{"id":"bh-heldout-02","split":"heldout","source":"synthetic_bh","notes":"Depression + meds titration + explicit SI screen.","transcript":"Clinician: How is your mood since last visit?\nClient: Low. Energy is down. I've been crying after work.\nClinician: PHQ-9?\nClient: 18 today.\nClinician: Any suicidal ideation?\nClient: Fleeting thoughts last week, but no plan or intent. I told my partner.\nClinician: Current meds?\nClient: Escitalopram 10 mg. We talked about increasing.\nClinician: Let's go to 15 mg, add behavioral activation homework, and safety plan review. Follow up in one week. Call crisis line if ideation worsens.\nClient: Okay.","expected_cues":["PHQ","SI","escitalopram","safety","follow up","mood"],"license":"original"}