C-SSRS Screener
Mental Health
Screen for suicidal ideation and behavior using the Columbia Suicide Severity Rating Scale screener version. Assesses risk level based on ideation severity.
Formula
Risk level based on highest 'Yes' response. Q1-2: ideation. Q3-5: ideation with method/intent/plan. Q6: suicidal behavior.
Inputs
- Have you wished you were dead or wished you could go to sleep and not wake up?
- Have you actually had any thoughts of killing yourself?
- Have you been thinking about how you might do this?
- Have you had these thoughts and had some intention of acting on them?
- Have you started to work out or worked out the details of how to kill yourself, and did you intend to carry out this plan?
- Have you ever done anything, started to do anything, or prepared to do anything to end your life?
FAQs: 3
PHQ-9
Mental Health
Free PHQ-9 depression screening questionnaire. Take the Patient Health Questionnaire-9 to assess depression severity with instant scoring and interpretation. Also screen for anxiety with [GAD-7](/tools/gad7).
Formula
Total score = sum of all 9 items (each 0-3). Range 0-27.
Inputs
- Little interest or pleasure in doing things
- Feeling down, depressed, or hopeless
- Trouble falling/staying asleep, or sleeping too much
- Feeling tired or having little energy
- Poor appetite or overeating
- Feeling bad about yourself — or that you are a failure
- Trouble concentrating on things
- Moving or speaking slowly, or being fidgety/restless
- Thoughts that you would be better off dead or of hurting yourself
FAQs: 15
