Which type of thoughts are classified as passive according to the C-SSRS?

Thoughts classified as passive according to the Columbia – Suicide Severity Rating Scale (C-SSRS) refer specifically to thoughts of dying without the intent to commit suicide. This type of thinking indicates a preoccupation with death or a desire for death, but it does not translate into a desire to actively end one's life. By distinguishing these thoughts from active suicidal ideation, such as making plans or expressing a desire to commit suicide, the C-SSRS helps to assess varying levels of risk appropriately.

Passive thoughts signal a need for attention and understanding, as they can indicate emotional distress or hopelessness, even if no active planning or intent to harm oneself exists. In contrast, active planning or destructive behaviors reflect higher risk levels and require more immediate intervention. Understanding this distinction is critical in evaluating an individual’s risk for suicide and tailoring appropriate responses and support.