What emphasis does the C-SSRS place on assessing substance use?

The Columbia – Suicide Severity Rating Scale (C-SSRS) emphasizes that substance use is a significant risk factor that can affect suicidal ideation and behavior. This is because the use of substances, including alcohol and drugs, can impair judgment, lower inhibition, and increase impulsivity, all of which contribute to heightened suicide risk. The scale recognizes the importance of discussing substance use to gain a better understanding of an individual's risk profile.

The assessment includes questions that address both current and historical substance use, allowing clinicians to evaluate how these factors may interact with suicidal thoughts or behaviors. By highlighting the connection between substance use and suicide risk, the C-SSRS encourages thorough inquiry into this area, which is essential for effective risk assessment and intervention planning.