What specific question would indicate a need for immediate intervention in the C-SSRS?

The need for immediate intervention in the context of the Columbia – Suicide Severity Rating Scale (C-SSRS) is best indicated by a question that reveals intent to act or a detailed plan for suicide. This is crucial because demonstrating an intent to commit suicide signifies an acute risk and often requires prompt attention and intervention to ensure the safety of the individual.

When someone expresses not just thoughts of suicide but also an intention to carry through with those thoughts or has formulated a specific plan, it suggests a higher level of risk. This information guides clinicians to take immediate action, such as developing a safety plan, conducting a more thorough risk assessment, or facilitating emergency mental health care.

In contrast, questions about past suicidal thoughts, general mood, or family history of suicide provide important context and can inform overall risk assessment, but they do not directly signal an immediate need for intervention. While understanding an individual's history and emotional state is vital for a comprehensive evaluation, the presence of intent or a concrete plan is the most critical indicator of imminent danger that requires swift action.