Summary Schizophrenia Diagnostic Criteria DSM5

Schizophrenia
Diagnostic criteria Symptoms Suicide and homicide
A: At least 2 of the following symptoms: Positive: Risk present with:

 Delusions  Delusions  Long duration of untreated psychosis
 Hallucinations  Hallucinations  Comorbid MD episode with hopelessness
 Disorganised speech  Disorganised speech or behaviour  Previous history of suicide
 Grossly disorganise/catatonia  Dysfunctional thinking  Comorbid substance use disorders
behaviour  Catatonia or other movement  Comorbid PD
 Negative symptoms disorders  First 10 years of illness
B: Decrease in functioning, work and Negative:  First 6 months after discharge
interpersonal relations.  High pre-morbid functioning
 Social withdrawal  Repeated unsuccessful treatment
 Flat affect attempts
 Dull or monotonous speech and lack  Poor impulse control when ill
of facial expression  Previous history of violent behaviour
 Difficulty in expressing emotions  Dangerous behaviour whilst hospitalised
 Lack of self-care
 Lack of motivation
C: Continuous symptoms for at least 6 to 12 Cognitive:
months
D: Does not meet criteria for mood disorder  Inability to process info and make
with psychotic features. decisions
E: Not due to a GMC or physiological effects  Difficulty focusing or paying attention
of substances  Problems with memory
F: Over and above ASD or communication  Difficulty learning new tasks
disorder of childhood onset.  Poor motivation