List of categories

No significant distortion or inadequacy of the psychosocial environment

Abnormal intrafamilial relationships

1. 1.0 Lack of warmth in parent–child relationships (Z62.4)1

2. 1.1 Intrafamilial discord among adults (Z63.8)

3. 1.2 Hostility towards or scapegoating of the child (Z62.3)

4. 1.3 Physical child abuse (Z61.6)

5. 1.4 Sexual abuse (within the family) (Z61.4)

6. 1.8 Other

Mental disorder, deviance or handicap in the child's primary support group (Z58.8 + Z63.8)

1. 2.0 Parental mental disorder/deviance

2. 2.1 Parental handicap/disability

3. 2.2 Disability in sibling

4. 2.8 Other

Inadequate or distorted intrafamilial communication (Z63.8)

Abnormal qualities of upbringing

1. 4.0 Parental overprotection (Z62.1)

2. 4.1 Inadequate parental supervision/control (Z62.0)

3. 4.2 Experiential privation (Z62.5)

4. 4.3 Inappropriate parental pressures (Z62.6)

5. 4.8 Other (Z62.8)

Abnormal immediate environment

1. 5.0 Institutional upbringing (Z62.2)

2. 5.1 Anomalous parenting situation (Z80.1)

3. 5.2 Isolated family (Z60.8)

4. 5.3 Living conditions that create a potentially hazardous psychosocial situation (Z59.1)

5. 5.8 Other (Z60.8)

Acute life events

1. 6.0 Loss of a love relationship (Z61.0)

2. 6.1 Removals from home carrying significant contextual threat (Z61.1)

3. 6.2 Negatively altered pattern of family relationships (Z61.2)

4. 6.3 Events resulting in loss of self esteem (Z61.3)

5. 6.4 Sexual abuse (extrafamilial) (Z61.5)

6. 6.5 Personal frightening experience (Z61.7)

7. 6.8 Other (Z61.8)

Societal stressors

1. 7.0 Persecution or adverse discrimination (Z60.5)

2. 7.1 Migration or social transplantation (Z60.3)

3. 7.8 Other

Chronic interpersonal stress associated with school/work (Z55 refers to school and Z56 to work)

1. 8.0 Discordant relationships with peers (Z55.4) Z56.4)

2. 8.1 Scapegoating of child by teachers or work supervisors (Z55.4) (Z56.4)

3. 8.2 Unrest in the school/work situation (Z55.8) (Z56.7)

4. 8.8 Other