The C-SSRS is a questionnaire used for suicide assessment developed by Kelly Posner, PhD, David Brent, MD, Chris Lucas, MD, Madelyn Gould, PhD, MPH, Barbara Stanley, PhD, Greg brown, PhD, Prudence Fisher, PhD, Jaime Zelazny, NR, MPH, Ainsley Burke, PhD, Maria Oquendo, MD, and J. John Mann, MD.
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Suicidal people suffer from inner turmoil that leaves them feeling isolated and hopeless. Many people who struggle with suicidal tendencies fail to seek the help they so desperately need. The majority of suicidal people do not want to die; they just want to stop the pain. Suicide prevention starts with the sufferer recognizing the warning signs and admitting that they have a problem. Family and friends should also pay close attention to these warning signs to ensure the sufferer finds the help they need. Simply talking about suicidal thoughts and feelings can help save a life.
The Hamilton Depression Rating Scale (HDRS) is the most widely used scale for patient selection and follow-up in research studies of treatments of depression. Despite extensive study of the reliability and validity of the total scale score, the psychometric characteristics of the individual items have not been well studied. In the only reliability study to report agreement on individual items using a test-retest interview method, most of the items had only fair or poor agreement. Because this is due in part to variability in the way the information is obtained to make the various rating distinctions, the Structured Interview Guide for the HDRS (SIGH-D) was developed to standardize the manner of administration of the scale. A test-retest reliability study conducted on a series of psychiatric inpatients demonstrated that the use of the SIGH-D results in a substantially improved level of agreement for most of the HDRS items.