STRUCTURED CLINICAL INTERVIEW FOR DSM-IV-TR AXIS I DISORDERS Patient Edition (With Psychotic Screen) (January 2007)

S C I D - I / P (W/ PSYCHOTIC SCREEN)

Michael B. First, M.D.; Robert L. Spitzer, M.D.; Miriam Gibbon, M.S.W.; and Janet B.W. Williams, D.S.W. Study: __________________________________ Study No.: I.D. No.: Rater No.: Date of Interview: Sources of information (check all that apply): __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Mo. Day Year

PS1 PS2 PS3 PS4

Subject: __________________________________ Rater: __________________________________

__ Subject __ Family/friends/associates __ Health professional/chart/referral note

PS5 PS6 PS7

Edited and checked by: __________________________________

Date:_______________

The development of the SCID was supported in part by NIMH Contract #278-83-0007(DB) and NIMH Grant #1 R01 MH40511. DSM-IV-TR criteria are reprinted with permission of the American Psychiatric Association. For citation: First, Michael B., Spitzer, Robert L., Gibbon, Miriam, and Williams, Janet B.W.: "Structured Clinical Interview for DSM-IV-TR Axis I Disorders - Patient Edition (With Psychotic Screen)" (SCID-I/P (W/ PSYCHOTIC SCREEN), 1/2007 revision) Biometrics Research Department New York State Psychiatric Institute 1051 Riverside Drive - Unit 60 New York, New York 10032 Web page: http://www.scid4.org 2007 Biometrics Research Department

SCID-I/PS (W/PsyScr) (for DSM-IV-TR)

DX code

(JAN 2007)

Summary Score Sheet i

Meets Symptomatic Dx. Crit. past Month Absent 1 Current episode: manic mixed hypomanic major depressive unspecified Neither Melancholic, Atypical, Nor catatonic Melancholic Atypical Catatonic 0 1 2 3 Present 3
PS8 PS9

Diagnosis

Lifetime Prevalence Inadequate info. Absent SubThreshold Threshold 2 3 1 2

MOOD DISORDERS 01 Bipolar I Disorder (D. 1) ? 1

Single Manic Episode Recurrent

PS10 PS11

1 2 3 4 5

PS12

Without Rapid Cycling With Rapid Cycling

0 1

PS13 PS14

W/O Seasonal Pattern With Seasonal Pattern (only if not current): In Partial Remission In Full Remission

0 1 Current severity: mild moderate severe, without psychotic features with mood-congruent psychotic features with mood-incongruent psychotic features

PS15 PS16

6 7

1 2 3 4 5

02

Bipolar II Disorder (D. 2)

1 Current episode: hypomanic major depressive

PS17 PS18 PS19

1 2 Without Rapid Cycling With Rapid Cycling W/O Seasonal Pattern With Seasonal Pattern (only if not current): In Partial Remission In Full Remission 0 1 0 1 6 7 1 2 3 4 5 03 Other Bipolar Disorder ? 1 2 3 (D. 5) 1 Cyclothymic Disorder 2 Intermittent Hypomanic Episodes 3 Manic or Hypomanic Episode superimposed on Psychotic Disorder 4 Bipolar Disorder NOS with subthreshold manic episodes 5 Other

Neither Melancholic, Atypical, Nor catatonic Melancholic Atypical Catatonic

0 1 2 3

PS20 PS21 PS22

Current severity: mild moderate severe, without psychotic features with mood-congruent psychotic features with mood-incongruent psychotic features 1 3

PS23 PS24

PS25 PS26 PS27