The new 4-in-1 mental health screening tool

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A 13-item Mental Wellness Tool detected common or severe mental disorders, substance use disorders and suicide risk among patients receiving psychiatric emergency department care at a New York City hospital, according to a Sept. 17 Medscape report.

Existing mental health screening tools typically assess for one disorder, and screening for a range of psychiatric conditions can take well over 45 minutes and require several assessment tools. The mwTool-13 is designed to screen for multiple conditions in a single assessment.

Here are six things to know:

1. The mwTool-13 can be administered in 2 to 10 minutes, according to a Sept. 3 study published in Psychiatric Services.

2. Investigators included 269 patients receiving ED psychiatric care between 2021 and 2022. The patients had a mean age of 40 years, 53% were female and 47% were Latinx.

3. The tool’s first three questions identified any mental disorder with 95% sensitivity. The remaining 10 questions categorize the type of mental disorder present.

4. The complete tool showed 97% sensitivity for common mental disorders and 93% sensitivity for suicide risk. Sensitivity was 80% for substance use disorders and 65% for severe mental disorders.

5. Specificity was 71% for severe mental disorders, 67% for common mental disorders, 58% for substance use disorders and 50% for suicide risk. Findings were largely consistent regardless of gender or race/ethnicity.

6. Study limitations included the use of a psychiatrist’s diagnosis as the standard comparator. Investigators also noted that the types of psychiatric conditions seen in an ED may differ from those in community settings.

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