Початкова психіатрична оцінка
Area | Elements |
|---|---|
Psychiatric history | Current diagnoses Relevant past psychiatric history (eg, psychotic symptoms, manic episodes) Previous treatments, including medications, procedures (eg, electroconvulsive therapy), and hospitalizations |
General medical history | Current and past medical conditions and treatments New-onset physical symptoms Recent health changes (eg, pregnancy, menopause) Current medications and any relevant past medications Review of systems |
Social history | Living arrangements (eg, alone, with family, in group home or shelter, on street) Relationship history, including quality and stability of marriage (or marriages) or significant relationships Pattern of social life (eg, quality and frequency of interaction with friends and family) Employment history, including stability and effectiveness at work Education level and educational history (eg, current status as student, completion of educational milestones [eg, high school diploma, completion of college degree, if begun], reasons for any difficulties in school) Legal history, including arrests and incarcerations Other social determinants of health (eg, financial stability, health care access, social and community environment) |
Family history | Known diagnoses, including psychiatric disorders |
Response to the usual vicissitudes of life | Divorce, job loss, death of friends and family, illness, other failures, setbacks, and losses |
Developmental history | Family composition and atmosphere during childhood Behavior during schooling Handling of different family and social roles Sexual adaptation and experiences |
Current and past history of substance misuse | Current or past use or misuse of tobacco, alcohol, and/or illicit and/or recreational drugs |
Potential for harm to self or others | Suicidal thoughts, plans, and intent Prior suicide attempts and means used Intent to harm others |