Form Coding Instructions

The following features should be rated with respect to the most severe type of ideation (i.e., 1-5 from above, with 1 being the least severe and 5 being the most severe). Ask about time he/she was feeling the most suicidal

Source: Regenstrief LOINC

93294-7 Most severe suicidal ideation Lifetime

Fully-Specified Name

Component
Most severe suicidal ideation
Property
Type
Time
Lifetime
System
^Patient
Scale
Ord
Method

Basic Attributes

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

Normative Answer List LL5434-7

AnswerCodeScoreAnswer ID
Wish to be dead1LA30370-3
Non-specific active suicidal thoughts2LA30371-1
Active suicidal ideation with any methods (not plan) without intent to act3LA30372-9
Active suicidal ideation with some intent to act, without specific plan4LA30373-7
Active suicidal ideation with specific plan and intent5LA30374-5

Member of these Panels

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

93293-9 Most severe suicidal ideation 1 month

Fully-Specified Name

Component
Most severe suicidal ideation
Property
Type
Time
1Mo
System
^Patient
Scale
Ord
Method

Basic Attributes

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

Normative Answer List LL5434-7

AnswerCodeScoreAnswer ID
Wish to be dead1LA30370-3
Non-specific active suicidal thoughts2LA30371-1
Active suicidal ideation with any methods (not plan) without intent to act3LA30372-9
Active suicidal ideation with some intent to act, without specific plan4LA30373-7
Active suicidal ideation with specific plan and intent5LA30374-5

Member of these Panels

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

93280-6 Most severe suicidal ideation description Lifetime

Fully-Specified Name

Component
Most severe suicidal ideation description
Property
Find
Time
Lifetime
System
^Patient
Scale
Nom
Method

Basic Attributes

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

Member of these Panels

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

93279-8 Most severe suicidal ideation description 1 month

Fully-Specified Name

Component
Most severe suicidal ideation description
Property
Find
Time
1Mo
System
^Patient
Scale
Nom
Method

Basic Attributes

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

Member of these Panels

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

93292-1 Frequency of most severe suicidal ideation Lifetime [C-SSRS]

Form Coding Instructions

Suggested prompt: How many times have you had these thoughts?

Source: Regenstrief LOINC

Fully-Specified Name

Component
Frequency of most severe suicidal ideation
Property
Find
Time
Lifetime
System
^Patient
Scale
Ord
Method
C-SSRS

Basic Attributes

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

Normative Answer List LL5390-1

AnswerCodeScoreAnswer ID
Less than once a week1LA27722-0
Once a week2LA26461-6
2-5 times in week3LA30311-7
Daily or almost daily4LA18934-2
Many times each day5LA30312-5

Member of these Panels

LOINCLong Common Name
93245-9Columbia - suicide severity rating scale - lifetime recent [C-SSRS]

93291-3 Frequency of most severe suicidal ideation 1 month [C-SSRS]

Form Coding Instructions

Suggested prompt: How many times have you had these thoughts?

Source: Regenstrief LOINC

Fully-Specified Name

Component
Frequency of most severe suicidal ideation
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
C-SSRS

Basic Attributes

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

Normative Answer List LL5390-1

AnswerCodeScoreAnswer ID
Less than once a week1LA27722-0
Once a week2LA26461-6
2-5 times in week3LA30311-7
Daily or almost daily4LA18934-2
Many times each day5LA30312-5

Member of these Panels

LOINCLong Common Name
93245-9Columbia - suicide severity rating scale - lifetime recent [C-SSRS]

93251-7 Duration of most severe suicidal ideation Lifetime [C-SSRS]

Form Coding Instructions

Suggested prompt: When you have the thoughts how long do they last?

Source: Regenstrief LOINC

Fully-Specified Name

Component
Duration of most severe suicidal ideation
Property
Find
Time
Lifetime
System
^Patient
Scale
Ord
Method
C-SSRS

Basic Attributes

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

Normative Answer List LL5392-7

AnswerCodeScoreAnswer ID
Fleeting - few seconds or minutes1LA30314-1
Less than one hour/some of the time2LA30315-8
1-4 hours/a lot of time3LA30316-6
4-8 hours/most of day4LA30317-4
More than 8 hours/persistent or continuous5LA30318-2

Member of these Panels

LOINCLong Common Name
93245-9Columbia - suicide severity rating scale - lifetime recent [C-SSRS]

93252-5 Duration of most severe suicidal ideation 1 month [C-SSRS]

Form Coding Instructions

Suggested prompt: When you have the thoughts how long do they last?

Source: Regenstrief LOINC

Fully-Specified Name

Component
Duration of most severe suicidal ideation
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
C-SSRS

Basic Attributes

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

Normative Answer List LL5392-7

AnswerCodeScoreAnswer ID
Fleeting - few seconds or minutes1LA30314-1
Less than one hour/some of the time2LA30315-8
1-4 hours/a lot of time3LA30316-6
4-8 hours/most of day4LA30317-4
More than 8 hours/persistent or continuous5LA30318-2

Member of these Panels

LOINCLong Common Name
93245-9Columbia - suicide severity rating scale - lifetime recent [C-SSRS]

93290-5 Controllability of most severe suicidal ideation Lifetime [C-SSRS]

Form Coding Instructions

Suggested prompt: Could/can you stop thinking about killing yourself or wanting to die if you want to?

Source: Regenstrief LOINC

Fully-Specified Name

Component
Controllability of most severe suicidal ideation
Property
Find
Time
Lifetime
System
^Patient
Scale
Ord
Method
C-SSRS

Basic Attributes

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

Normative Answer List LL5394-3

AnswerCodeScoreAnswer ID
Easily able to control thoughts1LA30319-0
Can control thoughts with little difficulty2LA30320-8
Can control thoughts with some difficulty3LA30321-6
Can control thoughts with a lot of difficulty4LA30322-4
Unable to control thoughts5LA30323-2
Does not attempt to control thoughts0LA30324-0

Member of these Panels

LOINCLong Common Name
93245-9Columbia - suicide severity rating scale - lifetime recent [C-SSRS]

93289-7 Controllability of most severe suicidal ideation 1 month [C-SSRS]

Form Coding Instructions

Suggested prompt: Could/can you stop thinking about killing yourself or wanting to die if you want to?

Source: Regenstrief LOINC

Fully-Specified Name

Component
Controllability of most severe suicidal ideation
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
C-SSRS

Basic Attributes

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

Normative Answer List LL5394-3

AnswerCodeScoreAnswer ID
Easily able to control thoughts1LA30319-0
Can control thoughts with little difficulty2LA30320-8
Can control thoughts with some difficulty3LA30321-6
Can control thoughts with a lot of difficulty4LA30322-4
Unable to control thoughts5LA30323-2
Does not attempt to control thoughts0LA30324-0

Member of these Panels

LOINCLong Common Name
93245-9Columbia - suicide severity rating scale - lifetime recent [C-SSRS]

93288-9 Deterrents of most severe suicidal ideation Lifetime [C-SSRS]

Form Coding Instructions

Suggested prompt: Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of suicide?

Source: Regenstrief LOINC

Fully-Specified Name

Component
Deterrents of most severe suicidal ideation
Property
Find
Time
Lifetime
System
^Patient
Scale
Ord
Method
C-SSRS

Basic Attributes

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

Normative Answer List LL5395-0

AnswerCodeScoreAnswer ID
Deterrents definitely stopped you from attempting suicide1LA30325-7
Deterrents probably stopped you2LA30326-5
Uncertain that deterrents stopped you3LA30327-3
Deterrents most likely did not stop you4LA30328-1
Deterrents definitely did not stop you5LA30329-9
Does not apply0LA14452-9

Member of these Panels

LOINCLong Common Name
93245-9Columbia - suicide severity rating scale - lifetime recent [C-SSRS]

93287-1 Deterrents of most severe suicidal ideation 1 month [C-SSRS]

Form Coding Instructions

Suggested prompt: Are there things - anyone or anything (e.g., family, religion, pain of death) - that stopped you from wanting to die or acting on thoughts of suicide?

Source: Regenstrief LOINC

Fully-Specified Name

Component
Deterrents of most severe suicidal ideation
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
C-SSRS

Basic Attributes

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

Normative Answer List LL5395-0

AnswerCodeScoreAnswer ID
Deterrents definitely stopped you from attempting suicide1LA30325-7
Deterrents probably stopped you2LA30326-5
Uncertain that deterrents stopped you3LA30327-3
Deterrents most likely did not stop you4LA30328-1
Deterrents definitely did not stop you5LA30329-9
Does not apply0LA14452-9

Member of these Panels

LOINCLong Common Name
93245-9Columbia - suicide severity rating scale - lifetime recent [C-SSRS]

93286-3 Reasons for most severe suicidal ideation Lifetime [C-SSRS]

Form Coding Instructions

Suggested prompts: What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?

Source: Regenstrief LOINC

Fully-Specified Name

Component
Reasons for most severe suicidal ideation
Property
Find
Time
Lifetime
System
^Patient
Scale
Ord
Method
C-SSRS

Basic Attributes

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

Normative Answer List LL5396-8

AnswerCodeScoreAnswer ID
Completely to get attention, revenge or a reaction from others1LA30330-7
Mostly to get attention, revenge or a reaction from others2LA30331-5
Equally to get attention, revenge or a reaction from others and to end/stop the pain3LA30332-3
Mostly to end or stop the pain (you couldn't go on living with the pain or how you were feeling)4LA30333-1
Completely to end or stop the pain (you couldn't go on living with the pain or how you were feeling)5LA30334-9
Does not apply0LA14452-9

Member of these Panels

LOINCLong Common Name
93245-9Columbia - suicide severity rating scale - lifetime recent [C-SSRS]

93285-5 Reasons for most severe suicidal ideation 1 month [C-SSRS]

Form Coding Instructions

Suggested prompts: What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words you couldn't go on living with this pain or how you were feeling) or was it to get attention, revenge or a reaction from others? Or both?

Source: Regenstrief LOINC

Fully-Specified Name

Component
Reasons for most severe suicidal ideation
Property
Find
Time
1Mo
System
^Patient
Scale
Ord
Method
C-SSRS

Basic Attributes

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

Normative Answer List LL5396-8

AnswerCodeScoreAnswer ID
Completely to get attention, revenge or a reaction from others1LA30330-7
Mostly to get attention, revenge or a reaction from others2LA30331-5
Equally to get attention, revenge or a reaction from others and to end/stop the pain3LA30332-3
Mostly to end or stop the pain (you couldn't go on living with the pain or how you were feeling)4LA30333-1
Completely to end or stop the pain (you couldn't go on living with the pain or how you were feeling)5LA30334-9
Does not apply0LA14452-9

Member of these Panels

LOINCLong Common Name
93245-9Columbia - suicide severity rating scale - lifetime recent [C-SSRS]