fix(clinical): red flags, one crisis rule, callback after a crisis, one table of numbers
Clinical review of the questionnaires (ADR-013):
- Red-flag block first in stage 1 (config/instruments/red_flags.yaml); any «Да» stops the
questionnaire with an acute alert and the help screen of its category.
- One crisis rule: the crisis screen opens at a HIGH C-SSRS risk only; moderate stops and goes
to a psychiatrist (24 h as a guide), low is a flag with the safety plan. PHQ-9 item 9 with a
negative screener is a discrepancy flag; without a completed screener it asks the C-SSRS at once.
config/questionnaire.yaml: cssrs_positive_policy graded (C01).
- Every crisis leaves a callback task for the doctor on duty (post_crisis_call, one per patient)
and the app asks how the person is the next day, the safety plan one tap away.
- Routing: risk and flags first, scales second; PCL-5 >= 50 no longer means a priority
appointment (pcl5_severe is moderate on the dashboard too).
- Crisis numbers live only in config/texts/crisis.yaml; texts and the agent prompt refer to them
via {phone:<key>}. Fixes the children's helpline offered to adults by the chat agent.
Refs #92
Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
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@@ -1,7 +1,8 @@
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# Review candidate from the supplied MVP PDF, not a signed clinical protocol.
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version: mvp-v2-review-2026-10-03
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approval: null
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cssrs_positive_policy: pending
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# C01 decided by the team after the clinical review (2026-10-04, ADR-013): crisis screen at HIGH risk only.
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cssrs_positive_policy: graded
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rus_audit_s_expand_from_zone: null
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phq2_expand_at: 2
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tsq_expand_at: 6
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@@ -9,5 +10,4 @@ phq9_psychologist_at: 5
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phq9_specialist_at: 10
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phq9_priority_at: 20
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pcl5_specialist_at: 31
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pcl5_priority_at: 50
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pcl5_behavior_flag_at: 3
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