Version 2.78

93246-7 Have you wished you were dead or wished you could go to sleep and not wake up?

Term Description

Subject endorses thoughts about a wish to be dead or not alive anymore, or wish to fall asleep and not wake up.
Source: Research Foundation of Mental Hygiene, Inc

Observation ID in Form

1

Form Coding Instructions

Suggested prompt: Have you wished you were dead or wished you could go to sleep and not wake up?

Source: Bioinfomatics Research and Testing Laboratory

Fully-Specified Name

Component
Wish to be dead
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.CSSRS
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93245-9 Columbia - suicide severity rating scale - lifetime recent [C-SSRS]
93485-1 Columbia - suicide severity rating scale - very young child or cognitively impaired - lifetime recent [C-SSRS]
93373-9 Columbia - suicide severity rating scale screener - recent [C-SSRS]

93247-5 Have you actually had any thoughts of killing yourself?

Term Description

General non-specific thoughts of wanting to end one's life/die by suicide (e.g., "I've thought about killing myself") without thoughts of ways to kill oneself/associated methods, intent, or plan during the assessment period.
Source: Research Foundation of Mental Hygiene, Inc

Observation ID in Form

2

Skip Logic

If YES to 2, ask questions 3, 4, 5, and 6. If NO to 2, go directly to question 6.

Form Coding Instructions

Suggested prompt: Have you actually had any thoughts of killing yourself?

Source: Regenstrief LOINC

Fully-Specified Name

Component
Non-specific active suicidal thoughts
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.CSSRS
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93245-9 Columbia - suicide severity rating scale - lifetime recent [C-SSRS]
93485-1 Columbia - suicide severity rating scale - very young child or cognitively impaired - lifetime recent [C-SSRS]
93373-9 Columbia - suicide severity rating scale screener - recent [C-SSRS]

93248-3 Have you been thinking about how you might do this?

Term Description

Subject endorses thoughts of suicide and has thought of at least one method during the assessment period. This is different than a specific plan with time, place or method details worked out (e.g., thought of method to kill self but not a specific plan). Includes person who would say, "I thought about taking an overdose but I never made a specific plan as to when, where or how I would actually do it…and I would never go through with it."
Source: Research Foundation of Mental Hygiene, Inc

Observation ID in Form

3

Form Coding Instructions

E.g. "I thought about taking an overdose but I never made a specific plan as to when where or how I would actually do it...and I would never go through with it."

Source: Research Foundation of Mental Hygiene, Inc

Form Coding Instructions

Suggested prompt: Have you been thinking about how you might do this?

Source: Regenstrief LOINC

Fully-Specified Name

Component
Active suicidal ideation with any methods (not plan) without intent to act
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.CSSRS
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93245-9 Columbia - suicide severity rating scale - lifetime recent [C-SSRS]
93485-1 Columbia - suicide severity rating scale - very young child or cognitively impaired - lifetime recent [C-SSRS]
93373-9 Columbia - suicide severity rating scale screener - recent [C-SSRS]

93249-1 Have you had these thoughts and had some intention of acting on them?

Term Description

Active suicidal thoughts of killing oneself and subject reports having some intent to act on such thoughts, as opposed to "I have the thoughts but I definitely will not do anything about them."
Source: Research Foundation of Mental Hygiene, Inc

Observation ID in Form

4

Form Coding Instructions

Suggested prompt: Have you had these thoughts and had some intention of acting on them?

Source: Regenstrief LOINC

Form Coding Instructions

As opposed to "I have the thoughts but I definitely will not do anything about them."

Source: Regenstrief LOINC

Fully-Specified Name

Component
Active suicidal ideation with some intent to act, without specific plan
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.CSSRS
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93245-9 Columbia - suicide severity rating scale - lifetime recent [C-SSRS]
93485-1 Columbia - suicide severity rating scale - very young child or cognitively impaired - lifetime recent [C-SSRS]
93373-9 Columbia - suicide severity rating scale screener - recent [C-SSRS]

93250-9 Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?

Term Description

Thoughts of killing oneself with details of plan fully or partially worked out and subject has some intent to carry it out.
Source: Research Foundation of Mental Hygiene, Inc

Observation ID in Form

5

Form Coding Instructions

Suggested prompts: Have you started to work out or worked out the details of how to kill yourself? Do you intend to carry out this plan?

Source: Regenstrief LOINC

Fully-Specified Name

Component
Active suicidal ideation with specific plan and intent
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.CSSRS
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93245-9 Columbia - suicide severity rating scale - lifetime recent [C-SSRS]
93485-1 Columbia - suicide severity rating scale - very young child or cognitively impaired - lifetime recent [C-SSRS]
93373-9 Columbia - suicide severity rating scale screener - recent [C-SSRS]

93267-3 Have you ever done anything, started to do anything, or prepared to do anything to end your life?

Term Description

Acts or preparation towards imminently making a suicide attempt. This can include anything beyond a verbalization or thought, such as assembling a specific method (e.g., buying pills, purchasing a gun) or preparing for one's death by suicide (e.g., giving things away, writing a suicide note).
Source: Research Foundation of Mental Hygiene, Inc

Observation ID in Form

6

Fully-Specified Name

Component
Preparatory acts or suicidal behavior
Property
Find
Time
Lifetime
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.CSSRS
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93245-9 Columbia - suicide severity rating scale - lifetime recent [C-SSRS]
93485-1 Columbia - suicide severity rating scale - very young child or cognitively impaired - lifetime recent [C-SSRS]
93373-9 Columbia - suicide severity rating scale screener - recent [C-SSRS]

93269-9 Was this within the past 3 months?

Term Description

Acts or preparation towards imminently making a suicide attempt. This can include anything beyond a verbalization or thought, such as assembling a specific method (e.g., buying pills, purchasing a gun) or preparing for one's death by suicide (e.g., giving things away, writing a suicide note).
Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

Component
Preparatory acts or suicidal behavior
Property
Find
Time
3Mo
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.CSSRS
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67
Order vs. Observation
Observation

Normative Answer List LL361-7

Answer Code Score Answer ID
Yes Copyright http://snomed.info/sct ID:373066001 Yes (qualifier value) LA33-6
No Copyright http://snomed.info/sct ID:373067005 No (qualifier value) LA32-8

Member of these Panels

LOINC Long Common Name
93245-9 Columbia - suicide severity rating scale - lifetime recent [C-SSRS]
93485-1 Columbia - suicide severity rating scale - very young child or cognitively impaired - lifetime recent [C-SSRS]
93373-9 Columbia - suicide severity rating scale screener - recent [C-SSRS]

93374-7 Suicide risk level

Form Coding Instructions

Risk determination: The C-SSRS Screener is scored according to the highest level of risk for any question. LOW RISK: answers to questions 1 or 2 are YES MODERATE RISK: answers to question 3 is YES or question 6 - "was this in past three months?" is NO HIGH RISK: answers to questions 4, 5 or 6 - "was this in past three months?" are YES

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

Component
Suicide risk level
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method

Basic Attributes

Class
SURVEY.CSSRS
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.70
Order vs. Observation
Observation

Normative Answer List LL465-6

Answer Code Score Answer ID
Low LA9194-7
Moderate LA6751-7
High LA9193-9

Member of these Panels

LOINC Long Common Name
93373-9 Columbia - suicide severity rating scale screener - recent [C-SSRS]