fix(clinical): красные флаги, одно правило кризиса, звонок после кризиса, одна таблица номеров

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Author	SHA1	Message	Date
Arxip222	37b612b8c4	Merge remote-tracking branch 'origin/dev' into fix/clinical-review-safety CI / ruff · pytest (pull_request) Successful in 2m22s Details	2026-10-04 16:21:24 +03:00
Arxip222andClaude Opus 5.5	44814b7293	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>	2026-10-04 16:21:16 +03:00

Author

SHA1

Message

Date

Arxip222

37b612b8c4

Merge remote-tracking branch 'origin/dev' into fix/clinical-review-safety

CI / ruff · pytest (pull_request) Successful in 2m22s

Details

2026-10-04 16:21:24 +03:00

Arxip222andClaude Opus 5.5

44814b7293

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>

2026-10-04 16:21:16 +03:00

fix(clinical): красные флаги, одно правило кризиса, звонок после кризиса, одна таблица номеров #94