What does "ideation" refer to in C-SSRS?

In the context of the Columbia – Suicide Severity Rating Scale (C-SSRS), "ideation" specifically refers to thoughts and plans regarding suicide. This term encompasses both the presence of suicidal thoughts and the degree of those thoughts, ranging from fleeting ideas to more defined plans about how one might carry out a suicide attempt.

Understanding this definition is crucial for evaluating risk levels effectively. For example, merely having general thoughts about life or feelings of hopelessness does not capture the specific intent and planning that can characterize suicidal ideation. This emphasizes the importance of assessing not just the presence of these thoughts but their depth and specificity, which are critical to determining the individual’s risk of suicide. Recognizing the nuances of ideation allows for more accurate risk assessment and appropriate interventions.