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MBHS
Multidimensional Behavioral Health Screen
Client Screening Report (MBHS 3.0)
Date: Feb 20, 2026
Jane Doe
Age: 34
jane.doe@example.com
SUICIDE RISK CLASSIFICATION
Suicide Risk Level: LowThe MBHS suicide risk algorithm sorts cases into three categories: Low, Mild, or At Least Moderate. This client is classified as Low and is not currently in need of a safety plan. This status can change, and clinical judgment should prevail if other indications suggest the need for further evaluation.
Your Results at a Glance
The MBHS evaluates 9 distinct areas of psychological functioning. Scores are shown as percentile ranks compared to a general medical outpatient population.
50th percentile = Average range
> 66th percentile = May warrant professional attention
Detailed Results by Scale
(50th percentile)Elevated
(≥66th percentile)
Scale Interpretations
Somatic and Cognitive Dysfunction
Somatization - Not Elevated
The Somatization scale measures the extent to which psychological issues may be contributing to, or impacted by, bodily and physical symptoms; this is a two-way street.
Your client's score on this scale is not elevated.
Cognitive Issues - Not Elevated
The Cognitive Issues scale measures problems in attention, concentration, distractibility, and memory. These problems can range from mild to more serious, and they can be associated with a wide range of causal factors and other symptoms.
Your client's score on this scale is not elevated.
Internalizing Dysfunction
Demoralization - Elevated
The Demoralization scale is a measure of general emotional distress, a range of symptoms and reactions most people would associate with depression. These may include feeling miserable, unhappy, sad, hopeless, helpless, inadequate, or ineffective. While innate dispositional issues may be involved, external circumstances (relationship issues, job issues) may play an important causal role as well.
Your client's score on this important scale is elevated, suggesting a level of general negative and pervasive mood that is likely interfering in their life. It is important to work with your client to explore possible causal factors, which will facilitate the development of a treatment plan.
Anhedonia - Elevated
The Anhedonia scale is a measure of the inability to experience joy or pleasure in your life, relationships, or activities. It may be that activities you used to really enjoy are no longer interesting or attractive to you. Anhedonia is often associated with social withdrawal.
Your client's score on this scale is elevated, suggesting a lack of joy or pleasure in their life. You should further assess this issue in order to develop a plan of action. While anhedonia is generally considered to be an aspect of depression, it may warrant specific treatment strategies in itself.
Anxiety - Not Elevated
The Anxiety scale measures a generally familiar characteristic of nervousness, fear, worry, or agitation. Anxiety is an important human characteristic that alerts us to danger, and most people experience various levels of anxiety across the course of their lives, days, and hours.
Your client's score on this scale is not elevated.
Suicidal Ideation - Not Elevated
The Suicidal Ideation scale screens for thoughts about suicidal thoughts and death. It should be noted that vague, transient thoughts about suicide occur from time to time with many of us and may not reflect an urgent level of concern, though they should be considered as a risk factor, among others.
Your client's score on this scale is not elevated.
Externalizing Dysfunction
Activation - Not Elevated
The Activation scale screens for excessive energy, excitation, and mood instability.
Your client's score on this scale is not elevated.
Disconstraint - Not Elevated
The Disconstraint scale screens for one's ability to control impulses, maintain self-control, and exercise self-management.
Your client's score on this scale is not elevated.
Substance Use Problems - Not Elevated
The Substance Use scale is a short, screening-level measure of possibly maladaptive substance use.
Your client's score on this scale is not elevated.
SSI-Based Clinical Resources
Demoralization
Problem-Solving SSI: Helping clients identify solvable stressors and regain agency
Anhedonia
Targeting re-engagement with valued activities
Recommended Next Steps
These results suggest elevated suicide-related risk.
It is recommended that you:
- Contact a qualified healthcare professional as soon as possible
- Share this report with your provider if you are currently receiving care
- Seek immediate support if distress increases
Self-Directed Client Resources
We support the Lab for Scalable Mental Health at Northwestern University. This link offers clients free, anonymous, evidence-based self-administered exercises valuable for augmenting therapeutic efforts.
Visit ResourceImportant Information
- This screening does not provide a medical diagnosis.
- Results are based on self-reported responses.
- Only a qualified professional can provide diagnosis or treatment recommendations.
- Results may change over time.
Item-Level information for Follow-up Interviewing
All 29 MBHS items grouped by scale. For clinician follow-up use only.
| Scale | Question | Score | Response |
|---|---|---|---|
| Somatization | #1I have pains. | 1 | Mostly False |
| #12I feel weak. | 0 | ||
| #23I get nauseated often. | 0 | ||
| Cognitive Issues | #7I have trouble concentrating. | 0 | |
| #17I get distracted easily. | 0 | ||
| #27I can't remember things. | 0 | ||
| Demoralization | #2I feel useless. | 2 | Mostly True |
| #13I am dissatisfied with my life. | 1 | Mostly False | |
| #24I feel generally discouraged. | 2 | Mostly True | |
| Anhedonia | #3There is little joy in my life. | 1 | Mostly False |
| #14I have little motivation. | 2 | Mostly True | |
| #20I tend to avoid social activities. | 0 | ||
| Anxiety | #4I worry a lot. | 2 | Mostly True |
| #16Nervousness interferes with my daily functioning. | 1 | Mostly False | |
| #28I obsess about things I can't control. | 0 | ||
| Suicidal Ideation | #6These days, I feel like I don't belong. | 0 | |
| #10These days, the people in my life would be better off if I were gone. | 0 | ||
| #15I want to die. | 0 | ||
| #25I am not afraid to die. (Fearlessness) | 0 | ||
| #29Any previous suicide attempts? (Previous attempts) | 0 | ||
| Activation | #5My mood severely changes regardless of what is going on around me. | 0 | |
| #11At times I feel uncontrollable excitement. | 0 | ||
| #22Some days I am so full of energy I can't sit still. | 0 | ||
| Disconstraint | #9I often make impulsive decisions. | 0 | |
| #19I often break rules, regardless of the consequences. | 0 | ||
| #21I don't think before I act. | 0 | ||
| Substance Use Problems | #8I sometimes drink or use drugs too much. | 0 | |
| #18I sometimes spend more time drinking or using drugs than I intended. | 0 | ||
| #26I have wanted to cut down on drinking or using drugs. | 0 |
MBHS Version: 1.0
© David M. McCord, Ph.D.