What are the four levels of suicidal ideation in the C-SSRS?

The identification of the four levels of suicidal ideation in the Columbia – Suicide Severity Rating Scale (C-SSRS) is crucial for effectively assessing an individual's risk of suicide. The terminology depicted in the correct choice encapsulates the specific spectrum of suicidal thoughts and behaviors, which ranges from a passive wish to die to a more active intention to carry out self-harm.

The first component, "wish to be dead," indicates a desire for death without the immediate presence of active thoughts about taking one's life. This might include feelings of hopelessness or a general desire to escape life’s pressures. The next level, "suicidal thoughts," involves more concrete thoughts about ending one’s life but may not include detailed plans. Then, when individuals progress to "suicidal plans," this reflects a more developed consideration of how they would carry out suicide, indicating an increased seriousness of intent. Finally, "intent to act" indicates an individual's readiness and commitment to follow through with their suicidal plans, which suggests an immediate and pressing risk.

These levels provide a structured way for clinicians to assess and respond to varying degrees of suicidal ideation, allowing for tailored interventions based on the assessed risk.

The other answers do not accurately reflect the defined categories of suicidal ideation as