Psych Assess

• PHQ-2 (depression quick screening): 2 questions
• GAD-2 (anxiety quick screening): 2 questions
• Crisis indicator detection

/psych-assess quick

3. Full Assessment - full

Comprehensive multi-dimensional mental health assessment, takes about 10-15 minutes.

Includes:

• Informed consent and baseline assessment
• PHQ-9 (depression symptom assessment): 9 questions
• GAD-7 (anxiety symptom assessment): 7 questions
• PSS-4 (stress level assessment): 4 questions
• WHO-5 (well-being index): 5 questions
• Sleep quality assessment: 4 questions
• Enhanced crisis assessment (if triggered)
• Detailed assessment report and recommendations

/psych-assess full

4. Assessment Report - report

Generate detailed mental health assessment report with trend analysis.

/psych-assess report              # Latest assessment report
/psych-assess report 2025-12-15   # Report for specific date
/psych-assess report trends       # Trend analysis report

5. Assessment History - history

View mental health assessment history.

/psych-assess history             # All assessment history
/psych-assess history recent 5    # Recent 5 assessments
/psych-assess history 2025-12     # Assessments for specific month

6. Dialogue Support - dialogue

Start or continue post-assessment psychological support dialogue.

/psych-assess dialogue

7. Crisis Resources - crisis

Get 24-hour crisis intervention resources (no data required).

/psych-assess crisis

执行流程

Step 1: Informed Consent (Required for Full Assessment)

Display informed consent form, ensure user understands:

• This assessment uses internationally standardized psychometric scales
• Assessment results are for reference only, not medical diagnosis
• Results cannot replace professional psychological counseling or psychiatric evaluation
• Data is stored locally on device
• Regular assessments are recommended to track changes in trends

Important Notice: If any of the following occur, stop immediately and seek medical help:

• Suicidal or self-harm thoughts or plans
• Hallucinations or delusions
• Complete inability to perform daily activities
• Recent suicide attempts

Step 2: Baseline Information Collection (Full Assessment)

Collect the following information to help interpret assessment results:

1. What specific event today prompted you to take this assessment
2. Any life changes in recent weeks
3. Social support situation
4. What you hope to gain from this assessment

Step 3: Scale Administration

Based on assessment type (quick/full), administer corresponding scales:

• Quick screening: PHQ-2 + GAD-2
• Full assessment: PHQ-9 + GAD-7 + PSS-4 + WHO-5 + Sleep quality

Step 4: Crisis Assessment (Triggered when PHQ-9 Question 9 > 0)

Enhanced crisis assessment includes 7 questions:

1. Frequency of thoughts
2. Intensity of thoughts
3. Specificity of plan
4. Availability of means
5. Intent to act
6. Past attempts
7. Protective factors

步骤5：数据保存

File Path Format:

data/psych-assessments/YYYY-MM/YYYY-MM-DD_HHMM_type.json

type:

• initial: Initial assessment
• followup: Follow-up assessment
• quick: Quick screening

Step 6: Update Global Index

Add assessment record and update statistics in data/index.json.

Step 7: Output Report

Generate detailed assessment report including:

• Executive summary
• Scale score results
• Risk assessment and crisis detection
• Comprehensive recommendations
• Referral recommendations
• Crisis resources
• Follow-up plan

标准化心理量表库

PHQ-9 抑郁症状量表

评分标准：

• 0-4分: 无抑郁
• 5-9分: 轻度抑郁
• 10-14分: 中度抑郁
• 15-19分: 中重度抑郁
• 20-27分: 重度抑郁

GAD-7 焦虑症状量表

评分标准：

• 0-4分: 轻微焦虑
• 5-9分: 轻度焦虑
• 10-14分: 中度焦虑
• 15-21分: 重度焦虑

PSS-4 知觉压力量表

反向计分：Q3和Q4需要反向计分（0→4, 1→3, 2→2, 3→1, 4→0）

评分标准：

• 0-6分: 低压力
• 7-10分: 中等压力
• 11-16分: 高压力

WHO-5 幸福感指数

评分标准：

• 0-12分: 幸福感低
• 13-18分: 幸福感中等
• 19-25分: 幸福感良好

增强危机评估协议

五级风险分层系统

危机资源库

24小时心理危机干预热线：

• 全国心理援助热线：400-161-9995
• 北京心理危机研究与干预中心：010-82951332
• 上海市心理热线：021-12320-5
• 广州市心理热线：020-81899120
• 深圳市心理热线：0755-25629459
• 报警：110
• 急救：120

安全协议与边界

安全红线（严格禁止）

1. 不给出具体用药剂量
2. 不直接开具处方药名
3. 不判断预后
4. 不替代医生诊断
5. 必须识别危机风险并及时预警

免责声明

每次报告必须包含：

• 本评估仅供参考，不是医疗诊断
• 结果不能替代专业心理咨询或精神科评估
• 所有建议请咨询医生后执行
• 不提供药物剂量或具体治疗方案
• 如有紧急情况，请立即就医或拨打急救电话

与现有系统集成

• 与 /mood 命令：同一天记录自动关联，评估报告中可引用情绪趋势
• 与 /symptom 命令：检测躯体化症状与压力/焦虑的关联
• 与 /consult 命令：高风险时自动建议精神科专家会诊

错误处理

• 未完成评估：检测到未完成的评估，提示继续
• 无评估记录：提示开始新评估
• 文件读取错误：检查文件完整性
• 日期格式错误：使用 YYYY-MM-DD 格式

注意事项

• 本系统使用国际标准化心理测量量表，结果具有参考价值
• 本系统不能替代专业医疗诊断
• 如有持续情绪问题，应寻求专业心理咨询师或精神科医生的帮助
• 危机情况下，应立即拨打危机热线或前往医院急诊
• 所有数据仅保存在本地，注意保护个人隐私
• 建议定期评估（每2-4周）以追踪变化趋势

记住，寻求帮助是勇敢的表现，不是软弱。