Brief Description
The DSM-5 Cross Cutting Symptom Measure - Child Age 11-17 (DSM-5 Level 1 Child) assesses for symptoms across a broad range of mental health disorders in children ages 11-17. More specifically, it assesses symptoms across 12 psychiatric domains, including somatic symptoms, sleep problems, inattention, depression, anger, irritability, mania, anxiety, psychosis, repetitive thoughts and behaviors, substance use and suicidal ideation/suicide attempts. The DSM-5 Level 1 Child can be used as a monitoring tool for a variety of symptoms throughout treatment for children and adolescents, or as a screening tool for several symptomatic domains. Respondents rate how much or how often they were bothered by the symptoms listed (e.g., “Slept less than usual but still had lots of energy?”) on a scale from “None/Not at all” to “Severe/Nearly every day”.
Assessment Administration Type
Self-report
Number of questions
25
Age Range for Administration
11-17
Recommended Frequency of Administration
While recommended as a screener on Blueprint, it also can be used as clinically indicated to track progress over time.
Summary of Scoring and Interpretations
The DSM-5 Level 1 Child contains 25 questions; the first 19 items are scored on a 5-point Likert scale from 0 (“None/Not at all”) to 4 ("Severe/Nearly every day") and the final 6 items related to suicide and substance use are answered as either “Yes” or “No”. The scores within each item within a domain should be reviewed. A rating of mild (i.e., 2) or greater on any item within a domain serves as a guide for additional inquiry/follow-up, with the exception of the inattention and psychosis domains, where a score of slight (i.e., 1) or greater on any item serves as a guide for additional inquiry/follow-up. For the suicide and substance use domains, any “Yes” response would suggest additional inquiry/follow-up. See table below for domains, their associated item numbers, and threshold for further inquiry.
Domain/Subscale | Corresponding Item | Threshold to Guide Further Inquiry |
Somatic symptoms | 1, 2 | Mild or greater |
Sleep problems | 3 | Mild or greater |
Inattention | 4 | Slight or greater |
Depression | 5, 6 | Mild or greater |
Irritability | 7 | Mild or greater |
Anger | 8 | Mild or greater |
Mania | 9, 10 | Mild or greater |
Anxiety | 11, 12, 13 | Mild or greater |
Psychosis | 14, 15 | Slight or greater |
Repetitive Thoughts and Behaviors | 16, 17, 18, 19 | Mild or greater |
Substance Use | 20, 21, 22, 23 | “Yes” on any item |
Suicidal Ideation/Suicide Attempts | 24, 25 | “Yes” on any item |
Blueprint Adjustments
N/A
Clinical Considerations
Estimated completion time: 5-10 minutes
You may also see the DSM-5 Level 1 Child referred to as the DSM-5-TR Self-Rated Level 1 Cross-Cutting Symptom Measure— Child Age 11–17.
The DSM-5 Level 1 Child assesses mental health domains that are important across psychiatric diagnoses; it is intended to help clinicians identify additional areas of inquiry that may have significant impact on the child's treatment and prognosis.
There are adult self-report and parent-report versions of the DSM-5 Level 1 Cross-Cutting Measure.
Citation
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