Appendix D: Proposed Clusters of Signs with their Examples Cluster of Signs Examples Reported Change Self-initiated direct requests for requests for help, indirect assistance indications of need for support, seeking to be physically close to others, self-reported worsening of mental health Requests for information/concern treatment from from family carers, healthcare information/concern professionals or from emergency those close to the service workers person Self-reported feeling worthless, negative or inflated feeling hopeless, sense of self feeling low (or high) self-esteem, feeling low (or high) in confidence Self-reported racing thoughts, uncontrollable rumination thought processes (overthinking issues), obsessive thinking Self-reported feelings of sadness negative emotions (despair, weeping, depression), fear (anxiety, worry, stress, terror), or anger (frustration, rage) Distress
Appendix D: Proposed Clusters of Signs with their Examples Cluster of Signs Examples Reported Change Self-initiated requests for assistance direct requests for help, indirect indications of need for support, seeking to be physically close to others, self-reported worsening of mental health Requests for treatment from healthcare professionals or those close to the person information/concern from family carers, information/concern from emergency service workers Self-reported negative or inflated sense of self feeling worthless, feeling hopeless, feeling low (or high) self-esteem, feeling low (or high) in confidence Self-reported uncontrollable thought processes racing thoughts, rumination (overthinking issues), obsessive thinking Self-reported negative emotions feelings of sadness (despair, weeping, depression), fear (anxiety, worry, stress, terror), or anger (frustration, rage) Distress
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