EIP FEP + ARMS
Digital Triage Tool
FEP Scoring (1–7)
Hallucinations
Delusions
Functional Decline
Risk Level (1–4)
| Score | Severity | Guidance |
|---|---|---|
| 1 | Absent | No perceptual disturbance. |
| 2 | Questionable | Fleeting experiences during stress; insight intact. |
| 3 | Mild | Occasional unusual experiences; doubts reality. |
| 4 | Moderate | Clear hallucination-like experience; insight retained. |
| 5 | Marked | Frequent and distressing; insight fluctuates. |
| 6 | Psychotic (Brief) | Believed real; behaviour influenced; intermittent. |
| 7 | Sustained Psychotic | Persistent hallucinations; behavioural change; no insight. |
| Score | Severity | Guidance |
|---|---|---|
| 1 | Absent | No unusual beliefs. |
| 2 | Questionable | Suspicious thoughts but easily challenged. |
| 3 | Mild | Unusual ideas; insight preserved. |
| 4 | Moderate | Firm unusual belief but doubts remain. |
| 5 | Marked | Strong conviction; functional impact emerging. |
| 6 | Psychotic Intensity | Fixed belief; behaviour affected; brief if BLIPS. |
| 7 | Extreme | Sustained fixed belief; marked disorganisation. |
| Score | Severity | Guidance |
|---|---|---|
| 1 | None | No deterioration from baseline. |
| 2 | Very Mild | Subtle reduction in performance or motivation. |
| 3 | Mild | Noticeable decline; social withdrawal. |
| 4 | Moderate | Clear impairment in work/study; inconsistent self-care. |
| 5 | Marked | Disengagement from roles; hygiene decline. |
| 6 | Severe | Unable to maintain role; significant neglect. |
| 7 | Extreme | Total role failure; safeguarding concerns. |
| Score | Risk | Guidance |
|---|---|---|
| 1 | Low | No suicidal ideation; no risk to others. |
| 2 | Moderate | Passive thoughts; manageable risk. |
| 3 | High | Active suicidal ideation or escalating agitation. |
| 4 | Immediate | Command hallucinations; imminent or safeguarding risk. |
ARMS Structured Scoring (1–7)
Attenuated Symptoms
BLIPS
Trait Vulnerability
Functional Deterioration
Distress
ARMS Total: 0
| Score | Severity | Guidance |
|---|---|---|
| 1–2 | Minimal | Subclinical phenomena. |
| 3 | Mild | Suspiciousness; insight intact. |
| 4 | Moderate | Clear attenuated psychotic symptom. |
| 5 | Marked | Strong conviction but retains doubt. |
| 6 | Psychotic (Brief) | Fully psychotic but brief. |
| 7 | Sustained Psychotic | Persistent; suggests FEP. |
| Score | Severity | Guidance |
|---|---|---|
| 1–4 | Not BLIPS | No fully psychotic episode. |
| 5 | Borderline | Near-psychotic intensity. |
| 6 | BLIPS Threshold | Fully psychotic <7 days; spontaneous remission. |
| 7 | Severe BLIPS | Intense psychosis <7 days; remits. |
| Score | Risk | Guidance |
|---|---|---|
| 1–2 | None | No family history; no schizotypal traits. |
| 3–4 | Mild | Distant family history or subtle traits. |
| 5–6 | Moderate | First-degree relative or clear traits. |
| 7 | High | Strong genetic loading with decline. |
| Score | Severity | Guidance |
|---|---|---|
| 1–2 | Stable | No recent decline. |
| 3–4 | Mild | Noticeable drop within 12 months. |
| 5–6 | Marked | Clear decline affecting roles. |
| 7 | Severe | Rapid and significant deterioration. |
| Score | Severity | Guidance |
|---|---|---|
| 1–2 | None | No distress. |
| 3–4 | Mild | Some anxiety or worry. |
| 5–6 | Moderate | Frequent distress; sleep disturbance. |
| 7 | Severe | High emotional impact; crisis presentation. |
DUP Calculator
Decision
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Copyright 2026. Chris Consuelo. All rights reserved.
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