Assessment Measures 737
Level 2 Cross-Cuttin g Symptom Measures
Any threshold scores on the Level 1 Cross- Cutting Symptom Measure (as noted in Tables
1 and 2 and described in “Scoring and Interpretation” indicate a possible need for detailed
clinical inquiry. Level 2 Cr oss-Cutting Symptom Measures provide one method of obtain-
ing more in-depth information on potentially significant symptoms to inform diagnosis,
treatment planning, and follow-up. They ar e available online at www.psychiatry.org/
dsm5. Tables 1 and 2 outline each Level 1 domain and identify the domains for which
DSM-5 Level 2 Cross-Cutting Symptom Measures  are available for more detailed assess-
ments. Adult and pediatric (parent and child) versions are available online for most Level
1 symptom domains at www.psychiatry.org/dsm5.
Frequency of Use of the Cross-Cutting 
Symptom Measures
To track change in the individual’s sympto m presentation over time , the Level 1 and rel-
evant Level 2 cross-cutting symptom measures  may be completed at regular intervals as
clinically indicated, depending on the stab ility of the individual’s symptoms and treat-
ment status. For individuals with impaired capacity and for children ages 6–17 years, it is
preferable for the measures to be comple ted at follow-up appointments by the same
knowledgeable informant and by  the same parent or guardian. Consistently high scores
on a particular domain may indicate signif icant and problematic sy mptoms for the indi-
vidual that might warrant further assessment, treatment, and follow-up. Clinical judg-
ment should guide decision making.