Scoring and interpretation. On the adult self—rated version of the measure, each item is rated on a 5-point scale (0=none or not at all; 1=slight or rare, less than a day or two; 2=mild or several days; 3=moderate or more than half the days; and 4=severe or nearly every day).
The score on each item within a domain should be reviewed. However, a rating of mild (i.e., 2) or greater on any item within a domain, except for substance use, suicidal ideation, and psychosis, may serve as a guide for additional inquiry and follow-up to determine if a more detailed assessment is necessary, which may include the Level 2 cross-cutting symptom as- sessment for the domain (see Table 2). For substance use, suicidal ideation, and psychosis, a
TABLE 1 Adult DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure: 13 domains, thresholds for further inquiry, and associated DSM-5
Threshold to guide DSM-5 Level 2 Cross-Cutting Symptom
I. Depression Mild or greater Level 2—Depression—Adult (PROMIS
II. Anger Mild or greater Level 2—Anger—Adult (PROMIS Emo— 111. Mania Mild or greater Level 2—Mania—Adult(A1tman Self-Rating
IV. Anxiety Mild or greater Level 2—Anxiety—Adult (PROMIS
V. Somatic symptoms Mild or greater Level 2—Somatic Symptom—Adult (Patient
VI. Suicidal ideation Slight or greater None
VII. Psychosis Slight or greater None
VIII. Sleep problems Mild or greater Level 2—Sleep Disturbance—Adult
IX. Memory Mild or greater None
X. Repetitive thoughts Mild or greater Level 2—Repetitive Thoughts and
XI. Dissociation Mild or greater None
XII. Personality Mild or greater None
XIII. Substance use Slight or greater Level 2—Substance Use—Adult (adapted from the NIDA-Modified ASSIST)
Note. NIDA=National Institute on Drug Abuse.
aAvailable at www.psychiatry.org/dsm5.
rating of slight (i.e., 1) or greater on any item within the domain may serve as a guide for ad- ditional inquiry and follow-up to determine if a more detailed assessment is needed. As such, indicate the highest score within a domain in the ”Highest domain score” column.
Table 1 outlines threshold scores that may guide further inquiry for the remaining domains.
On the parent/guardian—rated version of the measure (for children ages 6—17), 19 of the 25 items are each rated on a 5—point scale (0=none or not at all; 1=slight or rare, less than a day or two; =mild or several days; 3=moderate or more than half the days; and 4=severe or nearly every day). The suicide ideation, suicide attempt, and substance abuse items are each rated on a ”Yes, No, or Don’t Know” scale. The score on each item within a domain should be re- viewed. However, with the exception of inattention and psychosis, a rating of mild (i.e., 2) or greater on any item within a domain that is scored on the 5-point scale may serve as a guide for additional inquiry and follow-up to determine if a more detailed assessment is necessary, which may include the Level 2 cross-cutting symptom assessment for the domain (see
Table 2). For inattention or psychosis, a rating of slight or greater (i.e., 1 or greater) may be for child age 6—17: 12 domains, thresholds for further inquiry, and
Threshold to guide DSM-5 Level 2 Cross-Cutting Symptom