Columbia Suicide Severity Rating Scale

First, use the dimensional tools longitudinally.

The PHQ-9, the GAD-7, the Columbia Suicide Severity Scale.

Not once at intake, but repeat it over time so you're watching a trend instead of a snapshot.

Because one good day looks identical to one good month.

There's also the end of the PHQ-9 does assess self-harm and suicide risk.

If a patient does indicate that they are Having thoughts about suicide or having thoughts also on the nurses should also be prepared to assess using the Columbia Suicide Severity Rating Scale that assesses suicidal ideation, suicidal intent, and planning as well.

Cancer centers should have a plan for referral to a higher level of psychiatric care.

for patients who are presenting with a risk for suicide.

And essentially synopsis of what the orange scarf is all about is when I was in residential treatment, I actually did have an attempt and.

When I got back from the inpatient hospital, I was submitting to a CSSRS, which if you don't know, it's a Columbia side severity rating scale.

And as they were kind of assessing my present suicidality rate, They asked me to list a reason to live.

And at the time, I really, really struggled with that because I was just grasping at straws for reasons to live.

There's some good trainings out there.

The Columbia Suicide Severity Rating Scale has some trainings that are for allied health disciplines.

It's a quick self-report that you can do.

There's an app for it.

Even more prevalent is non-fatal suicidal behavior as it results in significant morbidity and increased risk for suicide.

So on this page here, um, on this slide, I have a copy of the Columbia Suicide Severity Rating Scale and the ASQ, the A-S-Q.

At Hasbro, we do use the Columbia for all, you know, youth that come into the emergency department that are eleven and older.

And, um, as Kristen just mentioned earlier in her s- presentation, we use the ASQ at, um, Connecticut Children's as well as I saw it was there-- the Columbia was there as well, um, in her workflow.