Suicidal ideation screening
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vindhya BellamKonda, M.B.B.S [2]
Overview
Standardised protocol is used to identify individulas, who may be at risk for suicide. Various scales have been used to predict the suicide risk. Some of them being Columbia suicide severity rating scale (C-SSRS), Becks scale for suicidal ideation
Screening
Although screening assessment for suicide risk is only a part of the broader aspect of suicide risk assessment, a number of scales are available:
- Columbia suicide severity rating scale(C-SSRS)- This is a questionnaire used for suicide assessment
- Beck's scale for suicidal ideation
- Use of Columbia 's standardized classification algorithm led to a 50% reduction in suicide attempt
- 1-5 rating for suicidal ideation:( From a wish to die to an active thought of killing oneself with plan and intent:
Q.1 Have you wished you were dead or wished you could go to sleep and not wake up
Q.2 have you actually had any thoughts of killing yourself
If answer is "no" to both, no more questions on ideation
If " Yes" to active thoughts, then ask the following three questions:
q.3 Associated thoughts of methods. e.g.- Have you been thinking about how you might do this? Q.4 Some intent
Have you had these thoughts and had some intention of acting on them? Q.5 Plan and intent - Have you started to work out (or) worked out the details of how to kill yourself? Do you intend to carry out this plan?