C-SSRS (Since Last Visit Screen Version) - lacdmh lacounty 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin with Question 1, 'Wish to be Dead'. Select 'YES' or 'NO' based on the individual's feelings since the last visit.
  3. Proceed to Question 2, 'Suicidal Thoughts'. If the answer is 'YES', continue to Questions 3 through 5. If 'NO', skip to Question 6.
  4. For Question 3, assess if there are thoughts of suicide with a method but no specific plan. Mark accordingly.
  5. In Question 4, determine if there is any intent behind those thoughts without a specific plan. Record the response.
  6. Question 5 requires details about any specific plans for suicide. Ensure clarity in responses.
  7. Finally, address Question 6 regarding any past behaviors related to suicidal actions. Document all relevant information.

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The CSSRS was developed for a National Institute of Mental Health study of adolescent suicide attempters reported in 2007. From the outset, the scale adopted definitions from the Columbia Suicide History Form (CSHF),3 an instrument originally designed as a chart extraction tool.
The Lifetime/Recent version allows practitioners to gather lifetime history of suicidality as well as any recent suicidal ideation and/or behavior. The Since Last Visit version of the scale assesses suicidality since the individuals last visit.
While suicidal ideation and behavior had previously been understood as one-dimensional, with passive ideation progressing to active intent and then to suicidal behavior, the C-SSRS attempted to separate ideation and behavior by using 4 constructs (severity of ideation, intensity of ideation, behavior, and lethality),
The C-SSRS is not a diagnostic tool. Rather, it is a screening instrument that informs clinical judgment about suicide risk. While it complements diagnostic assessments, it should not be used in isolation to determine a mental health diagnosis.
The Columbia-Suicide Severity Rating Scale (C-SSRS) is a unique suicide risk assessment tool that supports suicide risk assessment through a series of simple, plain-language questions that anyone can ask.

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C-SSRS developers recommend administering the Lifetime/Recent version when meeting with a new client and then using the Since Last Visit version at each follow-up appointment (Research Foundation for Mental Hygiene, 2018).

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