Critical
medical
PHQ-9 Peaks at 18 with SELF-HARM IDEATION — Worst Score Yet (Trajectory: 16→13→17→17→18)
Event Narrative
PHQ-9 Score: 18 (Moderately Severe / approaching Severe Depression) assessed by Dr. Sameh Abd El Mesih. Item 9 (self-harm ideation) ENDORSED for the first time. This is the highest score in the trajectory (16→13→17→17→18) and occurred 12 days BEFORE Manulife's Feb 5 NSME concluded 'improved functional capacity.' The NSME decision was made without reviewing this score.
Supporting Evidence (2)
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Original Document
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Needs Original File
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Verify Status
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Document Exhibit D-30
PHQ-9 Assessment — Jan 2026 (Self-Harm Endorsed)
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Document Exhibit MED_10
Manulife Claim File — PHQ-9 Jan 2026