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Post-SCL-90 Conversation Tool

Post-SCL-90 Conversation Tool

Structured post-survey conversation assistant

Made by
GGUAN WANG
Installed by
1
FromYouMind

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谈心谈话工作单(高风险·量表结果已知)

1. 学生情况简要摘要

该学生在本次 SCL-90 心理普查中被标记为高风险,量表结果已知。总分 171 分,总均分 1.90 分,阳性项目数 52 项(90 题中超过半数有症状报告),阳性项目均分 2.56 分,整体反映出较广泛的心理困扰。

各因子中需重点关注的维度:

  • 精神病性(3.1):显著偏高,为本次最突出异常,需在谈话中认真核实是否存在异常体验、感知或思维紊乱;

  • 焦虑(2.3)、强迫症状(2.2)、其他(2.43):明显偏高,提示学生可能存在持续紧张、反复念头或躯体不适感;

  • 抑郁(1.85)、偏执(1.83):超过划界值,需核实情绪低落程度和人际猜疑情况;

  • 人际关系敏感(1.44):接近临界,需关注人际适应状态。

重要提醒: SCL-90 结果仅作为谈话核实的参考线索,不能作为任何心理疾病的诊断依据。精神病性因子偏高可能来源于多种原因(如睡眠严重不足、高度焦虑状态、量表作答方式等),需结合学生现实表现综合判断,不可直接贴标签。

目前尚无已知现实异常表现,学生近期日常状态有待谈话中进一步核实。


2. 本次谈话目标

  1. 初步核实学生近期学习、生活、睡眠、情绪、人际等基本状态;

  2. 重点核实精神病性因子偏高背后的现实原因——是否存在异常感知体验、被针对感、思维紊乱或严重失眠伴异常兴奋;

  3. 核实焦虑、强迫、抑郁相关困扰的现实表现和影响程度;

  4. 识别是否存在自伤自杀、伤人、失联等高危线索;

  5. 建立基本信任关系,降低学生防御感;

  6. 评估学生支持系统和求助意愿;

  7. 判断是否需要上转学院兼职心理老师或学校心理健康教育中心;

  8. 形成规范谈话记录,为后续跟进留存依据。


谈心谈话工作单(高风险·量表结果已知)

Description

Designed based on the 'Shandong University Counselor Conversation Work Manual (Trial)' and the 'Shandong University Counselor Manual for Responding to College Students' Psychological Crises (Trial)', this tool is aimed at university counselors to help them prepare for one-on-one conversations with students identified as medium or high risk after the SCL-90 screening. By inputting the student's risk feedback, recent performance, and areas of concern, a conversation worksheet is generated, including: a gentle opening, verification of issues, reminders of high-risk indicators, diversion suggestions, and a record template. It does not make diagnoses or replace psychological counseling centers; it only helps counselors conduct post-screening conversations with evidence, procedures, boundaries, recordability, and upward referral capability. Suitable for: freshmen psychological screening follow-ups, initial conversations with medium/high risk students, counselor conversation preparation, information organization before college re-interviews, and preliminary verification of psychological crisis risks.

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Information

Version
v7
Last updated
Runtime credits
Usage-based
Models
Claude Sonnet 4.6

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Post-SCL-90 Conversation Tool