Columbia Suicide Severity Rating Scale

AKA: C-SSRS

A structured set of questions that helps assess suicide risk.

In the context of addiction treatment:
Often used at intake, after relapses, or when someone reports intense distress.

What to know:

  • It asks about thoughts, plans, behaviors, and intent—not just “Are you suicidal?”

  • Answering “yes” doesn’t mean you’re automatically hospitalized; it guides appropriate safety steps.

Example:
After a breakup, a client tells their therapist they’re hopeless; the therapist uses C-SSRS to evaluate risk and create a safety plan.

Return to Glossary