What does the term "wish to be dead" indicate in the context of the C-SSRS?

The term "wish to be dead" in the context of the Columbia – Suicide Severity Rating Scale (C-SSRS) indicates passive suicidal thoughts without intent. This expression reflects a conceptualization where the individual may feel overwhelmed by their circumstances or suffering, leading them to contemplate death as a means of escape, but without having formulated a specific plan or the intention to carry it out.

It's crucial to differentiate this from active suicidal plans, which would involve specific actions the individual is ready to undertake toward ending their life. A severe mental health disorder may certainly contribute to such feelings, but simply wishing to be dead does not inherently point to a formally diagnosed condition. Lastly, while some might misconstrue these feelings as a desire for attention, it is more appropriate to understand them as a symptom of distress requiring sensitivity and appropriate intervention rather than acting out for attention. Thus, recognizing "wish to be dead" aligns with passive suicidal thoughts that highlight the need for support and evaluation of the person's emotional state.