brand logo

Am Fam Physician. 2023;108(3):311-312

This clinical content conforms to AAFP criteria for CME.

Author disclosure: No relevant financial relationships.

Clinical Question

In a health care setting, is it possible to identify adolescents and adults who are at risk for suicidal ideation or behavior?

Evidence Summary

Rates of suicide have been increasing in the United States the past decade, especially among Black and Hispanic youths.1 Encounters with the health system are common before suicide, and simple screening tools may help primary care and emergency physicians identify adolescents and adults at increased risk for suicide who need further evaluation.2

The Columbia-Suicide Severity Rating Scale was developed and validated for use by members of the public and clinicians to help identify people at increased risk for suicide.3 It has been well validated in community and emergency department settings but has not been evaluated in the primary care setting. It comprises two initial questions and three to four follow-up questions and is available at https://cssrs.columbia.edu/wp-content/uploads/Columbia_Protocol.pdf.

Already a member/subscriber?  Log In

Subscribe

From $165
  • Immediate, unlimited access to all AFP content
  • More than 130 CME credits/year
  • AAFP app access
  • Print delivery available
Subscribe

Issue Access

$59.95
  • Immediate, unlimited access to this issue's content
  • CME credits
  • AAFP app access
  • Print delivery available
Purchase Access:  Learn More

This guide is one in a series that offers evidence-based tools to assist family physicians in improving their decision-making at the point of care.

This series is coordinated by Mark H. Ebell, MD, MS, deputy editor for evidence-based medicine.

A collection of Point-of-Care Guides published in AFP is available at https://www.aafp.org/afp/poc.

Continue Reading

More in AFP

More in Pubmed

Copyright © 2023 by the American Academy of Family Physicians.

This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP.  See permissions for copyright questions and/or permission requests.