Risk Identification with the Columbia Protocol is directive enough that you have an immediate indication of level of risk and flexible enough that interventions can be modified using clinical judgment. This enables everyone from parents to psychiatrists to utilize it’s evidence based features.
The “score” is either Low, Moderate or High risk depending on where there are affirmative answers. The most worrisome answers are the same in all settings and are a recent (past month) “yes” to question 4 or 5 on ideation severity and/or any recent (past 3 months) behavior. Answers are color coded for easy risk level identification. Here is a triage document that shows how some different types of programs are using these worrisome answers to guide clinical decision making