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# The Columbia Lighthouse Project

Home of the Columbia-Suicide Severity Rating Scale (C-SSRS): a series of simple, plain-language questions that anyone can use to assess suicide risk.

## Sitemaps

- [XML Sitemap](https://cssrs.columbia.edu/sitemap.xml): Contains all public & indexable URLs for this website.

## Pages

- [The Lighthouse Project](https://cssrs.columbia.edu/)
- [About the Lighthouse Project](https://cssrs.columbia.edu/about-the-project/about-the-lighthouse-project/) - A Light for Life The Columbia Lighthouse Project’s mission is to light the way to ending suicide. Our message, like the Columbia Protocol itself, is simple: “Just Ask. You Can Save a Life.” The Project was formed under the auspices of Columbia University to disseminate the Columbia Protocol — also known as the Columbia-Suicide Severity Rating Scale
- [FREE Training for Individuals and Systems](https://cssrs.columbia.edu/training/training-options/) - If you are using the C-SSRS for research and clinical trials please see our distinct requirements for training. Training is not required and you do not need any mental health experience to use the Columbia Protocol, however, training is helpful and some options to access training follow. Options for Training on the Columbia tools The
- [The Director](https://cssrs.columbia.edu/about-the-project/the-director/) - Kelly Posner Gerstenhaber, Ph.D. Founder and Director Dr. Kelly Posner Gerstenhaber is a Professor of Psychiatry at Columbia University and her work is saving lives all over the globe. The former President of the American Psychiatric Association noted her work with the Columbia Protocol could be “like the introduction of antibiotics.” The architect of Zero
- [FAQ](https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/faq/)
- [Translations](https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/translations/) - The Columbia-Suicide Severity Rating Scale (C-SSRS) is available in more than 150 country-specific languages. Many of these translations have been linguistically validated. To obtain U.S. Spanish translations of the scale for use in communities and healthcare settings, select “Spanish” in the language filter when you build your C-SSRS toolkit. To obtain translations of the
- [Training for Researchers](https://cssrs.columbia.edu/training/training-research-setting/) - C-SSRS Rater Training and Certification for Research REQUIREMENTS: Anyone can administer the C-SSRS, regardless of degree, regardless of degree, provided they view the C-SSRS training and are issued a training certificate. Raters must undergo re-training every 2 years (based on the date on their training certificate), unless they are administering the scale in an ongoing
- [Pharmaceutical-Funded Research](https://cssrs.columbia.edu/pharmaceutical-funded-research/) - Asking About Suicide Is Vital in Pharmaceutical Research According to the U.S. Food and Drug Administration (FDA), there are two reasons for prospectively assessing suicidal ideation and behavior in clinical trials: To ensure that patients in clinical trials who are experiencing suicidal ideation and behavior are properly recognized and adequately treated To make it easier
- [Shop](https://cssrs.columbia.edu/shop/)
- [Families, Friends, and Neighbors](https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/families-friends-and-neighbors/) - Asking About Suicide Is Vital for Suicide Prevention The Columbia Lighthouse Project believes everyone has a role in helping to prevent suicide, including families, friends, neighbors, and colleagues. That’s why we’ve made the Columbia Protocol usable by anyone, anywhere, to identify someone’s risk for suicide and help save a life. In the U.S. there’s an
- [First Responders](https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/first-responders/) - Asking About Suicide Is Vital for First Responders and the Public They Serve Suicide risk identification is a first step in suicide prevention, and it’s a critical skill for first responders. Police officers, firefighters, emergency medical technicians (EMTs), and paramedics often work on the front lines of suicide prevention. They are called into situations in
- [Governments](https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/governments/) - Asking About Suicide Is Vital for Suicide Prevention, and Governments Can Lead the Way Suicide is a problem everywhere — in every country, state, city, and town — and governments have the authority and opportunity to prevent it. In short, they can help save lives. The need is dire, as World Health Organization figures show.
- [Military](https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/military/) - Asking About Suicide Is Vital for the Military and Veterans It’s every nation’s duty to protect its service members and veterans, and that includes urgently needed suicide prevention. For example, studies show that service members and veterans in the United States, compared with the general U.S. population, are at heightened risk for taking their own
- [Corrections](https://cssrs.columbia.edu/the-scale-in-action/corrections/) - Asking About Suicide Is Vital for Suicide Prevention at Correctional Facilities Suicide risk identification is critical for saving the lives of both inmates and correctional officers (COs), who are at heightened risk for taking their own lives. Suicide is the leading cause of death in county jails in the U.S., with a suicide rate three
- [About the Protocol](https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/about-the-scale/) - A Unique Suicide Risk Screening Tool The Columbia Protocol, also known as the Columbia-Suicide Severity Rating Scale (C-SSRS), supports suicide risk screening through a series of simple, plain-language questions that anyone can ask. The answers help users identify whether someone is at risk for suicide, determine the severity and immediacy of that risk, and gauge
- [Healthcare](https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/healthcare/) - Asking About Suicide Is Vital for Healthcare and Suicide Prevention Everyone involved in medical and behavioral healthcare can help prevent suicide and save lives, just by taking a few moments to ask the right questions. Studies confirm that, in many ways, healthcare providers are uniquely positioned to make a difference. Nearly 50% of people who
- [Schools](https://cssrs.columbia.edu/the-scale-in-action/schools/) - Asking About Suicide Is Vital for Suicide Prevention in Schools and Colleges Every school can contribute to suicide prevention and save lives. Statistics show school-age children worldwide are at risk, from their early years to young adulthood. Almost 16% of high school students and 8% of college students in the United States have seriously considered
- [The Columbia Protocol for Healthcare and Other Community Settings](https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/cssrs-for-communities-and-healthcare/) - The Columbia Protocol for Your Setting The Columbia Lighthouse Project provides the Columbia Protocol, also known as the Columbia-Suicide Severity Rating Scale (C-SSRS), for use in a multitude of community and healthcare settings. These are places where individuals and teams have the access and opportunity to systematically identify risk and save lives. Examples include: First response
- [Who Uses It](https://cssrs.columbia.edu/the-scale-in-action/who-can-use-it/) - Asking people about their thoughts and behaviors to identify their risk for suicide is the first, critical step in suicide prevention. Anyone, anywhere, can do that with the questions provided in the Columbia Protocol, also known as the Columbia-Suicide Severity Rating Scale (C-SSRS). Families, Friends, and Neighbors Columbia Protocol askers include family members, friends, colleagues, support
- [Triage and Risk Identification](https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/risk-identification/) - 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. Triage works the same in most settings. The only thing that changes
- [The Protocol With Built-In Triage](https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/triage-c-ssrs/) - 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. These screeners for primary care, emergency departments, law enforcement, corrections and schools have triage
- [The Columbia Protocol for Research](https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/cssrs-for-research/) - The Columbia Protocol for Research The rater/clinician-administered Columbia Protocol/Columbia-Suicide Severity Rating Scale (C-SSRS) for research assess severity and intensity of suicidal ideation, types of suicidal behaviors, and lethality of suicide attempts at time points and over time periods that are typical for randomized control trials. To find out if your research qualifies for free use of
- [Evidence](https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/evidence/) - The Columbia Suicide Severity Rating Scale (C-SSRS): Psychometric Evidence Table 1: Studies Supporting Specific Psychometric Properties Table 2: Psychometric Properties of the C-SSRS Ideation and Behavior with Coefficients References for Psychometric Evidence (Tables 1&2) Al-Halabí, S., Sáiz, P. A., Burón, P., Garrido, M., Benabarre, A., Jiménez, E., ... & Muñiz, J. (2016a). Validación de
- [Contact Us](https://cssrs.columbia.edu/about-the-project/contact-us/) - We want to hear from you! Please use the form below for all questions, concerns, requests, and comments. We will respond to your inquiries in a timely manner.
- [The Columbia Protocol for Families, Friends, and Neighbors](https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/cssrs-for-families-friends-and-neighbors/) - The Columbia Protocol for Everyone How do you help someone who is suicidal? The first step in suicide prevention is awareness — knowing when someone is in crisis. That’s often not obvious, because many people suffer in silence or give no sign that they might harm themselves. As a family member, friend, neighbor, or colleague,
- [Researchers](https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/researchers/) - Researchers Need the Most Effective Tool for Assessing Suicide Risk Whether assessing suicidal ideation and behavior for an academic study or for clinical trials, researchers around the world need a risk assessment tool that’s valid, reliable, and widely accepted. That gives more weight and credence to the work of researchers who are leading the way
- [Our Staff](https://cssrs.columbia.edu/about-the-project/our-staff/) - With extensive experience and a fervent commitment to suicide prevention, our staff provides the support you need to administer the Columbia Protocol to identify suicide risk and determine the level of assistance each person needs.
- [The Protocol in Action](https://cssrs.columbia.edu/the-scale-in-action/)
- [The Columbia Protocol (C-SSRS)](https://cssrs.columbia.edu/the-columbia-scale-c-ssrs/)
- [About the Project](https://cssrs.columbia.edu/about-the-project/)
- [News & Press](https://cssrs.columbia.edu/about-the-project/news-press/)
- [Training](https://cssrs.columbia.edu/training/)

## Announcements

- [Kelly Posner and Anthony Montalto Opinion Article in NY Daily News on Red Flag Laws](https://cssrs.columbia.edu/about-the-project/news-press/announcements/kelly-posner-and-anthony-montalto-opinion-article-in-ny-daily-news-on-red-flag-laws/) - Kelly Posner and Anthony Montalto Opinion Piece in NY Daily News
- [QR Codes Available To Download Protocol App - Connect To Local Resources Across All 50 States](https://cssrs.columbia.edu/about-the-project/news-press/announcements/qr-codes-available-to-download-protocol-app/)
- [Exciting News for Quality Care in Mental Health and Substance Use Disorders!](https://cssrs.columbia.edu/about-the-project/news-press/announcements/exciting-news-for-quality-care-in-mental-health-and-substance-use-disorders/) - We are thrilled to announce that the Columbia Protocol (C-SSRS) has been adopted as one of the standard Clinical Quality Measures (CQMs) under the HHS CMS’s Quality Payment Program Merit-based Incentive Program (MIPS). The Columbia screener is now listed under Quality ID #504 and #505. Quality ID #504 (https://qpp.cms.gov/docs/QPP_quality_measure_specifications/CQM-Measures/2024_Measure_504_MIPSCQM.pdf): This measure focuses on the initiation,
- [C-SSRS Featured in New Study in Autism](https://cssrs.columbia.edu/about-the-project/news-press/announcements/c-ssrs-featured-in-new-study-in-autism/) - A new study published in Autism (Schwartzman, Muscatello and Corbett, 2023) used the C-SSRS to be the first to identify recent and lifetime STBs and NSSI in a large community sample of autistic and non-autistic 10-13-year-olds and to document increased risk for early adolescents with autism relative to their neurotypical peers.
- [Landmark Study Finds C-SSRS Predicts Suicide Attempt](https://cssrs.columbia.edu/about-the-project/news-press/announcements/landmark-study-finds-c-ssrs-predicts-suicide-attempt/) - A landmark study led by Columbia Psychiatry researchers has shown that the Columbia Suicide Rating Scale (C-SSRS) is not only valuable in identifying suicidal behavior, but is significantly valuable in predicting an attempt. The paper is scheduled for release at AJP in Advance, the advance edition of The American Journal of Psychiatry, on November 8,
- [Pennsylvania Bolsters Suicide Prevention Efforts with Updated Columbia Protocol Mobile App](https://cssrs.columbia.edu/about-the-project/news-press/announcements/pennsylvania-bolsters-suicide-prevention-efforts-with-updated-columbia-protocol-mobile-app/) - We are honored by our partnership with Pennsylvania on its innovative work on the Columbia Protocol app- it has truly been instrumental in propelling life-saving work around the globe. The work with Pennsylvania has been nothing short of groundbreaking not only in its lifesaving capacity for the citizens of Pennsylvania but also as a model
- [Lighthouse Project Receives Grant from USAA](https://cssrs.columbia.edu/about-the-project/news-press/announcements/lighthouse-project-received-grant-from-usaa/) - The Lighthouse Project is proud to announce that it has received a grant from USAA to provide training on the Columbia Protocol to Veteran Service Organizations and welcomes Wendy Lakso to the team as Project Director for the grant.
- [The Lighthouse Project Thanks F.B.I.](https://cssrs.columbia.edu/about-the-project/news-press/announcements/the-lighthouse-projects-thanks-f-b-i/) - The Lighthouse Project staff recently had the privilege to record a training at F.B.I. headquarters for their victim service workers. All victims will now be screened using the Columbia Protocol to keep them safe.
- [*NEW* Screener with suggested language for youth 6-11](https://cssrs.columbia.edu/about-the-project/news-press/announcements/new-screener-with-suggested-language-for-youth-6-11/)
- [Columbia Protocol featured in the national newsletter of Israel's Ministry of Health](https://cssrs.columbia.edu/about-the-project/news-press/announcements/columbia-protocol-featured-national-newsletter-israels-ministry-health-spotlights-c-ssrss-central-role-national-suicide-prevention-program-allowing-every-citizen/) - The Columbia Protocol was featured in the national newsletter of Israel's Ministry of Health which spotlights the C-SSRS's central role in their national suicide prevention program, allowing every citizen to be empowered to ask a few questions and save a life, serving as a model to other nations. Just ask. You can save a life.
- [Why The C-SSRS: Look At All You Get That No Other Instrument Can Provide](https://cssrs.columbia.edu/about-the-project/news-press/announcements/return-investment-using-c-ssrs/) - Download the data document ROI of C-SSRS
- [Continuity of Care: 4th Grader Gets Needed Help](https://cssrs.columbia.edu/about-the-project/news-press/announcements/continuity-care-4th-grader-gets-needed-help/) - CT Alliance to Benefit Law Enforcement worked with mobile crisis providers to develop C-SSRS tear off sheets, improving communication with hospitals where, upon arrival, they share the C-SSRS findings. A CT school counselor used the C-SSRS to identify a 4th grader who was suicidal. He was sent to mobile crisis services who confirmed his C-SSRS
- [Compared With C-SSRS, PHQ-9 May Underestimate Suicide Risk In Adolescents And Young Adults With T1D, Researchers Posit](https://cssrs.columbia.edu/about-the-project/news-press/announcements/compared-c-ssrs-phq-9-may-underestimate-suicide-risk-adolescents-young-adults-t1d-researchers-posit/) - Medwire News (2/23, Cowen) reports, “The Patient Health Questionnaire (PHQ)-9, which screens for depressive symptoms, underestimates suicide risk in adolescents and young adults (AYA) with type 1 diabetes [T1D] when compared with a validated suicide-specific measure” called the Columbia-Suicide Severity Risk Survey (C-SSRS), investigators concluded after evaluating “the ability of suicide-risk items embedded within the self-reported
- [ALERT: Columbia Protocol Tools Are Appropriate for Use Over the Telephone or in Telemedicine](https://cssrs.columbia.edu/about-the-project/news-press/announcements/alert-columbia-protocol-tools-appropriate-use-telephone-telemedicine/) - We know that the COVID-19 pandemic has made conducting studies and caring for the patients very difficult. To respond to the needs of the patients and research protocols and comply with the new guidelines on social distancing, prospective monitoring of suicide risk with the Columbia Suicide Severity Scale (C-SSRS) may proceed using alternative methods. The
- [Columbia Screen Robustly Predicts Death by Suicide in Swedish ER's with Imminent Risk Timeframe](https://cssrs.columbia.edu/about-the-project/news-press/announcements/columbia-screen-robustly-predicts-death-suicide-swedish-ers-imminent-risk-timeframe/) - The abbreviated Columbia (C-SSRS) Screener was evaluated in a just-published largest study of over 18K psychiatric emergency patients in Sweden (Bjureberg et al 2021 Psychological Medicine). The suicidal thoughts with methods or any intent to act on the C-SSRS Screener robustly predicted death by suicide over 1-week, 1-month and 1-year time periods. 67 patients who
- [Memo from Undersecretary of Defense regarding need for community public health approach to suicide prevention with the C-SSRS](https://cssrs.columbia.edu/about-the-project/news-press/announcements/memo-undersecretary-defense-regarding-need-community-public-health-approach-suicide-prevention-c-ssrs/) - Download the memo here: http://cssrs.wpengine.com/wp-content/uploads/Memo-Use-of-the-Columbia-Suicide-Severity-Rating-Scale-corrected.pdf OFFICE OF THE UNDER SECRETARY OF DEFENSE 4000 DEFENSE PENTAGON WASHINGTON, D.C. 20301-4000 MEMORANDUM FOR DEPUTY ASSISTANT SECRETARY OF THE ARMY FOR MILITARY PERSONNEL/QUALITY OF LIFE DEPUTY ASSISTANT SECRETARY OF THE NAVY FOR MILITARY PERSONNEL POLICY DEPUTY ASSISTANT SECRETARY OF THE AIR FORCE FOR RESERVE AFFAIRS AND AIRMEN READINESS
- [Kevin Hines, suicide attempt survivor, says “Most people considering suicide want someone to save them. What we need is a culture in which no one is afraid to ask. What we needed were the questions people could use to help save us. That’s why the pioneering change the C-SSRS is enabling is so essential to humanity.”](https://cssrs.columbia.edu/about-the-project/news-press/announcements/kevin-hines-suicide-attempt-survivor-says-people-considering-suicide-want-someone-save-need-culture-no-one-afraid-ask-needed-quest/)
- [C-SSRS Helping to Reduce Suicide and Decrease Workload via Evidence-Based Thresholds for Imminent Risk](https://cssrs.columbia.edu/about-the-project/news-press/announcements/c-ssrs-helping-reduce-suicide-state-utah-us-marines/) - In Utah, use of the C-SSRS and adoption of a comprehensive zero suicide framework helped lead to the first decrease in suicide in 10 years, reversing an alarming, increasing trend. Kim Myers, the Utah Suicide Prevention Coordinator in the Division of Substance Abuse and Mental Health reported, "Increased screening and assessment using the C-SSRS has
- [The Lighthouse Project on ABC News - 8/19/20](https://cssrs.columbia.edu/about-the-project/news-press/announcements/lighthouse-project-abc-news-8-19-20/) - ABC news article 8.19.20 Gun suicide rates were rising even before the pandemic: CDC The pandemic's mental health toll could drive suicide rates even higher. By Erin Schumaker August 19, 2020, 12:02 AM Even before the pandemic, suicide rates in the United States were rising, according to a new government report. While suicide rates in
- [COVID-19 UPDATE: Combating Social Isolation With the Columbia Protocol: A Community Resource to Mitigate COVID-19 Related Mental Health Sequelae](https://cssrs.columbia.edu/about-the-project/news-press/announcements/combating-social-isolation-columbia-protocol-community-resource-mitigate-covid-19-related-mental-health-sequelae/) - We hope this note finds you and your loved ones safe and coping well with the realities of this global pandemic of COVID-19. As the potential for unprecedented periods of increasing social isolation becomes the new normal due to directed social distancing by Public Officials, we must provide access to any and all resources
- [The Columbia Protocol App: In your hands and in your community's to help save lives](https://cssrs.columbia.edu/about-the-project/news-press/announcements/columbia-protocol-app-hands-communitys-help-save-lives/) - You can download the app to your mobile device using the following links, or through the Google Play Store or Apple Store. Available for Android and iPhone.
- [Kelly Posner featured on MSNBC discusses preventing school shootings by screening youth with the C-SSRS](https://cssrs.columbia.edu/about-the-project/news-press/announcements/kelly-posner-featured-cnn-msnbc-discusses-preventing-school-shootings-screening-youth-c-ssrs/)
- [After the tragic suicides of Kate Spade and Anthony Bourdain, Chris Cuomo on CNN Primetime makes a plea to his audience to turn to the Columbia and ask the questions](https://cssrs.columbia.edu/about-the-project/news-press/announcements/tragic-suicides-kate-spade-anthony-bourdain-chris-cuomo-makes-plea-audience-turn-columbia-ask-questions/)
- [Triage document available with easy to understand levels of risk](https://cssrs.columbia.edu/about-the-project/news-press/announcements/triage-document-available-easy-understand-levels-risk/) - 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
- [Dr. Posner on NBC Nightly News after the recent suicides of Kate Spade and Anthony Bourdain](https://cssrs.columbia.edu/about-the-project/news-press/announcements/dr-posner-nbc-nightly-news-recent-suicides-kate-spade-anthony-bourdain/)
- [Our Hopes for the Second Season of “13 Reasons Why”](https://cssrs.columbia.edu/about-the-project/news-press/announcements/hopes-second-season-13-reasons/) - Many fans of the Netflix series “13 Reasons Why” are eager for the coming launch of the show’s second season. I’m waiting for it too, but for a different reason: I want to see if the show can move beyond the trappings of its flawed name. I want to see if the series’ creators and
- [Amidst a tragic loss, an important reminder](https://cssrs.columbia.edu/about-the-project/news-press/announcements/amidst-tragic-loss-important-reminder/) - The recent suicide of Linkin Park front man Chester Bennington has left many around the country and world mourning his loss. For some — particularly those who are having thoughts of suicide or have attempted suicide previously — this loss may be particularly difficult. As the conversation about Bennington’s death continues, it is critical that
- [Watch "A Call To Action,"  our new PSA](https://cssrs.columbia.edu/about-the-project/news-press/announcements/watch-call-action-new-psa/) - Watch The Columbia Lighthouse Project's new public service announcement, "A Call To Action."
- [Military Spouse and Suicide Survivor, Kim Ruocco, Talks About the Need for the C-SSRS](https://cssrs.columbia.edu/about-the-project/news-press/announcements/kim-ruocco-talks-need-c-ssrs/) - Military spouse and suicide survivor, Kim Ruocco of TAPS: "If only I had the [C-SSRS], it's invaluable in figuring out what we're dealing with and how quickly we need to act. Everybody in the community needs to...ask the questions."

## News Stories

- [International Association of Fire Fighters (IAFF) expands suicide prevention training across North America](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/international-association-of-fire-fighters-iaff-expands-suicide-prevention-training-across-north-america/) - https://www.iaff.org/news/iaff-expands-suicide-prevention-training-across-north-america/
- [How North Dakota EMS Is Confronting Rising Pediatric Mental Health Crisis](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/how-north-dakota-ems-is-confronting-rising-pediatric-mental-health-crisis/)
- [Dr. Posner named one of Forbes Magazine's 50 Women Over 50](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/dr-posner-named-one-of-forbes-magazines-50-women-over-50/)
- [Primary Care Physician Gets C-SSRS High Risk Alert For Patient and Starts Conversation Resulting in Depression Care Delivery](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/primary-care-physician-gets-c-ssrs-high-risk-alert-for-patient-and-starts-conversation-resulting-in-depression-care-delivery/)
- [Global Study Using C-SSRS As Outcome Measure Finds Frontal Lobe Differences in Teens With Suicide Attempt History](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/global-study-using-c-ssrs-outcome-measure-finds-frontal-lobe-differences-teens-suicide-attempt-history/)
- [From WPTV: What new school safety law means for South Florida students ("The district said it's also in compliance with the new law by utilizing the Columbia Suicide Severity Scale")](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/wptv-new-school-safety-law-means-south-florida-students-district-said-also-compliance-new-law-utilizing-columbia-suicide-severity-scale/)
- [Spotlight on the Columbia Protocol as a piece of the prevention puzzle reflecting on the anniversary of the Parkland shooting](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/spotlight-columbia-protocol-piece-prevention-puzzle-reflecting-anniversary-parkland-shooting/)
- [Liability Barrier Knocked Down: Columbia is "A Game Changer" For CT First Responders](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/liability-barrier-knocked-columbia-game-changer-ct-first-responders/)
- [Congress must pass The Dr. Lorna Breen Health Care Provider Protection Act : Dr. Posner's and Dr. Franklin's important oped in The Hill](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/congress-must-pass-dr-lorna-breen-health-care-provider-protection-act-dr-posners-dr-franklins-important-oped-hill/)
- [Drs. Posner and Franklin USA Today Oped about Schools, COVID and Mental Health](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/drs-posner-franklin-usa-today-oped-schools-covid-mental-health/)
- [Spotlight on C-SSRS in the wake of school shootings as a piece of the prevention puzzle - OpEd in U.S.A. Today](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/spotlight-c-ssrs-wake-school-shootings-piece-prevention-puzzle-oped-u-s-today/)
- [Centerstone, The Nation's Largest Provider Of Community Based Behavioral Healthcare, Reduces Suicide By 65% Using C-SSRS](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/centerstone-nations-largest-provider-community-based-behavioral-healthcare-reduces-suicide-65-using-c-ssrs/)
- [State of Oklahoma Selects ERT’s Suicide Risk Assessment System](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/state-oklahoma-selects-erts-suicide-risk-assessment-system/)
- [Marysville schools confront psychological scars left by shooting](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/marysville-schools-confront-psychological-scars-left-shooting/)
- [Military suicides hold steady in 2015](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/military-suicides-hold-steady-2015/)
- [Speaker at Forward March Conference discusses tool to screen for suicide risks](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/speaker-forward-march-conference-discusses-tool-screen-suicide-risks/)
- [Strides in Suicide Prevention: Efforts are growing from every direction, all toward the same goal.](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/strides-suicide-prevention-efforts-growing-every-direction-toward-goal/)
- [‘Suicide Symposium’ to promote awareness in the Valley](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/suicide-symposium-promote-awareness-valley/)
- [When a Community Comes Together, There is Hope](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/community-comes-together-hope/)
- [Progress and Hope on Preventing Veteran Suicides](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/progress-hope-preventing-veteran-suicides/)
- [Robin Williams’ Suicide Was Another Preventable Tragedy](https://cssrs.columbia.edu/about-the-project/news-press/news-stories/robin-williams-suicide-another-preventable-tragedy/)

## Documents

- [Screening](https://cssrs.columbia.edu/documents/screening/) - Use when assessing ideation and behavior over one study-defined time period and when the lifetime history of ideation is not needed.
- [Full Scale Since Last Contact for Healthcare and Communities](https://cssrs.columbia.edu/documents/since-last-visit-public-health/) - Assesses suicidal ideation and behavior since the most recent assessment.
- [Since Last Visit](https://cssrs.columbia.edu/documents/since-last-visit-research/) - Use after study's initial C-SSRS assessment; captures suicidal ideation and behavior since most recent previous assessment.
- [Full Scale Lifetime/Recent](https://cssrs.columbia.edu/documents/lifetimerecent/) - Assesses full and recent history of suicidal ideation and behavior.
- [Already Enrolled Subjects](https://cssrs.columbia.edu/documents/already-enrolled-subjects/) - Captures lifetime history and history since the start of the study for subjects enrolled but not yet assessed with the C-SSRS.
- [Baseline](https://cssrs.columbia.edu/documents/baseline/) - Use when only the lifetime assessment of ideation and behavior — not the recent history — is needed at baseline.
- [Baseline/Screening](https://cssrs.columbia.edu/documents/baselinescreening/) - Assesses both lifetime and more recent history, which is typically needed for inclusion or exclusion of subjects at screening.
- [Unterman letter](https://cssrs.columbia.edu/documents/unterman-letter/)
- [Página de evaluación del riesgo](https://cssrs.columbia.edu/documents/pagina-de-evaluacion-del-riesgo/) - Lista de control de los factores de riesgo y de protección para el suicidio, en conjunto con el C-SSRS
- [Full C-SSRS Lifetime/Recent Scale For Very Young Children and Cognitively Impaired (age 4-5)](https://cssrs.columbia.edu/documents/c-ssrs-full-lifetime-recent-scale-young-children-4-5/) - A full lifetime/recent scale for very young children and cognitive impairment age 4-5
- [Full C-SSRS Since Last Asked For Very Young Children and Cognitively Impaired (age 4-5)](https://cssrs.columbia.edu/documents/c-ssrs-full-since-last-visit-young-children-cognitively-impaired-age-4-5/) - Full Scale Since Last Visit For Very Young Children and Cognitively Impaired age 4-5
- [Risk and Protective Factors - Youth](https://cssrs.columbia.edu/documents/risk-and-protective-factors-youth/) - A checklist of risk and protective factors for youth
- [SAFE-T with C-SSRS and Risk and Protective Factors - Youth](https://cssrs.columbia.edu/documents/safe-t-with-c-ssrs-and-risk-and-protective-factors-youth/) - C-SSRS plus risk and protective factors in the SAMHSA SAFE-T format for youth
- [Screener for Children 6-11](https://cssrs.columbia.edu/documents/screener-for-youth/) - A recent screener with new suggested language for ages 6-11
- [Certificate of Learning](https://cssrs.columbia.edu/documents/certificate-of-learning/)
- [Scoring and Data Analysis Guide](https://cssrs.columbia.edu/documents/scoring-data-analysis-guide/)
- [De la vida/Reciente](https://cssrs.columbia.edu/documents/de-la-vidareciente/) - Evalúa la historia completa y reciente de la ideación y el comportamiento suicidas.
- [Versión exploratoria – Reciente](https://cssrs.columbia.edu/documents/cuestionario-reciente/) - Versión más corta del C-SSRS para evaluar la ideación y el comportamiento suicidas en los últimos meses
- [Versión exploratoria – Desde el último contacto](https://cssrs.columbia.edu/documents/cuestionario-desde-el-ultimo-contacto/) - Versión más corta para evaluar la ideación y el comportamiento suicidas desde la evaluación más reciente
- [Desde el último contacto](https://cssrs.columbia.edu/documents/desde-el-ultimo-contacto-para-las-comunidades-y-la-atencion-sanitaria/) - Evalúa la ideación y el comportamiento suicidas desde la evaluación más reciente.
- [SAFE-T with C-SSRS Recent](https://cssrs.columbia.edu/documents/safe-t-c-ssrs/) - The SAMHSA SAFE-T risk assessment tool with C-SSRS questions embedded and triage categories.
- [SAFE-T with C-SSRS Lifetime and Recent](https://cssrs.columbia.edu/documents/safe-t-c-ssrs-lifetime-recent/)
- [Risk and Protective Factors Page](https://cssrs.columbia.edu/documents/risk-assessment-page/) - Checklist of protective and risk factors for suicide, used along with any version of the C-SSRS
- [Screener Recent Self-Report](https://cssrs.columbia.edu/documents/self-report-screener-recent/) - C-SSRS Screener that patients can complete for professional review of suicidal ideation and behavior over recent months
- [Screener Since Last Asked Self-Report](https://cssrs.columbia.edu/documents/self-report-screener-since-last-contact/)
- [Screener Recent with Triage for Primary Care Settings](https://cssrs.columbia.edu/documents/c-ssrs-screener-triage-primary-care/) - A C-SSRS Screener with color-coded risk stratification and next steps suited to a primary care setting.
- [Screener Recent with triage for Emergency Departments](https://cssrs.columbia.edu/documents/screener-triage-emergency-departments/) - A C-SSRS screener with color-coded risk strata and next-steps suitable for use in emergency departments.
- [Screener with Triage for Schools](https://cssrs.columbia.edu/documents/c-ssrs-screener-triage-schools/) - A C-SSRS Screener with possible next steps for school environments
- [Screener with Triage Points for Law Enforcement](https://cssrs.columbia.edu/documents/c-ssrs-screener-triage-points-law-enforcement/) - A C-SSRS Screener with color-coded risk stratification and next steps suited to a law enforcement setting.
- [Screener with Triage Points for Corrections](https://cssrs.columbia.edu/documents/c-ssrs-screener-triage-points-corrections/) - A C-SSRS Screener with color-coded risk stratification and next steps suited to a corrections setting.
- [Screener Since Last Asked with Triage for Schools](https://cssrs.columbia.edu/documents/c-ssrs-since-last-contact-screener-with-triage-for-schools/) - A follow-up screener C-SSRS with possible next steps for school environments
- [Screener Since Last Asked with Triage for Emergency Departments](https://cssrs.columbia.edu/documents/c-ssrs-since-last-contact-screener-with-triage-for-emergency-departments/) - A follow-up screener C-SSRS with possible next steps for emergency departments
- [Screener Since Last Asked with Triage for Inpatient](https://cssrs.columbia.edu/documents/c-ssrs-since-last-asked-screener-with-triage-for-inpatient-med-surg-programs/) - A follow-up screener C-SSRS with possible next steps for inpatients
- [Screener Since Last Asked with Triage for Primary Care](https://cssrs.columbia.edu/documents/c-ssrs-since-last-asked-screener-with-triage-for-primary-care/) - A follow-up screener C-SSRS with possible next steps for primary care
- [Screener Since Last Asked with Triage for Outpatient/Ambulatory Programs](https://cssrs.columbia.edu/documents/c-ssrs-since-last-asked-screener-with-triage-for-outpatient-ambulatory-programs/) - A follow-up screener C-SSRS with possible next steps for outpatient/ambulatory programs
- [Screener Recent With Triage for Inpatient](https://cssrs.columbia.edu/documents/screener-recent-with-triage-for-med-surg/)
- [Screener Recent With Triage For Outpatient/Ambulatory](https://cssrs.columbia.edu/documents/screener-recent-with-triage-for-outpatient-ambulatory/)
- [Screener Recent with Triage for Clinicians/Advocates](https://cssrs.columbia.edu/documents/screener-recent-with-triage-for-clinicians-advocates/)
- [Screener Since Last Asked with Triage Points for Corrections](https://cssrs.columbia.edu/documents/screener-since-last-visit-triage-points-corrections/) - Screener for Since Last Visit with suggested triage steps for Corrections
- [Screener Since Last Asked with Triage points for Law Enforcement](https://cssrs.columbia.edu/documents/screener-since-last-asked-triage-points-law-enforcement/) - Screener Since Last Asked with suggested triage steps for law enforcement
- [Screener Basic Recent](https://cssrs.columbia.edu/documents/c-ssrs-screener-lifetimerecent/) - A C-SSRS Screener with scoring for recent ideation and behavior.
- [Screener Basic Since Last Contact](https://cssrs.columbia.edu/documents/clinical-practice-screener-since-last-visit/) - C-SSRS Screener to assess suicidal ideation and behavior since most recent assessment with triage categories
- [Screener for Inpatient Discharge](https://cssrs.columbia.edu/documents/inpatient-discharge-screener/) - Screener to identify suicidal ideation and behavior as part of a patient’s discharge process
- [Screener For Frequent Monitoring with Triage](https://cssrs.columbia.edu/documents/frequent-screener/) - Five-question C-SSRS for patients who are screened frequently (e.g., every shift or daily)
- [Columbia Community Card for Parents](https://cssrs.columbia.edu/documents/ace-card-parents/) - A screening tool for parents to remember to ask their children these questions
- [Columbia Community Card for Teens](https://cssrs.columbia.edu/documents/ace-card-friends/) - A screening tool to remind teens to ask these questions to their friends
- [Columbia Community Card for Friends and Family](https://cssrs.columbia.edu/documents/ace-card-friends-family/) - A screening tool to remind people to ask these questions to their friends and family
- [Columbia Community Card for Teachers](https://cssrs.columbia.edu/documents/columbia-community-card-teachers/) - A screening tool to remind teachers to ask these questions.
- [Columbia Community Card for Coaches](https://cssrs.columbia.edu/documents/columbia-community-card-coaches/) - A screening tool to remind coaches to ask these questions to their athletes.
- [Columbia Community Card for Spouses](https://cssrs.columbia.edu/documents/columbia-community-card-spouses/) - A screening tool to remind someone to ask these questions to their spouse
- [Columbia Community Card for Law Enforcement](https://cssrs.columbia.edu/documents/columbia-community-card-law-enforcement/) - A pocket card that can be printed for law enforcement officers to have the C-SSRS questions and triage wherever they go.
- [Columbia Community Card for Firefighters](https://cssrs.columbia.edu/documents/columbia-community-card-firefighters/) - A pocket card that can be printed for firefighters to have the C-SSRS questions and triage wherever they go.
- [Columbia Community Card for EMTs](https://cssrs.columbia.edu/documents/columbia-community-card-emts/) - A pocket card that can be printed for EMTs to have the C-SSRS questions and triage wherever they go.
- [Columbia Community Card for Behavioral Health Counselors and Advocates](https://cssrs.columbia.edu/documents/columbia-community-card-advocates/) - A pocket card that can be printed for behavioral health counselors and advocates to have the C-SSRS questions and triage wherever they go.
- [Columbia Community Card for Healthcare Professionals](https://cssrs.columbia.edu/documents/columbia-community-card-healthcare-professionals/) - A pocket card that can be printed for doctors, nurses, etc to have the C-SSRS questions and triage wherever they go.
- [Columbia Community Card for Pharmacists](https://cssrs.columbia.edu/documents/columbia-community-card-pharmacists/) - A pocket card that can be printed for pharmacists to have the C-SSRS questions and triage wherever they go.
- [Columbia Community Card For Corrections](https://cssrs.columbia.edu/documents/c-ssrs-community-card-corrections-officers/) - A resource for use in correctional settings
- [Columbia Community Card for Healthcare Co-Workers](https://cssrs.columbia.edu/documents/healthcare-worker-community-card/) - A screening card reminding caregivers to look out for one another.
- [Evidence Book - C-SSRS](https://cssrs.columbia.edu/documents/c-ssrs-supporting-evidence/)
- [Brochure - First Responder](https://cssrs.columbia.edu/documents/first-responder-brochure/)
- [Brochure - Education and Communities](https://cssrs.columbia.edu/documents/education-brochure/)

## Categories

- [Uncategorized](https://cssrs.columbia.edu/category/uncategorized/)

## Populations

- [Adults & Adolescents & Children 6 and Up](https://cssrs.columbia.edu/populations/adults/)
- [Adolescents & Children 6 and Up](https://cssrs.columbia.edu/populations/adolescents-children-6-and-up/)
- [Very Young Children Age 4-5](https://cssrs.columbia.edu/populations/very-young-children-age-4-5/)

## Languages

- [English](https://cssrs.columbia.edu/languages/english/)
- [Spanish](https://cssrs.columbia.edu/languages/spanish/)

## Point of First Use

- [From Study Start](https://cssrs.columbia.edu/points-of-first-use/from-study-start/)
- [After Study Start](https://cssrs.columbia.edu/points-of-first-use/after-study-start/)

## Doctypes

- [Full Scale](https://cssrs.columbia.edu/doctypes/full-scale/)
- [Illustration Document](https://cssrs.columbia.edu/doctypes/illustration-document/)
- [Screener](https://cssrs.columbia.edu/doctypes/screener/)
- [Support Document](https://cssrs.columbia.edu/doctypes/support-document/)

## Settings

- [General Use](https://cssrs.columbia.edu/settings/general-use/)
- [Healthcare](https://cssrs.columbia.edu/settings/healthcare/)
- [Military](https://cssrs.columbia.edu/settings/military/)
- [Research](https://cssrs.columbia.edu/settings/research/)
- [Family](https://cssrs.columbia.edu/settings/family/)
- [Schools](https://cssrs.columbia.edu/settings/schools/)
- [First Responders](https://cssrs.columbia.edu/settings/first_responders/)
- [Law Enforcement](https://cssrs.columbia.edu/settings/law_enforcement/)
- [Corrections](https://cssrs.columbia.edu/settings/corrections/)

## Use Case

- [Schools](https://cssrs.columbia.edu/use_case/schools/)
- [Researchers](https://cssrs.columbia.edu/use_case/researchers/)
- [Military](https://cssrs.columbia.edu/use_case/military/)
- [Healthcare](https://cssrs.columbia.edu/use_case/healthcare/)
- [Governments](https://cssrs.columbia.edu/use_case/governments/)
- [First Responders](https://cssrs.columbia.edu/use_case/first-responders/)
- [Families, Friends, and Neighbors](https://cssrs.columbia.edu/use_case/families-friends-and-neighbors/)
- [Corrections](https://cssrs.columbia.edu/use_case/corrections/)
- [Families](https://cssrs.columbia.edu/use_case/families/)
- [Friends](https://cssrs.columbia.edu/use_case/friends/)
- [and Neighbors](https://cssrs.columbia.edu/use_case/and-neighbors/)