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Ultra brief screening

Skill rhavekost/clinical-toolkit/skills/ultra-brief-screening

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.From its SKILL.md

Install
npx -y skills add rhavekost/clinical-toolkit --skill ultra-brief-screening

Assembled from the repository path, not quoted from the project. Check it against their README if it does not work.

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SKILL.md

1.7 KB, 379 tokens by cl100k_base, as published. Nobody here has run it

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.

What ships with it: 2 files

1.2 KB alongside SKILL.md

assets/

references/

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