STRUCTURED CLINICAL INTERVIEW FOR DSM-IV-TR AXIS I DISORDERS Patient Edition (January 2007)

SCID-I/P
Michael B. First, M.D.; Robert L. Spitzer, M.D.; Miriam Gibbon, M.S.W.; and Janet B.W. Williams, D.S.W. Study: __________________________________ Study No.: I.D. No.: Rater No.: Date of Interview: Sources of information (check all that apply): __ __ __ __ __ __ __ __ __ __ __
P3

P1

Subject: __________________________________ Rater: __________________________________

P2

__ __ __ __ __ __
Mo. Day Year
P4 P5 P6 P7

__ Subject __ Family/friends/associates __ Health professional/chart/referral note

Edited and checked by: __________________________________

Date:_______________

The development of the SCID was supported in part by NIMH Contract #278-83-0007(DB) and NIMH Grant #1 R01 MH40511. DSM-IV-TR criteria are reprinted with permission of the American Psychiatric Association. For citation: First, Michael B., Spitzer, Robert L., Gibbon, Miriam, and Williams, Janet B.W.: "Structured Clinical Interview for DSM-IV-TR Axis I Disorders-Patient Edition (SCID-I/P, 1/2007 revision)" Biometrics Research Department New York State Psychiatric Institute 1051 Riverside Drive - Unit 60 New York, New York 10032 Web page: http://www.scid4.org 2007 Biometrics Research Department

SCID-I/P (for DSM-IV-TR) DX code Diagnosis

(JAN 2007)

Summary Score Sheet ii Meets Symptomatic Dx. Crit. past Month

Lifetime Prevalence Inadequate info. SubThresh- Threshold old 2 3 1 2

Absent 1

Absent 1

Present 3
P8 P9

MOOD DISORDERS 01 Bipolar I Disorder (D. 1) ?

Single Manic Episode Recurrent

Current episode: 1 manic 2 mixed 3 hypomanic 4 major depressive 5 unspecified Neither Melancholic, Atypical, Nor catatonic Melancholic Atypical Catatonic 0 1 2 3

P10 P11

P12

Without Rapid Cycling With Rapid Cycling

0 1

P13 P14

W/O Seasonal Pattern With Seasonal Pattern (only if not current): In Partial Remission In Full Remission

0 1 Current severity: mild moderate severe, without psychotic features with mood-congruent psychotic features with mood-incongruent psychotic features 1 1 2 3
P15 P16

6 7

1 2 3 4 5

02

Bipolar II Disorder (D. 2)

P17 P18

Current episode: hypomanic major depressive Neither Melancholic, Atypical, Nor catatonic Melancholic Atypical Catatonic 0 1 2 3

P19

Without Rapid Cycling With Rapid Cycling W/O Seasonal Pattern With Seasonal Pattern (only if not current): In Partial Remission In Full Remission

0 1 0 1 6 7 1 2 3 4 5

P20 P21 P22

Current severity: mild moderate severe, without psychotic features with mood-congruent psychotic features with mood-incongruent psychotic features 3

P23 P24

03

Other Bipolar Disorder ? 1 2 3 1 (D. 5) 1 Cyclothymic Disorder 2 Intermittent Hypomanic Episodes 3 Manic or Hypomanic Episode superimposed on Psychotic Disorder 4 Bipolar Disorder NOS with subthreshold manic episodes 5 Other

P25 P26 P27