Nearly 50% of people who die by suicide see their primary care doctor in the month before their death. Asking the right questions to determine suicide risk should be as routine as checking blood pressure — and, with the Columbia Protocol, t’s just as quick. The Columbia Protocol — also known as the Columbia-Suicide Severity Rating Scale  (C-SSRS) — also helps optimize healthcare resources by directing people to the right level of care. The C-SSRS, is the most evidence-supported tool of its kind, it is a simple series of questions that anyone can use anywhere in the world to prevent suicide.

Target Audience

This activity is designed for primary care and family medicine physicians, physician assistants, nurse practitioners, registered nurses, psychologists, and social workers providing routine care to patients. 

Learning Objectives

  • Explain how screening with the Columbia-Suicide Severity Rating Scale  (C-SSRS) can be used to identify at-risk individuals.
  • Identify steps to implement a comprehensive screening program that includes targeted and public health approaches to prevention.
  • Describe how utilizing a systemic best practice measurement, like the C-SSRS, to identify suicidal ideation and behavior results in improved identification of at-risk individuals and precision which ultimately saves lives.
  • Outline the types of suicidal ideation and the four behaviors that are predictive of imminent risk.
  • Demonstrate how to administer the C-SSRS full and screener scales including listing long and short term risk and protective factors.

Additional Information

Healthy Bodies, Healthy Minds
Warren Alpert Medical School of Brown University
Course summary
Available credit: 
  • 1.50 AMA PRA Category 1 Credit
  • 1.50 APA
  • 1.50 Attendance
Course opens: 
Course expires: 

Guest Speaker
Adam M. Lesser, MSW, LCSW
Assistant Professor, Department of Child and Adolescent Psychiatry
Columbia University Vagelos College of Medicine
Deputy Director for Training and Implementation
The Columbia Lighthouse Project
Columbia University Medical Center/New York State Psychiatric Institute
New York, NY 

Course Chair
Robert Harrison, MD
Program Director, Washington County Zero Suicide

Planning Committee
Jennifer Maloney
Coordinator, Office of CME
Warren Alpert Medical School of Brown University

Susan A. Orban, LICSW 
Director, South County Healthy Bodies, Health Minds
Coordinator, Washington County Zero Suicide Program

Danielle Stewart, M.A., L.M.H.C.
Behavioral Health Community Outreach Coordinator
Healthy Bodies, Healthy Minds Washington County

Maria Sullivan
Director,  Office of CME 
Warren Alpert Medical School of Brown University


There are no fees for participating in and receiving credit for this activity.

  • Review the activity objectives, faculty information, and CME information prior to participating in the activity.
  • View the CME presentation
  • Complete the posttest with a passing score of 70% or better
  • Complete the CME activity evaluation at the conclusion of the activity in order to receive a credit certificate.


In accordance with the disclosure policy of the Brown University CME Office as well as standards set forth by the Accreditation Council on Continuing Medical Education (ACCME), speakers have been asked to disclose any relevant financial relationship with the manufacturers of any commercial products and/or provider of commercial services discussed in any educational presentation and with any commercial supporters or exhibitors of this activity.

The intent of this policy is not to prevent a speaker with a potential conflict of interest from making a presentation but to identified openly so that the listener may form his/her own opinion. Any potential conflicts of interest have been resolved prior to this presentation.

This activity may include discussion of off-label or investigative drugs uses. Speakers are aware that it is their responsibility to disclose to the audience this information. Individual Faculty Disclosure information may be found in the conference handouts.

Faculty Disclosure/Conflict of Interest

The following speakers and planning committee members* have disclosed that they have no relevant financial relationships:

Adam M. Lesser, MSW, LCSW
Robert Harrison, MD*
Jennifer Maloney*
Susan A. Orban, LICSW *
Danielle Stewart, M.A., L.M.H.C.*
Maria Sullivan, BS*

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Warren Alpert Medical School of Brown University and South County Healthy Bodies, Healthy Minds. The Warren Alpert Medical School of Brown University is accredited by the ACCME to provide continuing medical education.

The Warren Alpert Medical School of Brown University designates this enduring activity for a maximum of 1.5 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.


Participants will receive a Certificate of Attendance stating this program is designated for 1.5 hours AMA PRA Category 1 Credits™. This credit is accepted by the Rhode Island Board of Licensure.

Continuing Education for Nurses

This nursing continuing professional development activity was approved by the Northeast Multistate Division Education Unit, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Continuing Education for Social Workers

The above program has been approved in accordance with the Regulations of the Rhode Island Social Work Board of Licensure

Other Healthcare Providers

 Participants will receive a Certificate of Attendance stating this program is designated for 1.5 AMA PRA Category 1 CreditTM. Many other disciplines accept AMA PRA Category 1 CreditTM towards re-licensure or recertification. Check with your state licensing board to verify.

Available Credit

  • 1.50 AMA PRA Category 1 Credit
  • 1.50 APA
  • 1.50 Attendance
Please login or register to take this course.

This course is offered through Brown Alpert Medical School. 

To take this course you will be redirected to Brown Alpert Medical School's website. You must login or create an account with Brown Alpert Medical School in order to complete this activity. 

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