Assessment Measures 735
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 a ssessment 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; 2=mild or several days; 3=moderate or mo re than half the days; and 4=severe or nearly
every day). The suicidal ideation, suicide atte mpt, 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 inattentio n 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 determin e 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 beTABLE 1 Adult DSM-5 Self-Rated Level 1 Cross-Cutting Symptom Measure: 
13 domains, thresholds for further inquiry, and associated DSM-5 
Level 2 measures
Domain Domain nameThreshold to guide