Hurdle

PTSD Checklist for DSM-5 (PCL-5)

screening

Digital administration of PTSD Checklist for DSM-5 (PCL-5) to collect structured patient inputs for validated score calculation and clinical follow-up.

PTSD Checklist for DSM-5 (PCL-5)

Clinical intent

The PCL-5 is a 20-item self-report measure that assesses the 20 DSM-5 symptoms of PTSD. The PCL-5 has a variety of purposes, including:

  • Monitoring symptom change during and after treatment
  • Screening individuals for PTSD
  • Making a provisional PTSD diagnosis

The gold standard for diagnosing PTSD is a structured clinical interview such as the Clinician-Administered PTSD Scale (CAPS-5). When necessary, the PCL-5 can be scored to provide a provisional PTSD diagnosis.

References

[1] https://drive.google.com/file/d/1nEfwgm1klg_5Qubce5XVaC9JkmIXNwom/view?usp=sharing [2] https://drive.google.com/file/d/1TRJujg3zFlDUCIgcwBrrGRh_H6in0QZa/view?usp=sharing

Pathway

Mini Map

Form preview

Interactive preview of the questionnaire. Not for clinical use. Responses are not stored.

PTSD Checklist for DSM-5 (PCL-5) Questionnaire
Please complete this questionnaire. Your responses help your clinical team assess your symptoms and monitor progress over time.
In the past month, how much were you bothered by: repeated, disturbing, and unwanted memories of the stressful experience?
In the past month, how much were you bothered by: repeated, disturbing dreams of the stressful experience?
In the past month, how much were you bothered by: suddenly feeling or acting as if the stressful experience were actually happening again (as if you were actually back there reliving it)?
In the past month, how much were you bothered by: feeling very upset when something reminded you of the stressful experience?
In the past month, how much were you bothered by: having strong physical reactions when something reminded you of the stressful experience (for example, heart pounding, trouble breathing, sweating)?
In the past month, how much were you bothered by: avoiding memories, thoughts, or feelings related to the stressful experience?
In the past month, how much were you bothered by: avoiding external reminders of the stressful experience (for example, people, places, conversations, activities, objects, or situations)?
In the past month, how much were you bothered by: trouble remembering important parts of the stressful experience?
In the past month, how much were you bothered by: having strong negative beliefs about yourself, other people, or the world (for example, having thoughts such as: I am bad, there is something seriously wrong with me, no one can be trusted, the world is completely dangerous)?
In the past month, how much were you bothered by: blaming yourself or someone else for the stressful experience or what happened after it?
In the past month, how much were you bothered by: having strong negative feelings such as fear, horror, anger, guilt, or shame?
In the past month, how much were you bothered by: loss of interest in activities that you used to enjoy?
In the past month, how much were you bothered by: feeling distant or cut off from other people?
In the past month, how much were you bothered by: trouble experiencing positive feelings (for example, being unable to feel happiness or have loving feelings for people close to you)?
In the past month, how much were you bothered by: irritable behavior, angry outbursts, or acting aggressively?
In the past month, how much were you bothered by: taking too many risks or doing things that could cause you harm?
In the past month, how much were you bothered by: being “superalert” or watchful or on guard?
In the past month, how much were you bothered by: feeling jumpy or easily startled?
In the past month, how much were you bothered by: having difficulty concentrating?
In the past month, how much were you bothered by: trouble falling or staying asleep?