Version 2.77

93278-0 Suicidal ideation [C-SSRS]

Form Coding Instructions

Ask questions 1 and 2. If both are negative, proceed to "Suicidal Behavior" section. If the answer to question 2 is "yes", ask questions 3, 4 and 5. If the answer to question 1 and/or 2 is "yes", complete "Intensity of Ideation" section below.

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

Component
Suicidal ideation
Property
-
Time
Pt
System
^Patient
Scale
-
Method
C-SSRS

Basic Attributes

Class
PANEL.SURVEY.CSSRS
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67
Order vs. Observation
Subset
Panel Type
Organizer

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]

93299-6 Wish to be dead Lifetime

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 Prompts: Have you thought about being dead or what it would be like to be dead? Have you wised you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore?

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

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

Basic Attributes

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

Normative Answer List LL5384-4

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

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]

93246-7 Wish to be dead 1 month

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 Prompts: Have you thought about being dead or what it would be like to be dead? Have you wised you were dead or wished you could go to sleep and never wake up? Do you ever wish you weren't alive anymore?

Source: Research Foundation of Mental Hygiene, Inc

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 LL5384-4

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

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]

93298-8 Non-specific active suicidal thoughts Lifetime

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

Form Coding Instructions

Suggested Prompts: Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself?

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

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

Basic Attributes

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

Normative Answer List LL5384-4

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

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]

93247-5 Non-specific active suicidal thoughts 1 month

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

Form Coding Instructions

Suggested Prompts: Have you thought about doing something to make yourself not alive anymore? Have you had any thoughts about killing yourself?

Source: Research Foundation of Mental Hygiene, Inc

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 LL5384-4

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

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]

93297-0 Active suicidal ideation with any methods (not plan) without intent to act Lifetime

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

Suggested Prompts: Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about?

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

Component
Active suicidal ideation with any methods (not plan) without intent to act
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 LL5384-4

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

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]

93248-3 Active suicidal ideation with any methods (not plan) without intent to act 1 month

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

Suggested Prompts: Have you thought about how you would do that or how you would make yourself not alive anymore (kill yourself)? What did you think about?

Source: Research Foundation of Mental Hygiene, Inc

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 LL5384-4

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

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]

93296-2 Active suicidal ideation with some intent to act, without specific plan Lifetime

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: When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it.

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

Component
Active suicidal ideation with some intent to act, without specific plan
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 LL5384-4

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

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]

93249-1 Active suicidal ideation with some intent to act, without specific plan 1 month

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: When you thought about making yourself not alive anymore (or killing yourself), did you think that this was something you might actually do? This is different from (as opposed to) having the thoughts but knowing you wouldn't do anything about it.

Source: Research Foundation of Mental Hygiene, Inc

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 LL5384-4

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

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]

93295-4 Active suicidal ideation with specific plan and intent Lifetime

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 ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (worked out these details), was any part of you thinking about actually doing it?

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

Component
Active suicidal ideation with specific plan and intent
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 LL5384-4

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

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]

93250-9 Active suicidal ideation with specific plan and intent 1 month

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 ever decided how or when you would make yourself not alive anymore/kill yourself? Have you ever planned out (worked out the details of) how you would do it? What was your plan? When you made this plan (worked out these details), was any part of you thinking about actually doing it?

Source: Research Foundation of Mental Hygiene, Inc

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 LL5384-4

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

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]

93598-1 Intensity of ideation [C-SSRS.PCI]

Form Coding Instructions

The following feature 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).

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

Component
Intensity of ideation
Property
-
Time
Pt
System
^Patient
Scale
-
Method
C-SSRS.PCI

Basic Attributes

Class
PANEL.SURVEY.CSSRS
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

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

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
Order vs. Observation
Observation

Normative Answer List LL5434-7

Answer Code Score Answer ID
Wish to be dead 1 LA30370-3
Non-specific active suicidal thoughts 2 LA30371-1
Active suicidal ideation with any methods (not plan) without intent to act 3 LA30372-9
Active suicidal ideation with some intent to act, without specific plan 4 LA30373-7
Active suicidal ideation with specific plan and intent 5 LA30374-5

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]

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
Order vs. Observation
Observation

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]

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
Order vs. Observation
Observation

Normative Answer List LL5434-7

Answer Code Score Answer ID
Wish to be dead 1 LA30370-3
Non-specific active suicidal thoughts 2 LA30371-1
Active suicidal ideation with any methods (not plan) without intent to act 3 LA30372-9
Active suicidal ideation with some intent to act, without specific plan 4 LA30373-7
Active suicidal ideation with specific plan and intent 5 LA30374-5

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]

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
Order vs. Observation
Observation

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]

93600-5 Frequency of most severe suicidal ideation Lifetime [C-SSRS.PCI]

Form Coding Instructions

How many times have you had these thoughts?

Source: Research Foundation of Mental Hygiene, Inc

Form Coding Instructions

Write response

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

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

Basic Attributes

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

Normative Answer List LL5460-2

Answer Code Score Answer ID
Only one time 1 LA30454-5
A few times 2 LA30455-2
A lot 3 LA14468-5
All the time 4 LA14726-6
Don't know/Not applicable 0 LA30456-0

Member of these Panels

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

93599-9 Frequency of most severe suicidal ideation 1 month [C-SSRS.PCI]

Form Coding Instructions

How many times have you had these thoughts?

Source: Research Foundation of Mental Hygiene, Inc

Form Coding Instructions

Write response

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

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

Basic Attributes

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

Normative Answer List LL5460-2

Answer Code Score Answer ID
Only one time 1 LA30454-5
A few times 2 LA30455-2
A lot 3 LA14468-5
All the time 4 LA14726-6
Don't know/Not applicable 0 LA30456-0

Member of these Panels

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

95404-0 Suicidal behavior [C-SSRS.PCI]

Fully-Specified Name

Component
Suicidal behavior
Property
-
Time
Pt
System
^Patient
Scale
-
Method
C-SSRS.PCI

Basic Attributes

Class
PANEL.SURVEY.CSSRS
Type
Surveys
First Released
Version 2.68
Last Updated
Version 2.69
Order vs. Observation
Subset
Panel Type
Organizer

Member of these Panels

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

93253-3 Actual suicide attempt Lifetime

Term Description

A potentially self-injurious act committed with at least some wish to die, as a result of act. Behavior was in part thought of as method to kill oneself. Intent does not have to be 100%. If there is any intent/desire to die associated with the act, then it can be considered an actual suicide attempt. There does not have to be any injury or harm, just the potential for injury or harm. If person pulls trigger while gun is in mouth but gun is broken so no injury results, this is considered an attempt. If the act is purely for other reasons and not to end the person's life, it is considered Self-Injurious Behavior without suicidal intent.
Inferring Intent: Even if an individual denies intent/wish to die, it may be inferred clinically from the behavior or circumstances. For example, a highly lethal act that is clearly not an accident so no other intent but suicide can be inferred (e.g., gunshot to head, jumping from window of a high floor/story). Also, if someone denies intent to die, but they thought that what they did could be lethal, intent may be inferred.
Source: Research Foundation of Mental Hygiene, Inc

Form Coding Instructions

Suggested prompts: Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? - Did you ______ as a way to end your life? - Did you want to die (even a little) when you _____? - Were you trying to make yourself not alive anymore when you _____? - Or did you think it was possible you could have died from _____? Or did you do it purely for other reason, not at all to end your life or kill yourself (like to make yourself feel better, or get something else to happen?)

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

Component
Actual suicide attempt
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 LL5384-4

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

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]

93254-1 Actual suicide attempts # Lifetime

Fully-Specified Name

Component
Actual suicide attempts
Property
Num
Time
Lifetime
System
^Patient
Scale
Qn
Method

Basic Attributes

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

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]

Example Units

Unit Source
{#} Example UCUM Units

93257-4 Has subject engaged in non-suicidal self-injurious behavior Lifetime

Fully-Specified Name

Component
Has subject engaged in non-suicidal self-injurious 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 LL365-8

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

93487-7 Has subject engaged in self-injurious behavior, intent unknown Lifetime

Fully-Specified Name

Component
Has subject engaged in self-injurious behavior, intent unknown
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 LL365-8

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

Member of these Panels

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

93255-8 Actual suicide attempt 3 months

Term Description

A potentially self-injurious act committed with at least some wish to die, as a result of act. Behavior was in part thought of as method to kill oneself. Intent does not have to be 100%. If there is any intent/desire to die associated with the act, then it can be considered an actual suicide attempt. There does not have to be any injury or harm, just the potential for injury or harm. If person pulls trigger while gun is in mouth but gun is broken so no injury results, this is considered an attempt. If the act is purely for other reasons and not to end the person's life, it is considered Self-Injurious Behavior without suicidal intent.
Inferring Intent: Even if an individual denies intent/wish to die, it may be inferred clinically from the behavior or circumstances. For example, a highly lethal act that is clearly not an accident so no other intent but suicide can be inferred (e.g., gunshot to head, jumping from window of a high floor/story). Also, if someone denies intent to die, but they thought that what they did could be lethal, intent may be inferred.
Source: Research Foundation of Mental Hygiene, Inc

Form Coding Instructions

Suggested prompts: Did you ever do anything to try to kill yourself or make yourself not alive anymore? What did you do? Did you ever hurt yourself on purpose? Why did you do that? - Did you ______ as a way to end your life? - Did you want to die (even a little) when you _____? - Were you trying to make yourself not alive anymore when you _____? - Or did you think it was possible you could have died from _____? Or did you do it purely for other reason, not at all to end your life or kill yourself (like to make yourself feel better, or get something else to happen?)

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

Component
Actual suicide attempt
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 LL5384-4

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

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]

93256-6 Actual suicide attempts # 3 months

Fully-Specified Name

Component
Actual suicide attempts
Property
Num
Time
3Mo
System
^Patient
Scale
Qn
Method

Basic Attributes

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

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]

Example Units

Unit Source
{#} Example UCUM Units

93258-2 Has subject engaged in non-suicidal self-injurious behavior 3 months

Fully-Specified Name

Component
Has subject engaged in non-suicidal self-injurious 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 LL365-8

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

93486-9 Has subject engaged in self-injurious behavior, intent unknown 3 months

Fully-Specified Name

Component
Has subject engaged in self-injurious behavior, intent unknown
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 LL365-8

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

Member of these Panels

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

93259-0 Interrupted suicide attempt Lifetime

Term Description

When the person is interrupted (by an outside circumstance) from starting the potentially self-injurious act (if not for that, actual attempt would have occurred).
Overdose: Person has pills in hand but is stopped from ingesting. Once they ingest any pills, this becomes an attempt rather than an interrupted attempt. Shooting: Person has gun pointed toward self, gun is taken away by someone else, or is somehow prevented from pulling trigger. Once they pull the trigger, even if the gun fails to fire, it is an attempt. Jumping: Person is poised to jump, is grabbed and taken down from ledge. Hanging: Person has noose around neck but has not yet started to hang - is stopped from doing so.
Source: Research Foundation of Mental Hygiene, Inc

Form Coding Instructions

Suggested prompts: Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

Component
Interrupted suicide attempt
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 LL5384-4

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

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]

93260-8 Interrupted suicide attempts # Lifetime

Fully-Specified Name

Component
Interrupted suicide attempts
Property
Num
Time
Lifetime
System
^Patient
Scale
Qn
Method

Basic Attributes

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

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]

Example Units

Unit Source
{#} Example UCUM Units

93261-6 Interrupted suicide attempt 3 months

Term Description

When the person is interrupted (by an outside circumstance) from starting the potentially self-injurious act (if not for that, actual attempt would have occurred).
Overdose: Person has pills in hand but is stopped from ingesting. Once they ingest any pills, this becomes an attempt rather than an interrupted attempt. Shooting: Person has gun pointed toward self, gun is taken away by someone else, or is somehow prevented from pulling trigger. Once they pull the trigger, even if the gun fails to fire, it is an attempt. Jumping: Person is poised to jump, is grabbed and taken down from ledge. Hanging: Person has noose around neck but has not yet started to hang - is stopped from doing so.
Source: Research Foundation of Mental Hygiene, Inc

Form Coding Instructions

Suggested prompts: Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but someone or something stopped you before you actually did anything? What did you do?

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

Component
Interrupted suicide attempt
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 LL5384-4

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

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]

93262-4 Interrupted suicide attempts # 3 months

Fully-Specified Name

Component
Interrupted suicide attempts
Property
Num
Time
3Mo
System
^Patient
Scale
Qn
Method

Basic Attributes

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

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]

Example Units

Unit Source
{#} Example UCUM Units

93263-2 Aborted or self-interrupted suicide attempt Lifetime

Term Description

When person begins to take steps toward making a suicide attempt, but stops themselves before they actually have engaged in any self-destructive behavior. Examples are similar to interrupted attempts, except that the individual stops him/herself, instead of being stopped by something else.
Source: Research Foundation of Mental Hygiene, Inc

Form Coding Instructions

Suggested prompts: Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

Component
Aborted or self-interrupted suicide attempt
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 LL5384-4

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

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]

93264-0 Aborted or self-interrupted suicide attempts # Lifetime

Term Description

When person begins to take steps toward making a suicide attempt, but stops themselves before they actually have engaged in any self-destructive behavior. Examples are similar to interrupted attempts, except that the individual stops him/herself, instead of being stopped by something else.
Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

Component
Aborted or self-interrupted suicide attempts
Property
Num
Time
Lifetime
System
^Patient
Scale
Qn
Method

Basic Attributes

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

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]

Example Units

Unit Source
{#} Example UCUM Units

93265-7 Aborted or self-interrupted suicide attempt 3 months

Term Description

When person begins to take steps toward making a suicide attempt, but stops themselves before they actually have engaged in any self-destructive behavior. Examples are similar to interrupted attempts, except that the individual stops him/herself, instead of being stopped by something else.
Source: Research Foundation of Mental Hygiene, Inc

Form Coding Instructions

Suggested prompts: Has there been a time when you started to do something to make yourself not alive anymore (end your life or kill yourself) but you changed your mind (stopped yourself) before you actually did anything? What did you do?

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

Component
Aborted or self-interrupted suicide attempt
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 LL5384-4

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

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]

93266-5 Aborted or self-interrupted suicide attempts # 3 months

Term Description

When person begins to take steps toward making a suicide attempt, but stops themselves before they actually have engaged in any self-destructive behavior. Examples are similar to interrupted attempts, except that the individual stops him/herself, instead of being stopped by something else.
Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

Component
Aborted or self-interrupted suicide attempts
Property
Num
Time
3Mo
System
^Patient
Scale
Qn
Method

Basic Attributes

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

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]

Example Units

Unit Source
{#} Example UCUM Units

93267-3 Preparatory acts or suicidal behavior Lifetime

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

Form Coding Instructions

Suggested prompt: Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?

Source: Research Foundation of Mental Hygiene, Inc

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

Example Answer List LL5384-4

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

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]

93268-1 Preparatory acts or suicidal behaviors # Lifetime

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 behaviors
Property
Num
Time
Lifetime
System
^Patient
Scale
Qn
Method

Basic Attributes

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

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]

Example Units

Unit Source
{#} Example UCUM Units

93269-9 Preparatory acts or suicidal behavior 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

Form Coding Instructions

Suggested prompt: Have you done anything to get ready to make yourself not alive anymore (to end your life or kill yourself) - like giving things away, writing a goodbye note, getting things you need to kill yourself?

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

Example Answer List LL5384-4

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

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]

93270-7 Preparatory acts or suicidal behaviors # 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 behaviors
Property
Num
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

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]

93305-1 Lethality [C-SSRS]

Fully-Specified Name

Component
Lethality
Property
-
Time
Pt
System
^Patient
Scale
-
Method
C-SSRS

Basic Attributes

Class
PANEL.SURVEY.CSSRS
Type
Surveys
First Released
Version 2.67
Last Updated
Version 2.67
Order vs. Observation
Subset
Panel Type
Organizer

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]

93302-8 Date of most recent suicide attempt

Fully-Specified Name

Component
Date of most recent suicide attempt
Property
Date
Time
Pt
System
^Patient
Scale
Qn
Method

Basic Attributes

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

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]

Example Units

Unit Source
{mm/dd/yyyy} Example UCUM Units

93275-6 Date of most lethal suicide attempt

Fully-Specified Name

Component
Date of most lethal suicide attempt
Property
Date
Time
Pt
System
^Patient
Scale
Qn
Method

Basic Attributes

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

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]

Example Units

Unit Source
{mm/dd/yyyy} Example UCUM Units

93301-0 Date of initial/first suicide attempt

Fully-Specified Name

Component
Date of initial or first suicide attempt
Property
Date
Time
Pt
System
^Patient
Scale
Qn
Method

Basic Attributes

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

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]

Example Units

Unit Source
{mm/dd/yyyy} Example UCUM Units

93284-8 Actual lethality/medical damage most recent suicide attempt [C-SSRS]

Fully-Specified Name

Component
Actual lethality or medical damage most recent suicide attempt
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
C-SSRS

Basic Attributes

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

Normative Answer List LL5397-6

Answer Code Score Answer ID
No physical damage or very minor physical damage (e.g., surface scratches) 0 LA30335-6
Minor physical damage (e.g., lethargic speech; first-degree burns; mild bleeding; sprains) 1 LA30336-4
Moderate physical damage; medical attention needed (e.g., conscious but sleepy, somewhat responsive; second-degree burns; bleeding of major vessel) 2 LA30337-2
Moderately severe physical damage; medical hospitalization and likely intensive care required (e.g., comatose with reflexes intact; third-degree burns less than 20% of body; extensive blood loss but can recover; major fractures) 3 LA30338-0
Severe physical damage; medical hospitalization with intensive care required (e.g., comatose without reflexes; third-degree burns over 20% of body; extensive blood loss with unstable vital signs; major damage to a vital area) 4 LA30339-8
Death 5 LA7424-0

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]

93271-5 Actual lethality/medical damage most lethal suicide attempt Lifetime [C-SSRS]

Fully-Specified Name

Component
Actual lethality or medical damage most lethal suicide attempt
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
Order vs. Observation
Observation

Normative Answer List LL5397-6

Answer Code Score Answer ID
No physical damage or very minor physical damage (e.g., surface scratches) 0 LA30335-6
Minor physical damage (e.g., lethargic speech; first-degree burns; mild bleeding; sprains) 1 LA30336-4
Moderate physical damage; medical attention needed (e.g., conscious but sleepy, somewhat responsive; second-degree burns; bleeding of major vessel) 2 LA30337-2
Moderately severe physical damage; medical hospitalization and likely intensive care required (e.g., comatose with reflexes intact; third-degree burns less than 20% of body; extensive blood loss but can recover; major fractures) 3 LA30338-0
Severe physical damage; medical hospitalization with intensive care required (e.g., comatose without reflexes; third-degree burns over 20% of body; extensive blood loss with unstable vital signs; major damage to a vital area) 4 LA30339-8
Death 5 LA7424-0

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]

93283-0 Actual lethality/medical damage initial/first suicide attempt type [C-SSRS]

Fully-Specified Name

Component
Actual lethality or medical damage initial or first suicide attempt
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
C-SSRS

Basic Attributes

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

Normative Answer List LL5397-6

Answer Code Score Answer ID
No physical damage or very minor physical damage (e.g., surface scratches) 0 LA30335-6
Minor physical damage (e.g., lethargic speech; first-degree burns; mild bleeding; sprains) 1 LA30336-4
Moderate physical damage; medical attention needed (e.g., conscious but sleepy, somewhat responsive; second-degree burns; bleeding of major vessel) 2 LA30337-2
Moderately severe physical damage; medical hospitalization and likely intensive care required (e.g., comatose with reflexes intact; third-degree burns less than 20% of body; extensive blood loss but can recover; major fractures) 3 LA30338-0
Severe physical damage; medical hospitalization with intensive care required (e.g., comatose without reflexes; third-degree burns over 20% of body; extensive blood loss with unstable vital signs; major damage to a vital area) 4 LA30339-8
Death 5 LA7424-0

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]

93282-2 Potential lethality most recent suicide attempt [C-SSRS]

Term Description

Likely lethality of actual attempt if no medical damage (the following examples, while having no actual medical damage, had potential for very serious lethality: put gun in mouth and pulled the trigger but gun fails to fire so no medical damage; laying on train tracks with oncoming train but pulled away before run over).
Source: Research Foundation of Mental Hygiene, Inc

Form Coding Instructions

Only Answer if Actual Lethality=0

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

Component
Potential lethality most recent suicide attempt
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
C-SSRS

Basic Attributes

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

Normative Answer List LL5398-4

Answer Code Score Answer ID
Behavior not likely to result in injury 0 LA30341-4
Behavior likely to result in injury but not likely to cause death 1 LA30342-2
Behavior likely to result in death despite available medical care 2 LA30343-0

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]

93272-3 Potential lethality most lethal suicide attempt Lifetime [C-SSRS]

Term Description

Likely lethality of actual attempt if no medical damage (the following examples, while having no actual medical damage, had potential for very serious lethality: put gun in mouth and pulled the trigger but gun fails to fire so no medical damage; laying on train tracks with oncoming train but pulled away before run over).
Source: Research Foundation of Mental Hygiene, Inc

Form Coding Instructions

Only Answer if Actual Lethality=0

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

Component
Potential lethality most lethal suicide attempt
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
Order vs. Observation
Observation

Normative Answer List LL5398-4

Answer Code Score Answer ID
Behavior not likely to result in injury 0 LA30341-4
Behavior likely to result in injury but not likely to cause death 1 LA30342-2
Behavior likely to result in death despite available medical care 2 LA30343-0

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]

93281-4 Potential lethality initial/first suicide attempt [C-SSRS]

Term Description

Likely lethality of actual attempt if no medical damage (the following examples, while having no actual medical damage, had potential for very serious lethality: put gun in mouth and pulled the trigger but gun fails to fire so no medical damage; laying on train tracks with oncoming train but pulled away before run over).
Source: Research Foundation of Mental Hygiene, Inc

Form Coding Instructions

Only Answer if Actual Lethality=0

Source: Research Foundation of Mental Hygiene, Inc

Fully-Specified Name

Component
Potential lethality initial or first suicide attempt
Property
Find
Time
Pt
System
^Patient
Scale
Ord
Method
C-SSRS

Basic Attributes

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

Normative Answer List LL5398-4

Answer Code Score Answer ID
Behavior not likely to result in injury 0 LA30341-4
Behavior likely to result in injury but not likely to cause death 1 LA30342-2
Behavior likely to result in death despite available medical care 2 LA30343-0

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]