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cognitive behavioural interpersonal skills manual - GPSC

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5 Energy levela. How would you rate your energy level if 1 = the worst and 10 = the best onaverage these days? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6 Concentrationa. How would you rate your concentration if 1 = the worst and 10 = the best onaverage these days? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7 Appetitea. How would you rate your appetite if 1 = the most unhealthy and 10 = the mosthealthy, on average these days?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .b. Have you gained or lost weight in the past months and how much?. . . . . . . . . . .c. Have you ever been anorexic (restricted your food) or bulimic (binge eat or causedyourself to vomit)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Psychomotor Retardationa. That dragged out feeling when you wake up and drag yourself through the day,how would you rate it if 1 = the most dragged out and 10 = not dragged out at all,on average these days? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .b. That edgy irritable feeling, 1 = the most irritable and 10 = the least, how would yourate it on average these days? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9 Suicidea. Now looking at suicide, first let’s look at suicidal thoughts, then we’ll look atsuicidal intent.b. looking at suicidal thoughts if 1 = thinking about suicide all the time and 10 = notthinking about suicide at all, how would you rate your thoughts, on averagethese days? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .c. Do you have a plan? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .d. Have you gathered materials to carry out suicide? . . . . . . . . . . . . . . . . . . . . . . . .e. What keeps you going and/or gives you hope?. . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Continued on next pageCBIS Manual | JunE 2009assessment | 13

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