Florida School Toolkit for K-12 Educators to Prevent Suicide

Step 3: Specific Questioning about Thoughts, Plans, and Suicidal Intent (Reference brief screening results from tool 14a.) If a semi-structured interview is preferred to complete this section, clinicians may opt to complete C-SSRS Lifetime/Recent for comprehensive behavior/lethality assessment. C-SSRS Suicidal Ideation Intensity (with respect to the most severe ideation 15 identified above) Month Frequency How many times have you had these thoughts? (1) Less than once a week (4) Daily or almost daily (2) Once a week (5) Many times each day (3) 2–5 times in week Duration When you have the thoughts, how long do they last? (1) Fleeting—few seconds or minutes (4) 4–8 hours/most of day (2) Less than 1 hour/some of the time (5) More than 8 hours/persistent or continuous (3) 1–4 hours/a lot of time Controllability Could/can you stop thinking about killing yourself or wanting to die if you want to? (1) Easily able to control thoughts (4) Can control thoughts with a lot of difficulty (2) Can control thoughts with little difficulty (5) Unable to control thoughts (3) Can control thoughts with some difficulty (0) Does not attempt to control thoughts Deterrents Are there things—anyone or anything (e.g., family, religion, pain of death)—that stopped you from wanting to die or acting on thoughts of suicide? (1) Deterrents definitely stopped you from attempting suicide (4) Deterrents most likely did not stop you (2) Deterrents probably stopped you (5) Deterrents definitely did not stop you (3) Uncertain that deterrents stopped you (0) Does not apply Reasons for Ideation What sort of reasons did you have for thinking about wanting to die or killing yourself? Was it to end the pain or stop the way you were feeling (in other words, you couldn’t go on living with this pain or how you were feeling) or was it to get attention, revenge, or a reaction from others? Or both? (1) Completely to get attention, revenge, or a (4) Mostly to end or stop the pain (you couldn’t go on) reaction from others (5) Completely to end or stop the pain (you couldn’t (2) Mostly to get attention, revenge, or go on living with the pain or how you were feeling) a reaction from others (0) Does not apply (3) Equally to get attention, revenge, or a reaction from others and to end/stop the pain Total Score Florida S.T.E.P.S.