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It means that the respondent may have been carelessly marking answers regardless of the item (e.g., repeating a pattern of "N-S-O" multiple times can lead to a "caution high", while 20 "N" answers in a row can lead to a "caution low"). This doesn't necessarily mean that it's invalid, but you should probably take a closer look to make sure that the responses are legitimate.

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Q: What does Caution High mean for the Response Pattern in the BASC-2?
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