ACE-III (Cognitive Examination)AIMS (Tardive Dyskinesia)ASRM (Altman Mania Scale)ASRS-v1.1 (Adult ADHD Screen)ASSIST (WHO Substance Screen)AUDIT (Alcohol Use Disorders)AUDIT-C (Alcohol Screen)Alzheimer's Disease Assessment Scale — Cognitive (ADAS-Cog)Anxiety Sensitivity Index-3 (ASI-3)BARS (Akathisia)BDI-II (Beck Depression)BPRS (Brief Psychiatric Rating)BSDS (Bipolar Spectrum Screen)Beck Anxiety Inventory (BAI)Behavior Rating Inventory of Executive Function — Adult (BRIEF-A)Binge Eating Scale (BES)Borderline Personality Disorder Severity Index (BPDSi)Brief Positive and Negative Syndrome Scale (PANSS-6)C-SSRS (Suicide Severity)CAGE Questionnaire CAPS-5 (PTSD Clinical Interview)CDR (Dementia Staging)CDSS (Schizophrenia Depression)CIWA-Ar (Alcohol Withdrawal)COWS (Opioid Withdrawal)Cannabis Use Disorder Identification Test — Revised (CUDIT-R)Clinical Global Impression (CGI-S & CGI-I)Clinical Global Impression — Bipolar (CGI-BP)Clinical Global Impression — Schizophrenia (CGI-SCH)Clinical Impairment Assessment (CIA 3.0)Clinical Institute Withdrawal Assessment for Benzodiazepines (CIWA-B)Clozapine Safety (REMS)Conners' Adult ADHD Rating Scales (CAARS)DAST-10 (Drug Abuse Screen)DES-II (Dissociation Scale)DISCERN (Antidepressant Decision Aid)EDE-Q (Eating Disorder Severity)EPDS (Postnatal Depression)Eating Attitudes Test (EAT-26)Epworth Sleepiness Scale FAST (Alzheimer's Staging)Fagerstrom (Nicotine Dependence)Functional Activities Questionnaire (FAQ)GAD-2 (Anxiety Screen)GAD-7 (Anxiety Severity)GAF (Global Functioning)HAM-D 17 (Hamilton Depression)HCL-32 (Hypomania Checklist)Hamilton Anxiety Rating Scale (HAM-A)IES-R (Trauma Impact)ISI (Insomnia Severity)International Restless Legs Scale (IRLS)International Trauma Questionnaire (ITQ)Inventory of Depressive Symptomatology (IDS-C30)LSAS (Social Anxiety)Lithium Toxicity Level Interpreter MADRS (Depression Rating)MARSIPAN (Medical Risk in AN)MDQ (Bipolar Screen)MSI-BPD (Borderline PD Screen)Manchester Self Harm Mania Symptom Scale (MSS)Metabolic Syndrome (Psych)MoCA (Cognitive Assessment)Neuropsychiatric Inventory (NPI)OCI-R (OCD Screen)Opioid Risk Tool (ORT)Overall Anxiety Severity and Impairment Scale (OASIS)PANSS (Schizophrenia Severity)PATHOS Self-Harm Screen PCL-5 (PTSD Checklist DSM-5)PHQ Panic Module PHQ-2 (Depression Screen)PHQ-9 (Depression Severity)PSP (Personal/Social Performance)PSQI (Pittsburgh Sleep Quality)Panic Disorder Severity Scale (PDSS)Patient Health Questionnaire for Adolescents (PHQ-A)Primary Care PTSD Screen for DSM-5 (PC-PTSD-5)QTc Prolongation (Psychiatry)Quick Inventory of Depressive Symptomatology (QIDS-SR-16)RLS Diagnostic Criteria (IRLSSG)Reasons for Living Inventory (RFL)Rowland Universal Dementia Assessment Scale (RUDAS)SAD Persons SAFE-T Protocol SBQ-R (Suicidal Behaviors)SCOFF (Eating Disorder Screen)SPIN (Social Phobia)Screen for Child Anxiety Related Disorders (SCARED)Simpson-Angus Scale (EPS)Y-BOCS (OCD Severity)YMRS (Mania Severity)

PATHOS Self-Harm Screen

PATHOS: Self-Harm Repetition Risk Screen. Validated for use in Emergency Departments following an index self-harm event.

Acute Risk Assessment

Guidelines & Evidence

Verified

Last Review: 2026-07-17

When to Use

When to Use

Screening patients in Emergency Departments immediately following a self-harm episode

Identifying individuals at high risk for repeating self-harm within the next 6-12 months

Aiding clinical decision-making regarding the need for urgent psychiatric follow-up

Brief assessment of social isolation and psychiatric history as risk factors

How it Works

The PATHOS Mnemonic

P: Previous history of self-harm

A: Alcohol consumption during current episode

T: Thoughts of more serious self-harm

H: Help (lack of) available at the time

O: On meds or under psychiatric care

S: Social isolation (living alone)

Scoring Logic

One point awarded for each affirmative response. Total score ranges from 0 to 6.

Interpretation

0–2 points	Lower Risk
3–6 points	High Risk for Repetition (Sensitivity 75%, Specificity 64%)

Last Comprehensive Review: 2026-07-17