AgentSkillsCN

ultra-brief-screening

当时间有限、亟需快速完成抑郁与焦虑联合筛查时使用。提供 PHQ-4（PHQ-2 + GAD-2）测评，并附带解读与分诊指导。

SKILL.md
--- frontmatter
name: "ultra-brief-screening"
description: "Use when time is limited and you need a rapid combined depression and anxiety screen. Provides PHQ-4 (PHQ-2 + GAD-2) with interpretation and triage guidance."

Ultra-Brief Screening

Description

This skill provides the PHQ-4, a rapid combined depression and anxiety screener ideal for high-volume or time-limited settings.

Quick Reference

AssessmentItemsTimePurposeCutoffWhen to Use
PHQ-44<1 minUltra-brief depression + anxiety screenTotal ≥6 suggests high likelihoodPrimary care, universal screening, triage

Assessment Tool

PHQ-4

Complete assessment with items, scoring, and documentation: → assets/phq-4.md

Interactive Administration (Optional)

Use this mode when the clinician says "start" or "administer" the PHQ-4.

  1. •Confirm readiness and explain the past 2 weeks time frame plus the 0-3 response scale.
  2. •Ask one item at a time (verbatim from the asset file) and wait for a response before continuing.
  3. •Accept numeric or verbal responses; if unclear or out of range, ask for clarification.
  4. •Record each response, compute the total score (0-12), and track depression/anxiety sub-scores.
  5. •If the screen is positive, recommend PHQ-9 and/or GAD-7 for severity assessment.
  6. •Offer a brief documentation summary if requested.

Clinical Workflow

  1. •Administer PHQ-4
  2. •Score and interpret
  3. •If positive, proceed to PHQ-9 and/or GAD-7 for severity
  4. •Document results and next steps

Documentation

Use the documentation template in the PHQ-4 asset file.

References

  • •See references files in this skill and shared clinical references.