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Form Details

• Form Properties
  1. Form Title: C-SSRS (Columbia) Lifetime Recent Clinical
  2. Start from an Existing Form – Yes, if there is a previous assessment signed and locked.
  3. Copyrighted Form – Yes. Copyright © 2008 The Research Foundation for Mental Hygiene, Inc.
  4. Billable Progress Note – No
  5. Have multiple versions open at same time – No
  6. Open Blank on new version – No
• Required Fields – Yes
• Lookup Tables – No
• Pre-Fill Logic – None
• Fill to Logic – None
• Signatures
  1. Staff Signature
     • Sig type: Any
     • Title will fill title entered in user setup.
     • Signature locks the form.
     • Route To functionality is available.

Questions Tabs

1. Select the Yes or No options for Lifetime and Past Month for each question. If Yes, enter a description as to why. Do this for the Questions tab.

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Intensity of Ideation Tabs

1. Complete the text boxes by filling in the necessary information for all Intensity of Ideation tabs.

Suicidal Behavior Tabs

1. Select the appropriate options and fill in the text boxes with necessary information for each Suicidal Behavior tab.

Lethality Tab

1. Enter the Most Recent, Most Lethal and Initial/First Attempt Date.
2. Enter the code corresponding to each of the dates.

Signature Tab

1. Staff Signature
   • Sig type: Any
   • Title will fill title entered in user setup.
   • Signature locks the form.
   • Route To functionality is available.

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