How do I conduct a Risk Assessment for my client?

Here are some helpful resources for suicide risk assessments and building a safety plan with your clients.

If you have questions or need assistance with risk assessment for any client, you may reach out to

Columbia C-SSRS Assessment

The Columbia-Suicide Severity Rating Scale questionnaire is used for suicide assessment. C-SSRS Risk Assessment is intended to establish a person’s immediate risk of suicide. Downloadable versions of the assessment are available below:



Expand for C-SSRS in Additional Languages
Language/Country PDF / Microsoft Word Doc
Arabic (Israel)
Cantonese (Hong Kong)
Croatian (Croatia)
Danish (Denmark)
Dutch (Holland/The Netherlands)
French (Canada)
French (France)
German (Germany)
Greek (Greece)
Hebrew (Israel)
Hmong (USA, China, Vietnam, Laos, and Thailand)
Indonesian (Indonesia)
Italian (Italy)
Japanese (Japan)
Korean (Korea)
Mandarin Chinese (China)
Cebuano (Philippines)
Polish (Poland)
Portuguese (Brazil)
Russian (Russia)
Somali (Somalia, Djibouti, Eritrea, Ethiopia, and Kenya)
Swahili (Tanzania, Kenya, Uganda, Rwanda, Burundi, the Democratic Republic of the Congo (DRC), South Sudan, Somalia, Mozambique, Malawi, Zambia, Comoros; other East Africa)
Swedish (Sweden)
Ukrainian (Ukraine)
Urdu (Pakistan)
Vietnamese (Vietnam)

For a script to post in the room, you can copy & paste the text below. To create a reusable script, copy the text below and follow the instructions in the Help Center article How do I create a script to send to my clients?

Over the past month …

1) Have you wished you were dead or wished you could go to sleep and not wake up?

2) Have you actually had any thoughts of killing yourself?

If yes, please answer questions 3, 4, and 5. If no, please skip to question 6

3) Have you been thinking about how you might do this? E.g. “I thought about taking an overdose but I never made a specific plan as to when where or how I would actually do it….and I would never go through with it.”

4) Have you had these thoughts and had some intention of acting on them? As opposed to “I have the thoughts but I definitely will not do anything about them.”

5) Have you started to work out or worked out the details of how to kill yourself? Did you intend to carry out this plan?

6) Have you ever done anything, started to do anything or prepared to do anything to end your life?

Examples: Collected pills, obtained a gun, gave away valuables, wrote a will or suicide note, took out pills but didn’t swallow any, held a gun but changed your mind or it was grabbed from your hand, went to the roof but didn’t jump; or actually took pills, tried to shoot yourself, cut yourself, tried to hang yourself, etc.

If YES: Was this within the past three months?


HCR-20 Version 3 Assessment

The HCR-20 is the latest version of a comprehensive set of professional guidelines for violence risk assessment and management based on the Structured Professional Judgement (SPJ) model.

You can download the Microsoft Word Doc HCR-20 V3 Rating Sheet here:


SAVRY Violence Risk Assessment for Adolescents

The Structured Assessment of Violence Risk in Youth (SAVRY) is a risk assessment tool to assist providers with the evaluation of violence risk and risk management plans for adolescents.

  • National Practice Providers: Please contact your Team Lead for this resource, or if in a crisis, contact the On-Call Team Lead
  • Independently-Contracted Providers: Please request SAVRY from 
Was this article helpful?
Have more questions? Submit a request