Triage works the same in most settings the only thing that changes are next steps which are setting specific. The most worrisome answers are a recent (past month) yes to items 4 or 5 for suicidal ideation and/or any recent (3 months) behavior.
Our triage guide shows how some different types of programs are using these worrisome answers to guide clinical decision making (i.e. does the patient requires 1:1 observation or a Psychiatrist to consult). As you look to delineate high, moderate and low-risk levels, you might use the cut-offs described as your anchors and you may wish to adapt or draw elements from the care plans attached.
This document incorporates the C-SSRS questions into the SAMHSA SAFE-T model with recommended triage categories.
The ideal triage model embeds the C-SSRS into the Electronic Health Record (EHR) and provides alerts for high risk answers. This example from NYOMH shows how this can work. For health/behavioral health care providers there is no cost or license required to put the C-SSRS tools into your EHR/EMR. We often review screenshots for accuracy during this process and would be happy to look at yours if you desire. Feel free to contact us with any questions that arise during the build.