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

The correct identification of the four levels of suicidal ideation according to the Columbia – Suicide Severity Rating Scale (C-SSRS) includes "Wish to be Dead," "Suicidal Ideation," "Suicidal Behavior," and "Non-Suicidal Self-Injury (NSSI)." Each of these categories reflects a progression in the severity of thoughts and behaviors related to suicide.

"Wish to be Dead" indicates a desire for death without the active wish to bring it about. "Suicidal Ideation" includes more explicit thoughts about taking one's life. "Suicidal Behavior" refers to actions taken to end one's life, such as attempts or preparatory behaviors. "Non-Suicidal Self-Injury" involves self-harm without the intent to die but signifies serious emotional distress and a risk factor for future suicidal behavior. Together, these categories provide a comprehensive framework for assessing the intensity and nature of suicidal thoughts and behaviors, which is crucial for effective clinical evaluation and intervention.

Other options do not accurately represent the classifications outlined in the C-SSRS. They either mislabel the terms, suggest an unrelated hierarchy, or fail to encompass the specific nuances of the ideation and behaviors associated with varying levels of suicidality.