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Suicide Risk Assessment (Columbia Protocol)

Asks about assessment date & setting, suicidal ideation severity, and ideation intensity (Frequency/Duration). Built for emergency department psychiatric triage and suicide risk screening.

Questions
16
Pages
2
Time
about 4 min

Includes

  • E-signature
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Suicide Risk Assessment (Columbia Protocol)

Page 1 of 2 · Your information

Live preview. Tap through it like a patient.

Who it is for

  • Emergency department psychiatric triage and suicide risk screening
  • Behavioral health intake and ongoing suicide risk monitoring using C-SSRS
  • Primary care universal suicide screening during depression and anxiety evaluations
  • Crisis intervention center assessment and safety planning documentation

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What's inside

Before you publish: Clinical review required: this worksheet does not calculate scores, diagnose, or recommend treatment. Confirm the questions and response options against your approved assessment protocol before use.

Page 1 · Your information

  1. Full NameText · Required
  2. Assessment Date & SettingDate
  3. Suicidal Ideation SeverityLong Text
  4. Ideation Intensity (Frequency/Duration)Long Text
  5. Intent to ActLong Text

Page 2 · Additional details

  1. Recent Attempt DetailsLong Text
  2. Risk FactorsLong Text
  3. Protective FactorsLong Text
  4. Access to Lethal MeansLong Text
  5. Safety PlanLong Text

From form to a ready patient

  1. The Formisoft form builder with editable questions and required toggles

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    Make it yours

    Reword, reorder, or add to the Suicide Risk Assessment (Columbia Protocol), and add your logo.

  2. A patient filling out a Formisoft form on a phone

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    Patients finish it at home

    A secure link by text or email, filled out on their phone before the visit. No app.

  3. The Formisoft dashboard showing how many of today's patients are ready

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    Your team sees who is ready

    Each visit shows as ready once its forms are in. Answers land on the patient record.

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Questions

Formisoft provides secure form collection and a Business Associate Agreement (BAA). Your practice must review the form content, access permissions, and sharing workflow for its requirements.

Yes. You can add, remove, reorder, or reword any of the 16 fields. You can also add conditional logic, new pages, file uploads, e-signatures, and payment fields.

Patients open a secure link from an email, a text, or a QR code and complete the form on their phone, tablet, or computer before their appointment. No app download required.

Yes, on Front Desk. Attach the form to a visit type and every patient who books gets it right away, with a reminder before the visit if it is not done. Your calendar shows which visits are ready.

Yes. The Suicide Risk Assessment (Columbia Protocol) works on any device. Most patients complete intake forms on their phone, so every template is built for small screens first.

Send it before the visit, so patients arrive ready.

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