YOUNG MANIA RATING SCALE

Date and time: [Date and time of the rating]
Patient: [Name or record number, age]
Setting: [Inpatient unit, emergency department, outpatient clinic, or study visit]

RATER AND SOURCES
Rater: [Name, role, and whether they also rated the baseline]
Period covered: [Past 48 hours, or past 7 days if your protocol uses a week]
Sources: [Interview, what was observed during it, nursing notes, family or carer report]
Cooperation: [Full, partial, or limited, and how that shaped the rating]

RESULT
YMRS total: [0 to 60]
Band: [Minimal or remission 0 to 12, mild 13 to 19, moderate 20 to 25, severe 26 to 60; name another set if your service uses one]
Double-weighted items: [Irritability, speech, thought content, disruptive or aggressive behavior, each scored 0 to 8]
Other items scored high: [Elevated mood, energy, sleep, sexual interest, language, appearance, or insight]

COURSE
Baseline YMRS: [Date, total, and the treatment started then]
Change: [Points and percent since baseline]
Status: [Response if down by half or more, remission if 12 or under, partly better, no change, or higher]

SAFETY
Aggression and agitation: [Incidents, emergency medicine or seclusion used, or none]
Suicide and low mood: [Asked directly, mixed features, depression scale score if one was used]
Risky behavior: [Spending, driving, sexual risk, alcohol or drugs, or none]

PLAN
Treatment: [Continue, change a dose, add or switch a medicine, check drug levels]
Level of care: [Stay on the unit, pass home, discharge, day program, or clinic follow-up]
Next YMRS: [Date, with the same rater and period where possible]

Signed: [Name, credentials]