Transparency
What does ASH ask?
Families and professionals should be able to see the domains being recorded before deciding whether ASH is useful for them.
The 1–6 daily scale
1
Not present
Not present
2
Minimal
Minimal
3
Mild
Mild
4
Moderate
Moderate
5
Severe
Severe
6
Extreme
Extreme
The application compares the day with the young person's own usual baseline. The interface wording may be simplified for age-appropriate daily use while preserving the underlying domain and score.
Core daily wellbeing — 14 domains
1
Sadness or hopelessnessUnusually sad, low, hopeless or worthless.
2
Anxiety or tensionAnxious, frightened, tense, agitated or constantly on edge.
3
Mood swings or emotional sensitivityRapid mood change or unusual sensitivity.
4
Irritability or angerUnusually irritable, angry, argumentative or conflict-prone.
5
Reduced interest or enjoymentLess interested in activities, hobbies or people.
6
Difficulty concentratingHarder to focus, remember instructions or complete tasks.
7
Low energy or fatigueUnusually tired, slowed down or unable to begin activities.
8
Appetite or eating changesNoticeably more or less eating, or unusual cravings.
9
Sleep changesSleeping substantially more or less, or difficulty sleeping.
10
Feeling overwhelmed or out of controlOrdinary demands feel unusually difficult.
11
Physical symptomsPain, headache, bloating, breast tenderness, nausea or other discomfort.
12
School and daily-task functioningHow much symptoms interfered with responsibilities.
13
Activities and social participationHow much symptoms interfered with hobbies, outings or social contact.
14
RelationshipsHow much symptoms interfered with family, friends, teachers or other people.
Supplementary ASD/ADHD-related observations
These are supplementary observations for pattern tracking and are not PMDD diagnostic criteria.
15
Sensory sensitivitySound, light, touch, clothing, smells or crowds more difficult than usual.
16
Need for samenessHarder to tolerate changes, waiting, uncertainty or interruptions.
17
Meltdown, shutdown or withdrawalStronger episodes or more recovery time than usual.
18
Executive functioningHarder to start, organise, switch between or finish tasks.
19
Impulsivity or restlessnessMore acting before considering consequences or unusual restlessness.
20
Communication and social effortSpeaking, explaining feelings or managing social demands felt harder.
Safety review
Safety responses are stored separately from the ordinary 1–6 symptom score.
1
Wish to be dead or disappearWhether the young person wished they were dead, could disappear or would not wake up.
2
Self-harm urgeWhether there was an urge to self-harm without intending to die.
3
Self-harm actionWhether self-harm happened that day.
4
Suicidal thoughtsWhether there were thoughts about killing oneself.
5
Plan, intent or accessWhether a suicide plan, intent to act or access to means was present.
6
Ability to remain safeWhether the young person feels able to keep themselves safe right now.
ASH does not turn these answers into a diagnosis.The longitudinal record is intended to support a conversation with an appropriately qualified professional.