Objective: To develop a scale of risk stratification for patients with spontaneous intracerebral hemorrhages (ICH) and SICH score was proposed based on clinical and radiologic factors independent associated with short-term clinical outcomes. The diagnostic performance of SICH was evaluated. Methods: A retrospective study with ICH patients admitted to our hospital was performed during June 2011 and December 2014. Univariate analysis and Logistics regression were performed to determine the independent risk factors. The SICH score was developed with independent predictors and the predictive accuracy was assessed. Results: Independent prognostic factors associated with poor outcome were age, GCS, comorbidities, systolic blood pressure range, intraventricular hematoma, hematoma volume and location. The range of SICH was from 0 (best) to 8 (worst). A cutoff value of ≥4 and ≤2 for favorable and poor outcomes provided the best predictive performances, respectively. Accordingly, Youden’s index was 0.61, area under ROC was 0.88 (95% CI: 0.85~0.91) for poor outcome and Youden’s index was 0.55, area under ROC was 0.85 (95% CI: 0.81~0.89) for favorable outcome. Conclusion: The SICH score can accurately stratify ICH patients with regard to short-term clinical outcome, providing a favorable diagnositc performance.