736 Assessment Measures
used as an indicator for additional inquiry. A parent or guardian’s ra ting of “Don’t Know” on
the suicidal ideation, suicide a ttempt, and any of the substance use items, especially for chil-
dren ages 11–17 years, may result in additional probing of the issues with the child, including
using the child-rated Level 2 Cross-Cutting Symptom Measure for the relevant domain. Be-
cause additional inquiry is made on the basis of the highest score on any item within a do-
main, clinicians should indicate that score in the “Highest Domain Score” column. Table 2
outlines threshold scores that may guide further inquiry for the remaining domains.TABLE 2 Parent/guardian-rated DSM-5 Level 1 Cross-Cutting Symptom Measure 
for child age 6–17: 12 domains, thresholds for further inquiry, and 
associated Level 2 measures
Domain Domain nameThreshold to guide 
further inquiryDSM-5 Level 2 Cross-Cutting Symptom 
Measurea
I. Somatic symptoms Mild or greater Le vel 2—Somatic Symptoms—Parent/Guard-
ian of Child Age 6–17 (Patient Health 
Questionnaire–15 Somatic Symptom Sever-
ity Scale [PHQ-15])
II. Sleep problems Mild or greater Lev el 2—Sleep Disturbance—Parent/Guard-
ian of Child Age 6–17 (PROMIS Sleep 
Disturbance—Short Form)
III. Inattention Slight or greater Level 2—Inattention—Parent/Guardian of 
Child Age 6–17 (Swanson , Nolan, and Pel-
ham, Version IV [SNAP-IV])
IV. Depression Mild or greater Level 2—Depression—Parent/Guardian of