q6=yes and q3months=no)}Moderate Risk C-SSRS{elseif: (q2=yes and (q4=yes or q5=yes or q3months=yes)) or (q1=no and q2=no and q6=yes and q3months=yes)}High Risk C-SSRS{endif}{if: ((q2=yes or q3=yes) and (q4=no and q5=no and q6=no))}

ADVICE: Seek behavioral healthcare for further evaluation.{elseif: q4=yes or q5=yes or q6=yes}

ADVICE: Get immediate help: Call or text 988, call 911or go to the emergency room. STAY WITH THEM until they can be evaluated.{endif}