Topic: Suicidal Ideation
Suicide Assessment C-SSRS
List what DSM diagnosis the tool/instrument is used for:
Identify an assessment/diagnosis instrument:
Appraise a scholarly, peer-reviewed article that addresses the use of the instrument to support your choice as an evidence-based instrument for practice:
Evaluate the instruments appropriateness for diagnosing it is designed to assess for if the developers of the instrument reported that the instrument is only part of a comprehensive assessment for the disorder
Describe whether or not the instrument can be used to measure patient response to therapy/treatment or if it is strictly for assessment and diagnosis?
References
The Columbia Lighthouse Project: Official Site. https://cssrs.columbia.edu/about-the-project/about-the-lighthouse-project/
Posner K, Brown GK, Stanley B, Brent DA, Yershova KV, Oquendo MA, Currier GW, Melvin GA, Greenhill L, Shen S, Mann JJ. The Columbia-Suicide Severity Rating Scale: initial validity and internal consistency findings from three multisite studies with adolescents and adults. Am J Psychiatry. 2011 Dec;168(12):1266-77. doi: 10.1176/appi.ajp.2011.10111704. PMID: 22193671; PMCID: PMC3893686.
The Columbia Lighthouse Project. (2016).
Identify risk. Prevent suicideLinks to an external site.
. https://cssrs.columbia.edu/
An occurrence, or I should say several occurrences that I remember was when I worked on an inpatient Oncology unit. I was able to see the admitting hospice clinician, or the hospice RN come to assess the patient and write the orders for admission to hospice. During this process, the patient and sometimes the patients family would be asked what they prefer for pain medication, hydration if appropriate, along with being given the choice to discontinue any life sustaining measures. The patient was given the choice regarding multiple aspects of their care, and how they chose to live the last part of their life. I came to appreciate this even more, when I had to witness family members or spouses choosing to put their loved one through all sorts of unnecessary, unneeded and unwanted treatment by the patient.
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