General distress, wellbeing and treatment outcomes
DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Adult
Identify domains that may require additional clinician inquiry and follow symptom change
Reference information · Questionnaire
- Last content update
- 2026-10-26
- Clinical review
- Not independently reviewed
- Source jurisdiction
- See individual sources
- Coverage
- Questionnaire
| Field | Instrument context |
|---|---|
| Version | APA 2013 English adult self-rated Level 1; 23 items and 13 domains; PhenX 610201 |
| Population | Adults aged 18 years and older |
| Respondent | Adult self-report |
| Recall period | Past two weeks |
| Purpose | Identify domains that may require additional clinician inquiry and follow symptom change |
Assessment tool
The questions below ask about things that might have bothered you. For each question, select the number that best describes how much (or how often) you have been bothered by each problem during the past TWO (2) WEEKS. During the past TWO (2) WEEKS, how much (or how often) have you been bothered by the following problems?
Copyright © 2013 American Psychiatric Association. DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure—Adult. PhenX protocol 610201.
Responses stay in this page’s memory. Reset or leave the page to clear them. No patient identifiers are collected.
Interpretation & limitations
- Each domain score is its highest item rating, on the original 0–4 scale. There is no overall total score.
- A domain maximum of 2 or higher guides additional inquiry; the guide is 1 or higher for suicidal ideation, psychosis and substance use. These are guides for inquiry, not diagnostic thresholds.
- Review every item as well as the domain maximum. Clinical judgment determines whether more detailed assessment is needed.
- All 23 ratings are required for this website’s complete domain report. The self-harm response flag is still displayed when other responses are incomplete.
- Missing responses are not evidence that a symptom is absent. No automatic diagnosis, medication change or declaration of safety.
- The self-harm question is not adequate to assess the full range of suicide-related ideation or behavior. A below-guide result does not establish safety.
References · 1
- PhenX exact instrument, administration, response anchors, scoring and permission statement · PhenX protocol explicitly states that it is freely available and permission is not required for use. Preserve instrument attribution and the exact protocol edition. This does not constitute clinical or production release approval.