[thalia_]

My biggest problem with the sanity score seems to be that the overall number is given by the number of issues, and less by the severity of the worst of them. So from what I can tell (though I don't know the exact algorithm) a person who is sort of generally dysfunctional or "neurotic" - who gives positive answers to many questions - could easily end up with a much higher (worse) sanity score than a person who has a severe or incapacitating mental illness, who might only be giving positive answers to a few key questions.

If it were up to me I'd put a huge weight on endorsement of maybe 10% of the questions (involving e.g. psychosis, functional limitations (isolated/homeless/unemployed), severe depression, mania or panic, suicidality) - and find ways to take into account he fact that some people tend to overall endorse more positively (just use more hyperbolic language, be more self-scrutinizing, or more willing to admit problems) than others.