The score on each item within a domain should be reviewed. However, a rating of mild (i.e.,
2) or greater on any item within a domain, ex cept for substance use, suicidal ideation, and
psychosis, may serve as a guide for additional inquiry and follow-up to determine if a more
detailed assessment is necessary, which may include the Level 2 cross-cutting symptom as-
sessment for the domain (see Table 1). For substa nce use, suicidal idea tion, and psychosis, a