Mental State Examination

Gender:

1. Appearance:

2. Attitude:

3. Behavior:

4. Speech:

5. Affect:

6. Mood:

7.Thought Processes:

8.Thought Content:

9.Perception:

10.Orientation:

11.Memory/Concentration:

12.Insight/Judgement:

Suicidal ideation:
Homocidal ideation:
If active:
Plan:
Intent:
Means:
If active:
Plan:
Intent:
Means: