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Assessing the Risk of Depression and Suicide

Current serious suicide ideation or suicide plan, or history of psychosis or bipolar disorder?

[C]

Current depressive disorder
(as demonstrated by)?

• BDI > 18
• Meets DSM-IV criteria for major depression
• Currently receiving treatment for depression?
• Positive Screen for PTSD

[D]

Possible SUD?

• AUDIT - C>4
• > Five times lifetime drug use for recreational drugs
• Positive UDS for non-prescribed]
• Injection drug use in the past 6 months
• Positive breath or blood alcohol at clinic visit

History of diagnosis or treatment for SUD

[E]

High risk for developing MH or SUD disorders during antiviral treatment?

• BDI score 6 - 18

Currently drinking >two drinks/day

• History of PTSD
• History of two or more past psychiatric diagnoses

[F]

• Monitor neuropsychiatric symptoms with standardized scale every 2 - 4 weeks for at least 12 weeks, or throughout antiviral treatment

• Periodically reassess substance use

[G]