What type of behavior is included in the assessment of suicidal actions in C-SSRS?

The assessment of suicidal actions in the Columbia – Suicide Severity Rating Scale (C-SSRS) encompasses a comprehensive range of behaviors, which includes all forms of self-harming behavior. This is crucial because self-harming behaviors can vary significantly in presentation and might not always lead to a suicide attempt, yet they indicate a level of distress that warrants attention.

By including all forms of self-harming behavior, the C-SSRS allows for a complete understanding of an individual's risk factors and the severity of their suicidal ideation. This approach acknowledges that self-harm can be an indicator of suicidal thoughts and intentions, even if they do not culminate in an attempt that requires medical attention. Thus, capturing the full spectrum of self-harming actions enhances the effectiveness of risk assessment and intervention strategies, making it easier for healthcare providers to support individuals at risk appropriately.