Recently we discussed suicide risk assessment tools and resources (see our September 27, 2011 Patient Safety Tip of the Week “The Canadian Suicide Risk Assessment Guide”). Now another new suicide risk assessement tool, the Columbia-Suicide Severity Rating Scale (C-SSRS), has been demonstrated to be valid in several different patient populations.
The tools actually come in multiple versions (eg. a “lifetime” version, a “since last visit” version, a “risk assessment version”, pediatric versions, and versions for patients in clinical trials, etc.). They studied the validity of the C-SSRS in 3 separate patient populations and demonstrated high sensitivity and specificity for suicidal behavior.
This appears to be a simple-to-use but very valuable tool in assessing the potential risk for suicide.
Some of our prior columns on preventing hospital suicides:
· January 6, 2009 Patient Safety Tip of the Week “Preventing Inpatient Suicides”
· February 9, 2010 Patient Safety Tip of the Week “More on Preventing Inpatient Suicides”
· March 16, 2010 Patient Safety Tip of the Week “A Patient Safety Scavenger Hunt”
· December 2010 What’s New in the Patient Safety World column “ ”
· September 27, 2011 Patient Safety Tip of the Week “The Canadian Suicide Risk Assessment Guide”
Posner K, Brown GK, Stanley B, et al. The Columbia–Suicide Severity Rating Scale: Initial Validity and Internal Consistency Findings From Three Multisite Studies With Adolescents and Adults. Am J Psychiatry 2011; 10.1176/appi.ajp.2011.10111704
Published online November 8, 2011
C-SSRS scales for clinical practice.