其他

其他精神科記錄方式 (憂鬱 SIG E CAPS, 自殺 SAD PERSON)

http://www.bamc.amedd.army.mil/staff/education/allied-health/empa/docs/SOAP-Note.doc

1. For Depression use SIG E CAPS: Sleep, Interests, Guilt, Decreased Energy level, Decreased Concentration, Increased or decreased appetite, increased or decreased psychomotor, suicidal thoughts. Major Depression is >5 of these for > 2 months.
2. For suicide risk stratification and to manage your risk regarding patient disposition, use the modified SAD PERSONS scale: Sex (female more attempts, male more completions) male = 1, Age <19 or="">45 = 1, Depression or hopelessness = 2 (use SIG E CAPS to assess), Prior attempts or psychiatric care = 1, Excessive ETOH or drug use = 1, Rational thought loss or change = 2, Separated/Divorced/Widowed = 1, Organized suicide plan or serious attempt = 2, No social supports = 1, Stated future intent = 2. Total give a rough idea of suicide risk: Low 1-4, Moderate 5-6, High >6. Low to moderate risk can probably be managed as an outpatient, high risk requires immediate mental health consultation.