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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@@ -62,7 +62,7 @@ rules:
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params: {}
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actions:
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- {type: alert, level: high}
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reason_ru: "C-SSRS: умеренный риск, врачу в течение 24 ч"
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reason_ru: "C-SSRS: умеренный риск, психиатр — ориентир 24 ч"
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# ---------------------------------------------------------------- scale thresholds (yellow)
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- id: phq9_severe
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@@ -73,10 +73,12 @@ rules:
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reason_ru: "PHQ-9 = {total} (тяжёлая депрессия, порог {threshold})"
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- id: pcl5_severe
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description: Latest PCL-5 total >= 50 → doctor within 24 h.
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description: >
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Latest PCL-5 total >= 50 → planned specialist review. Not a priority appointment by itself: risk and flags
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come first, scales second (clinical review 2026-10-04).
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params: {threshold: 50}
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actions:
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- {type: alert, level: high}
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- {type: alert, level: moderate}
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reason_ru: "PCL-5 = {total} (порог {threshold})"
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- id: phq9_rise
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