Table 2.
History Taking and Assessment Process
| Domain | Contents |
|---|---|
| Demographic information | Name, sex, date of birth, contact information, place of residence, marital status, occupation, visit route, and previous psychological support experience |
| Basic medical examination | Disaster type, trauma response stage, disaster damage level, and vital signs |
| Mental health screening tests | PC-PTSD-5, PHQ-9, GAD-7, PHQ-15, P4 |
| Detailed medical examination | Chief complaints, onset, current medical history, past medical history, family medical history, medication history, and drinking and smoking |
| Classification of chief complaints | Predominantly psychological symptoms (overstrain, fear, depression, and anger) Predominantly physical symptoms (insomnia, anorexia, lethargy, headache/dizziness, and pain) |
| KM-specific examination | Appetite/digestion, stool/urine, sleep, thirst/dry mouth, chills/fever, symptoms/signs related to five viscera and six bowels, pulse examination, tongue examination, abdominal examination, inspection, and diagnosis |
| Risk factor assessment | Psychiatric history, past traumatic experiences, current stressful events, and weak support system |
| Explanation of evaluation results and treatment | The examination and evaluation results are explained. High-risk groups are referred to the psychological support center or psychiatry department. Treatment is carried out according to the step-by-step and/or symptom-specific protocols |
DSM, Diagnostic and Statistical Manual of Mental Disorders; GAD-7, Generalized Anxiety Disorder Assessment; KM, Korean medicine; P4, P4 Screener for assessing suicide risk; PC-PTSD-5, primary care PTSD screening according to DSM-5; PHQ, Patient Health Questionnaire; PTSD, post-traumatic stress disorder.