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Refusal to disclose current plan
High lethality / intent
Review of records of previous treatment / psychological testing
Consultation with patient's physician / previous physicians
Medical evaluation
Assessment by other mental health professional(s)
Brief inventories or rating scales
Consultation with employer / other important persons in patient's life
Interview with family
Structured interview
Clinical interview with patient
Purpose of current testing
Lifetime number of testing episodes
Neurosurgery planned for epilepsy control
Seizures at least 1x/mo AND on optimal medication
Retesting planned to monitor rehabilitation / functioning AND no testing w/in last 6 mos
Retesting planned to evaluate response to new treatment AND no more than 1 testing episode w/in last 12 mos
Unexpected change in Sx w/in last 4 mos AND no more than 1 testing episode w/in last 12 mos
Hx of head injury WITH loss of consciousness / post-traumatic amnesia
Confirmed by imaging
Potential for dangerous interaction with medications needed for comorbid medical condition
Medication would result in significant adverse effects due to comorbid medical condition
Specialist consultation completed
ECG performed
Brain imaging / EEG performed
Laboratory testing completed
Substantial morbidity / mortality associated with delay in pharmacotherapeutic response
Potential for dangerous interaction with medications needed for comorbid medical condition
Medication would result in significant adverse effects due to comorbid medical condition
Medication trials included most recent generation of medications at adequate dosage
Trials of at least 2 different medication regimens
Involuntary repetition of another's actions / verbalizations
Pecularities of voluntary movement
Mutism / Resists instruction / being moved
Excessive motor activity w/o apparent purpose
Motoric immobility
Excessive involvement in pleasurable activities WITH high potential for painful consequences
Increased goal-directed activity / Psychomotor agitation
Distractibility
Racing thoughts / Flight of ideas
Pressured speech / Increased talkativeness
Decreased need for sleep
Inflated self-esteem / Grandiosity
Refusal of food / fluids presents a medical risk
Significant functional impairment
Socially withdrawn
Psychotic symptoms
Severe agitation / aggression
Acutely suicidal
Paradoxical reaction
Symptoms increasing / uncontrolled
Adverse effects unmanageable
Persistent / Recurrent at least 1x/d
New onset w/in 48h of medication initiation
Persistent lightheadedness upon standing
Hx falling / Unsteady gait
Paradoxical reaction
Symptoms increasing / uncontrolled
Adverse effects unmanageable
Persistent / Recurrent at least 1x/d
New onset w/in 48h of medication initiation
Persistent lightheadedness upon standing
Hx falling / Unsteady gait
Impulsive / Agitated
Access to firearms / other lethal means
Refusal to disclose current plan
High lethality / intent
Medically unstable w/in last 48h AND ECT treatment postponed
Nonresponsive to treatment AND support system unavailable / unable to manage intensity of symptoms
Changes in mental status persist beyond 4h post treatment
Mental status evaluation q2h
15 min checks
Second treatment administrated / planned w/in 72h of first treatment
Paradoxical reaction
Symptoms increasing / uncontrolled
Adverse effects unmanageable
Persistent / Recurrent at least 1x/d
New onset w/in 48h of medication initiation
Persistent lightheadedness upon standing
Hx falling / Unsteady gait
Medically unstable w/in last 48h AND ECT treatment postponed
Nonresponsive to treatment AND support system unavailable / unable to manage intensity of symptoms
Changes in mental status persist beyond 4h post treatment
Mental status evaluation q2h
15 min checks
Second treatment administrated / planned w/in 72h of first treatment
Paradoxical reaction
Symptoms increasing / uncontrolled
Adverse effects unmanageable
Persistent / Recurrent at least 1x/d
New onset w/in 48h of medication initiation
Persistent lightheadedness upon standing
Hx falling / Unsteady gait
Impulsive / Agitated
Access to firearms / other lethal means
Refusal to disclose current plan
High lethality / intent
Self-mutilation
Preoccupation with somatic symptoms unexplained by medical evaluation / unresponsive to treatment
Excessive / Innappropiate utilization of general / emergency medical services
Medication / Substance misuse
Psychiatric medication nonadherence
Weight loss ≥ 30% (0.30) w/in last 3 mos / ≥ 10% (0.10) w/in last mo w/o dieting
Impulsive / Agitated
Access to firearms / other lethal means
Refusal to disclose current plan
High lethality / intent
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