Table 1.

Mental health warning signs for depression, acute stress, suicide risk and others.

Sign	Yes/no
Signs of moderate to severe depression (present for at least 2 weeks):
D1	Persistent lack of energy, not wanting to get out of bed
D2	Strong disinterest in activities or inability to enjoy them, especially those that were previously enjoyable or gave pleasure
D3	Considerable difficulties in daily performance due to symptoms
LRAMP1	Hopelessness and severe current pessimism
LRAMP2	Voluntary isolating from people with whom they live (when this has not been indicated due to suspected or diagnosed COVID-19)
Acute stress (adapted) present for at least 1 week:
A4	Recurring nightmares or intrusive thoughts accompanied by intense fear or dread
A5	Exaggerated feeling of being in danger (exacerbated state of worry and alertness or disproportionate reaction)
A6	Considerable difficulty in performing daily activities due to symptoms
Signs of current suicide risk:
Rs7	Acts of self-harm at the present time
Rs8	Recent thoughts about or plans for self-harm
Other risk signs:
O9	Start of alcohol, cigarette or drug use in recent weeks
O10	Increasing need to use alcohol, cigarettes or drugs to feel "calm" or have the strength to cope in the last week
LRAMP3	Discharge from a mental health unit in the last 4 weeks
LRAMP4	Recent diagnosis of major mental disorder (schizophrenia, depression, bipolar disorder)
LRAMP5	Recent loss of a family member to COVID-19, with a personal history of depression

Adapted from: mhGAP Humanitarian Intervention Guide (mhGAP-HIG). WHO. 2015. https://iris.paho.org/bitstream/handle/10665.2/28418/9789275319017_spa.pdf?sequence=6&isAllowed=y, and Linehan MM. Linehan Risk Assessment & Management Protocol (LRAMP). University of Washington Risk Assessment Action Protocol: UWRAMP, University of WA; 2009.