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YMRS (Mania Severity)
YMRS: Young Mania Rating Scale. 11-item clinician-administered scale. 4 items (5,6,8,9) scored on 0–8 scale; 7 items on 0–4. Total 0–60. Standard endpoint in mania therapy trials.
1. Elevated Mood
2. Increased Motor Activity–Energy
3. Sexual Interest
4. Sleep
5. Irritability
6. Speech (Rate and Amount)
7. Language–Thought Disorder
8. Content
9. Disruptive–Aggressive Behaviour
10. Appearance
11. Insight
Guidelines & Evidence
Verified
Last Review: 2026
When to Use
When to Use
Clinician-rated severity assessment in confirmed or suspected manic episode (Bipolar I, Bipolar II hypomania)
Primary endpoint in pharmacotherapy trials for mania (regulatory gold standard)
Treatment monitoring: assess at admission, day 7, day 14, and end of acute episode
Differentiating manic episode severity to guide inpatient vs. outpatient management