Abstract
Nowadays, mental health problems and psychiatric disorders have a high prevalence and are caused by co-factors. They can relapse and be exacerbated by internal and external factors such as stressful life events, poor coping skills, and COVID-19. The early detection of specific signs and symptoms is complicated. Frontliner clinical nurses must assess patient signs and symptoms as soon as possible. For this process, they require a quick and early detection measurement tool that precedes the interview, physical examination, and laboratory tests. A scale with good psychometric properties will help nurses screen and identify individuals as high-risk or non-high-risk, the severity of their symptoms (mild, moderate, or severe), and provide efficient nursing care.