Comprehensive mental health assessment system, combining international standardized psychological scales, multi-dimensional assessment, crisis detection, and AI-powered psychological support.
Operation Types
1. Start Assessment - start
Begin a new mental health assessment. AI will guide you to select the appropriate assessment type.
/psych-assess start
AI guidance includes:
- Select assessment type (quick screening/comprehensive)
- Understand what mental health assessment is
- Get recommendations
2. Quick Screening - quick
Quick emotional health check, takes about 2 minutes.
Includes:
- 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
Execution Flow
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:
- What specific event today prompted you to take this assessment
- Any life changes in recent weeks
- Social support situation
- 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:
- Frequency of thoughts
- Intensity of thoughts
- Specificity of plan
- Availability of means
- Intent to act
- Past attempts
- Protective factors
Step 5: Data Saving
File Path Format:
data/psych-assessments/YYYY-MM/YYYY-MM-DD_HHMM_type.json
type:
initial: Initial assessmentfollowup: Follow-up assessmentquick: 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
Standardized Psychological Scale Library
PHQ-9 Depression Symptom Scale
| Item No. | Question Content | 0 points | 1 point | 2 points | 3 points |
|---|---|---|---|---|---|
| 1 | Little interest or pleasure in doing things | Not at all | Several days | More than half the days | Nearly every day |
| 2 | Feeling down, depressed, or hopeless | Not at all | Several days | More than half the days | Nearly every day |
| 3 | Trouble falling or staying asleep, or sleeping too much | Not at all | Several days | More than half the days | Nearly every day |
| 4 | Feeling tired or having little energy | Not at all | Several days | More than half the days | Nearly every day |
| 5 | Poor appetite or overeating | Not at all | Several days | More than half the days | Nearly every day |
| 6 | Feeling bad about yourself, or that you are a failure | Not at all | Several days | More than half the days | Nearly every day |
| 7 | Trouble concentrating on things | Not at all | Several days | More than half the days | Nearly every day |
| 8 | Moving or speaking so slowly or being restless | Not at all | Several days | More than half the days | Nearly every day |
| 9 | Thoughts of self-harm | Not at all | Several days | More than half the days | Nearly every day |
Scoring Criteria：
- 0-4 points: No depression
- 5-9 points: Mild depression
- 10-14 points: Moderate depression
- 15-19 points: Moderately severe depression
- 20-27 points: Severe depression
GAD-7 Anxiety Symptom Scale
| Item No. | Question Content | 0 points | 1 point | 2 points | 3 points |
|---|---|---|---|---|---|
| 1 | Feeling nervous, anxious, or on edge | Not at all | Several days | More than half the days | Nearly every day |
| 2 | Not being able to stop or control worrying | Not at all | Several days | More than half the days | Nearly every day |
| 3 | Worrying too much about various things | Not at all | Several days | More than half the days | Nearly every day |
| 4 | Trouble relaxing | Not at all | Several days | More than half the days | Nearly every day |
| 5 | Feeling unable to sit still due to restlessness | Not at all | Several days | More than half the days | Nearly every day |
| 6 | Becoming easily annoyed or irritable | Not at all | Several days | More than half the days | Nearly every day |
| 7 | Feeling as if something terrible might happen | Not at all | Several days | More than half the days | Nearly every day |
Scoring criteria：
- 0-4 points: Mild anxiety
- 5-9 points: Mild anxiety
- 10-14 points: Moderate anxiety
- 15-21 points: Severe anxiety
PSS-4 Perceived Stress Scale
| Question number | Question content | 0 points | 1 point | 2 points | 3 points | 4 points |
|---|---|---|---|---|---|---|
| 1 | Feeling unable to control the things in your life | Never | Almost never | Sometimes | Often | Very often |
| 2 | Feeling a lack of self-confidence | Never | Almost never | Sometimes | Often | Very often |
| 3 | Feeling that things are going smoothly and as you wish (reverse-scored) | Never | Almost never | Sometimes | Often | Very often |
| 4 | Feeling that you are handling everything with ease (reverse-scored) | Never | Almost never | Sometimes | Often | Very often |
Reverse scoring: Q3 and Q4 need to be reverse-scored (0→4, 1→3, 2→2, 3→1, 4→0)
Scoring criteria：
- 0-6 points: Low stress
- 7-10 points: Moderate stress
- 11-16 points: High stress
WHO-5 Well-Being Index
| Question number | Question content | 0 points | 1 point | 2 points | 3 points | 4 points |
|---|---|---|---|---|---|---|
| 1 | Feeling cheerful and in good spirits | At no time | Sometimes | More than half the time | Most of the time | All of the time |
| 2 | Feeling calm and relaxed | At no time | Sometimes | More than half the time | Most of the time | All of the time |
| 3 | Feeling active and vigorous | At no time | Sometimes | More than half the time | Most of the time | All of the time |
| 4 | Waking up feeling fresh and rested | At no time | Sometimes | More than half the time | Most of the time | All of the time |
| 5 | Feeling interested and fulfilled in daily life | None of the time | Sometimes | More than half the time | Most of the time | All of the time |
Scoring Criteria：
- 0-12 points: Low well-being
- 13-18 points: Moderate well-being
- 19-25 points: Good well-being
Enhanced Crisis Assessment Protocol
Five-Level Risk Stratification System
| Risk Level | Trigger Conditions | Response Actions |
|---|---|---|
| CRITICAL | PHQ-9 item 9 = 3, plans to act soon, recent suicide attempt, psychotic symptoms | Call a crisis hotline immediately, go to the emergency room, do not stay alone |
| HIGH | Clear plan + available means + intent to act, multiple previous attempts, high hopelessness | Seek professional help immediately, contact a doctor, develop a safety plan |
| MODERATE | No clear plan but has intent, PHQ-9 item 9 = 1, moderate symptoms | Schedule an appointment with a mental health professional within 48 hours, contact someone you trust |
| LOW | Mild suicidal thoughts, occasional hopelessness | Psychological counseling, self-help resources, follow-up in 2 weeks |
| MINIMAL | No crisis indicators, mild or no symptoms | Regular monitoring, healthy lifestyle |
Crisis Resource Library
24-Hour Psychological Crisis Intervention Hotline：
- National Psychological Assistance Hotline: 400-161-9995
- Beijing Suicide Research and Prevention Center: 010-82951332
- Shanghai Psychological Hotline: 021-12320-5
- Guangzhou Psychological Hotline: 020-81899120
- Shenzhen Psychological Hotline: 0755-25629459
- Police: 110
- Emergency Medical Services: 120
Safety Protocol and Boundaries
Safety Red Lines (Strictly Prohibited)
- Do not provide specific medication dosages
- Do not directly prescribe prescription drug names
- Do not make prognostic judgments
- Do not replace a doctor's diagnosis
- Must identify crisis risks and provide timely warnings
Disclaimer
Each report must include:
- This assessment is for reference only,not a medical diagnosis
- Resultscannot replace professional psychological counseling or psychiatric evaluation
- All recommendationsshould be followed only after consulting a doctor
- Do not provide medication dosages or specific treatment plans
- In case of an emergency, pleaseseek medical attention immediately or call emergency services
Integration with Existing Systems
- With the /mood command: Records from the same day are automatically linked; mood trends can be referenced in assessment reports
- With the /symptom command: Detect associations between somatic symptoms and stress/anxiety
- With the /consult command: Automatically recommend psychiatric specialist consultation in high-risk cases
Error Handling
- Incomplete assessment: Incomplete assessment detected, prompt to continue
- No assessment records: Prompt to start a new assessment
- File read error: Check file integrity
- Date format error: Use YYYY-MM-DD format
Notes
- This system uses internationally standardized psychometric scales; results are for reference
- This systemcannot replace professional medical diagnosis
- If emotional problems persist, you should seek help from a professional counselor or psychiatrist
- In a crisis, you should immediately call a crisis hotline or go to the hospital emergency department
- All data is stored only locally; be mindful of protecting personal privacy
- Regular assessments are recommended (every 2-4 weeks) to track trends over time
Remember, seeking help is a sign of bravery, not weakness.