IV. Depression Mild or greater Level 2—Depression—Parent/Guardian of 
Child Age 6–17 (PROMIS Emotional Dis-
tress—Depression—Parent Item Bank)
V. Anger Mild or greater Level 2—Anger—Parent/Guardian of Child 
(PROMIS Calibrated Anger Measure—Parent)
VI. Irritability Mild or greater Level 2—Irritability—Parent/Guardian of 
Child (Affective Reactivity Index [ARI])
VII. Mania Mild or greater Level 2— Mania—Parent/Guardian of Child 
Age 6–17 (Altman Self-Rating Mania Scale 
[ASRM])
VIII. Anxiety Mild or greater Level 2—Anxiety—Parent/Guardian of Child 
Age 6–17 (PROMIS Emotional Distress—
Anxiety—Parent Item Bank)
IX. Psychosis Slight or greater None
X. Repetitive thoughts 
and behaviorsMild or greater None
XI. Substance use Yes Level 2—Substance Use—Parent/Guardian of 
Child Age 6–17 (adapted from the NIDA-
modified ASSIST)
Don’t Know NIDA-modified ASSIST (adapted)—
Child-Rated (age 11–17 years)
XII. Suicidal ideation/ 
suicide attemptsYes None
Don’t Know None
Note. NIDA=National Institute on Drug Abuse.
aAvailable at www.ps ychiatry.org/dsm5.