Quick and Accurate Columbia-Suicide Severity Rating Scale (C-SSRS) Dot Phrase Template for Any EMR
Have access to the Columbia-Suicide Severity Rating Scale with a few keystrokes. Get accurate results and advice immediately, available anywhere.
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Columbia University describes the C-SSRS as "the most evidence-supported tool of its kind, [and] is a simple series of questions that anyone can use anywhere in the world to prevent suicide."
This Text Blaze snippet, or dot phrase template, makes the Columbia-Suicide Severity Rating Scale available instantly, anywhere you need it. It accurately follows Columbia's guidelines, published here, and outputs a risk assessment and corresponding advice.
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C-SSRS
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}
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}
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