01 - Scoring & cutoffs
How scoring works.
Score
Severity
Interpretation
0–0
Negative screen
No suicide risk identified on this screen.
1–4
Positive screen
Positive screen - a brief suicide safety assessment is required to determine if a full mental health evaluation is needed.
5–5
Acute positive screen
Current suicidal thoughts indicate imminent risk; the patient requires urgent safety assessment and must not be left alone.