How do clinicians determine the presence of protective factors using the C-SSRS?

The determination of protective factors using the Columbia – Suicide Severity Rating Scale (C-SSRS) is primarily achieved through questions that explore the individual's reasons for living and the sources of support in their life. This approach is central to assessing the person's strengths and coping mechanisms that may mitigate their suicide risk.

Inquiring about reasons for living helps to identify the values, goals, and commitments that an individual holds, which can provide motivation to endure difficult times. Additionally, understanding the support sources — be it family, friends, or community resources — can gauge the social network available to the individual, which is crucial for fostering resilience and providing support when facing suicidal thoughts or behaviors.

Other options, while they may contribute to an overall assessment of a patient’s mental health status, do not specifically target the identification of protective factors in the context of the C-SSRS. Medication adherence and previous therapy evaluations can inform treatment strategies but do not directly assess protective factors. Similarly, standardized psychological tests may help in diagnosing conditions but may not provide the personalized understanding required to evaluate protective factors effectively within the framework of suicide risk assessment.