District of Columbia Rating Scale
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FAQ
Research on suicide prevention and interventions requires a standard method for assessing both suicidal ideation and behavior to identify those at risk and to track treatment response. The ColumbiaSuicide Severity Rating Scale (C-SSRS) was designed to quantify the severity of suicidal ideation and behavior.
The Columbia Suicide Severity Rating Scale (C-SSRS) is a measure used to identify and assess individuals at risk for suicide. Questions are phrased for use in an interview format, but can be completed as a self-report measure if necessary.
Assessment of Suicidal Risk Using the Columbia Suicide Severity Rating Scale. This free, online training from the New York State Office of Mental Health and Columbia University provides an overview of the instrument and teaches how and when to administer it in real-world settings.
Results: The ColumbiaSuicide Severity Rating Scale does not address the full spectrum of suicidal ideation or behavior. As a result, it has the potential to miss many combinations of suicidal ideation and behavior that present to clinicians in practice (type II error).
The Columbia Protocol: A Unique Suicide Prevention Tool 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.
Evidence-supported. An unprecedented amount of research has validated the relevance and effectiveness of the questions used in the C-SSRS to assess suicide risk, making it the most evidence-based tool of its kind.
Columbia Suicide Severity Rating Scale (C-SSRS): This tool can be used to both screen and assess suicide risk. Originally created as part of a study on decreasing suicide risk among adolescents, the C-SSRS can be used on all patients over the age of 11.
The scale had 99% specificity and 93% sensitivity in correctly identifying lifetime aborted attempts that were recorded on the Columbia Suicide History Form.
