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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@@ -1,4 +1,6 @@
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# Кризисный скрипт (guardrail №2, issue #4). Отправляется ДОСЛОВНО при safety = acute; LLM не вызывается.
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# `resources` — ЕДИНСТВЕННАЯ таблица телефонов приложения: остальные тексты и промпты ссылаются на неё через
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# `{phone:<ключ>}` (app/core/safety.py::fill_phones). Источники и проверка — docs/clinical/crisis-contacts.md.
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# СТАТУС: черновик, утверждает психиатр (#8).
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#
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# Выбор варианта (app/core/safety.py::crisis_reply): `<audience>.<категория>` по порядку category_priority,
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@@ -17,6 +19,11 @@ resources:
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name: "Психологическая помощь МЧС России"
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phone: "+7 (495) 989-50-50"
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note: "круглосуточно; стоимость звонка по тарифу оператора"
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# For minors only (age gate stop text); not a general adult crisis line (docs/clinical/crisis-contacts.md).
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child_helpline:
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name: "Детский телефон доверия"
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phone: "8-800-2000-122"
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note: "для детей, подростков и родителей; бесплатно, анонимно"
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police:
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name: "Полиция"
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phone: "102"
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