Are non-suicidal self-injurious behaviors (NSSI) part of the C-SSRS evaluation?

Non-suicidal self-injurious behaviors (NSSI) are considered an important aspect of the Columbia – Suicide Severity Rating Scale (C-SSRS) evaluation. This is because NSSI can be an indicator of underlying emotional distress or mental health issues that could elevate suicide risk. By including these behaviors in the assessment, professionals can gain a fuller understanding of an individual's risk factors and overall mental health.

The inclusion of NSSI in the C-SSRS helps practitioners to identify patterns of self-harm that may not directly indicate suicidal intent but still reflect significant psychological distress. This holistic approach supports the early identification of individuals who may be in need of more comprehensive intervention or support, ultimately aligning with the goal of suicide risk assessment to prevent potential suicide attempts.

Evaluating NSSI can also assist in tailoring interventions more effectively, as it provides insight into coping mechanisms, emotional regulation, and potential triggers that could lead to increased risk. Thus, recognizing and including NSSI in the C-SSRS evaluation process plays a critical role in comprehensive suicide risk assessment and management.