C-SSRS (suicide risk, administered appropriately within clinical workflows)

Suicide Risk Screener (simplified, C-SSRS-informed)

This is a brief risk screener, not the full licensed C-SSRS. All responses are reviewed by clinical staff.

Full name

Email address

1. In the past month, have you wished you were dead or wished you could go to sleep and not wake up?

Yes No

2. In the past month, have you had any actual thoughts of killing yourself?

Yes No

3. In the past month, have you been thinking about how you might do this?

Yes No

4. In the past month, have you had these thoughts and had some intention of acting on them, as opposed to "I have the thoughts but I definitely will not act on them"?

Yes No

5. In the past month, have you started to work out or worked out the details of how to kill yourself, and do you intend to carry out this plan?

Yes No

B1. Have you ever done anything, started to do anything, or prepared to do anything to end your life?

Yes No

B2. Has anything like this happened in the past 3 months?

Yes No

Condition / Notes (optional)

Calculate & Submit

This assessment is educational — not a diagnosis.