Columbia Suicide Severity Rating Scale
Has anyone heard of the C-SSRS (Columbia Suicide Severity Rating Scale). I did not realize this was part of the Study assessment. I heard the psychiatrists are concerned of placebo risk for me due to being PTSD affirmed and the rating I have received on this assessment. I found some information on line about the scale but scoring information appears to be reserved for those trained in the field. I did find the nature of 6 questions asked as part of the assessment. I do remember answering questions similar to these in my assessments.
The first question is a desire to be dead. I told of the prayer as a child that I would say not to wake in the morning and how somedays in the present I have these feelings. The second question focuses on suicidal thoughts without a plan or method and I answered honestly, yes at times. If you answer no, the online information says they skip questions 3 to 5. I guess the third question is where the concern truly begins, any thoughts with method (but not a plan) without intent and I answered yes and discussed ways that had crossed my mind from jumping from a building to rope. The fourth question suicidal ideation with method and some intent. I remember the question and I also remember asking how did that differ from the previous question. I remember him saying did I ever begin or proceed to a place where I thought of committing suicide and then stopped short or was interrupted and did not resume. I said yes, and then was asked if I had not been interrupted would I have done. I answered not sure but I did not resume. The 5th question asked of active ideation with method, plan and intent. I did tell them of this past Thanksgiving and what I attempted. They asked about current intensity and I remember giving a glib answer I do not think you will see it in the paper tomorrow. They asked how would I rate the possibility within a week, a month and a year. I said I could not answer because the intensity fluctuates from day to day, hour to hour. I did give an answer eventually, I think on a scale of 1 to 10.
I should have realized as the discussions on this topic became more involved this was an area of concern. The fear if I am on the placebo and this assessment is accurate as to the ideation of suicide without proper treatment could result in an attempt. They have referred me to speak with a specialist in a one on one setting.
I must say the assessment scares me because I have known I have these thoughts but like to think I have them under control. Then I think of this past Thanksgiving. They tried to reassure me that this ideation is more common among trauma survivors than the general population. They also have concerns that the trauma was relived over and over and those around me inflicted damage to intensify the damage done from the trauma. Advised to avoid them and known triggers. at all costs until they seek help and realize their behavior has caused escalated rise in the damage done from the initial trauma. I was not expecting this type of diagnosis. I dare not tell those who inflicted the damage because they will say these doctors are quacks like all the others and the post op nurse, the undergraduate psychology major and the patient advocate know more than the doctors. What a mess they are and what damage they have done to me. They can laugh and continue to lie of the abuse and what they did.
I have been thinking about this since yesterday and it weighs heavily on my mind. Thankfully it was after the unexpected trigger on Tuesday or who knows where I would be today. It is weighing on me because somewhere within I believe the assessment may be on point.
If anyone has any insights into this scale I would appreciate your input.
The first question is a desire to be dead. I told of the prayer as a child that I would say not to wake in the morning and how somedays in the present I have these feelings. The second question focuses on suicidal thoughts without a plan or method and I answered honestly, yes at times. If you answer no, the online information says they skip questions 3 to 5. I guess the third question is where the concern truly begins, any thoughts with method (but not a plan) without intent and I answered yes and discussed ways that had crossed my mind from jumping from a building to rope. The fourth question suicidal ideation with method and some intent. I remember the question and I also remember asking how did that differ from the previous question. I remember him saying did I ever begin or proceed to a place where I thought of committing suicide and then stopped short or was interrupted and did not resume. I said yes, and then was asked if I had not been interrupted would I have done. I answered not sure but I did not resume. The 5th question asked of active ideation with method, plan and intent. I did tell them of this past Thanksgiving and what I attempted. They asked about current intensity and I remember giving a glib answer I do not think you will see it in the paper tomorrow. They asked how would I rate the possibility within a week, a month and a year. I said I could not answer because the intensity fluctuates from day to day, hour to hour. I did give an answer eventually, I think on a scale of 1 to 10.
I should have realized as the discussions on this topic became more involved this was an area of concern. The fear if I am on the placebo and this assessment is accurate as to the ideation of suicide without proper treatment could result in an attempt. They have referred me to speak with a specialist in a one on one setting.
I must say the assessment scares me because I have known I have these thoughts but like to think I have them under control. Then I think of this past Thanksgiving. They tried to reassure me that this ideation is more common among trauma survivors than the general population. They also have concerns that the trauma was relived over and over and those around me inflicted damage to intensify the damage done from the trauma. Advised to avoid them and known triggers. at all costs until they seek help and realize their behavior has caused escalated rise in the damage done from the initial trauma. I was not expecting this type of diagnosis. I dare not tell those who inflicted the damage because they will say these doctors are quacks like all the others and the post op nurse, the undergraduate psychology major and the patient advocate know more than the doctors. What a mess they are and what damage they have done to me. They can laugh and continue to lie of the abuse and what they did.
I have been thinking about this since yesterday and it weighs heavily on my mind. Thankfully it was after the unexpected trigger on Tuesday or who knows where I would be today. It is weighing on me because somewhere within I believe the assessment may be on point.
If anyone has any insights into this scale I would appreciate your input.
