Can screening tools identify postpartum psychosis?
Because the existing validated screening tools focus primarily on depression, they do not necessarily identify psychosis. However, they can indicate levels of distress. Criteria in several of the tools have been established that set a threshold for immediate intervention. For example, an answer of “Yes” to question #10 on the Edinburgh Postnatal Depression Scale (“thoughts of harm to self or others”), regardless of the answer to any of the other questions, indicates immediate clinical evaluation is required. Additionally, clinicians are encouraged to exercise their clinical judgment in assessing the patient’s affect and presentation when developing a referral or safety plan. • What should I do if in my follow-up to screening I find out about other issues, such as mental illness, psychosocial problems, or domestic violence? Show/Hide Answer It is not sufficient to use a screening tool in isolation. Having an integrated follow-through plan that utilizes strategic partnerships with psychi
