1-SCID-5-RV - Score - Sheet - (V1.0.0) 2-13-15

STRUCTURED CLINICAL INTERVIEW FOR
DSM-5® DISORDERS
SCID-5-RV (Research Version)
Version 1.0.0
Michael B. First, MD; Janet B.W. Williams, PhD;

Rhonda S. Karg, PhD; and Robert L. Spitzer, MD
Study: __________________________________ Study No.: __ __ __ __ P1
Subject: __________________________________ I.D. No.: __ __ __ __ P2
Rater: __________________________________ Rater No.: __ __ __ P3
Date of Interview: __ __ __ __ __ __ P4
Month. Day Year
Sources of information (check all that apply): __ Subject/Patient P5

__ Family/friends/associates P6
__ Health professional/chart/referral note P7
Edited and checked by: __________________________________ Date: _______________________
Copyright © 2015 Michael B. First, M.D., Janet B. W. Williams, Ph.D., and Robert L. Spitzer, M.D.
For citation: First MB, Williams JBW, Karg RS, Spitzer RL: Structured Clinical Interview for DSM-5—
Research Version (SCID-5 for DSM-5, Research Version; SCID-5-RV, Version 1.0.0). Arlington, VA,
American Psychiatric Association, 2015
Web page: http://www.scid5.org E-mail: [email protected]
The Structured Clinical Interview for DSM-5®, Research Version (SCID-5-RV), includes the User’s Guide
and score sheets. Use of any component of the SCID-5-RV requires permission or licensing through
American Psychiatric Publishing before use. Inquiries should be directed to SCID Permissions & Licensing,
American Psychiatric Publishing, 1000 Wilson Boulevard, Suite 1825, Arlington, VA 22209-3901, or online
at: http://www.appi.org/CustomerService/Pages/Permissions.aspx. For more information, please visit the
SCID products page on www.appi.org.
DSM and DSM-5 are registered trademarks of the American Psychiatric Association. Use of these terms is
prohibited without permission of the American Psychiatric Association.
DSM-5® diagnostic criteria are reprinted or adapted with permission from American Psychiatric
Association: Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. Arlington VA, American
Psychiatric Association, 2013. Copyright © 2013 American Psychiatric Association. Used with permission.
ALL RIGHTS RESERVED. Unless authorized in writing by the American Psychiatric Association (APA), no
part of the DSM-5® criteria may be reproduced or used in a manner inconsistent with the APA’s copyright.
This prohibition applies to unauthorized uses or reproductions in any form, including electronic
applications. Correspondence regarding copyright permission for DSM-5 criteria should be directed to DSM
Permissions, American Psychiatric Publishing, 1000 Wilson Boulevard, Suite 1825, Arlington, VA 22209-
3901.
The Social and Occupational Functioning Assessment Scale (SOFAS) is reprinted with permission from
American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition,
Text Revision. Washington, DC, American Psychiatric Association, 2000, p. 818. Copyright © 2000
American Psychiatric Association. Used with permission.
The following acknowledgment accompanies the SOFAS:
Note: The rating of overall psychological functioning on a scale of 0–100 was operationalized by Luborsky
in the Health-Sickness Rating Scale. (Luborsky L: “Clinicians’ Judgments of Mental Health.” Archives of
General Psychiatry 7:407–417, 1962). Spitzer and colleagues developed a revision of the Health-Sickness
Rating Scale called the Global Assessment Scale (GAS) (Endicott J, Spitzer RL, Fleiss JL, et al.: “The Global
Assessment Scale: A Procedure for Measuring Overall Severity of Psychiatric Disturbance.” Archives of
General Psychiatry 33:766–771, 1976). The SOFAS is derived from the GAS and its development is
described in Goldman HH, Skodol AE, Lave TR: “Revising Axis V for DSM-IV: A Review of Measures of
Social Functioning.” American Journal of Psychiatry 149:1148–1156, 1992.
The listing of prodromal/residual symptoms on page C.3 of the SCID-5-RV has been adapted with
permission from the DSM-5 text, p. 101, and the list of prodromal/residual symptoms has been adapted
with permission from American Psychiatric Association: Diagnostic and Statistical Manual of Mental
Disorders, Third Edition, Revised. Washington, DC, American Psychiatric Association, 1987, pp. 194–195.
Copyright © 1987 American Psychiatric Association. Used with permission.
SCID-5-RV (for DSM-5®) (Version 1.0.0) Score Sheet Page 1
SCID
Inadequate Sub-
Code Diagnosis Info. Absent threshold Threshold Absent Present
Meets Symptomatic Dx. Crit.

Lifetime Prevalence Past Month
BIPOLAR AND RELATED DISORDERS

01 Bipolar I Disorder (D.1/lifetime) ? 1 2 P8
3 1 3
(D.14/past month) P9
Current or most recent episode:

1 Manic P10
2 Hypomanic
3 Depressed
4 Unspecified
02 Bipolar II Disorder (D.3/lifetime) ? 1 2 P11
3 1 3
(D.14/past month) P12
Current or most recent episode:

1 Hypomanic P13
2 Depressed

Current Only Past 2 Years
03 Cyclothymic Disorder ? 1 3 P14

(A.29/past 2 years only)

04 Other Specified Bipolar Disorder ? 1 2 3 P15

3 1
(D.7/lifetime)(D.8/past month) P16
05 Bipolar Disorder Due to Another ? 1 3 P17

3 1
Medical Condition P18
(A.43/lifetime)(A.43/past
month) Specify AMC:_________
06 Substance/Medication-Induced ? 1 3 P19
3 1 P20
Bipolar Disorder (A.45/lifetime)
(A.45/past month)
Specify substance:______
DEPRESSIVE DISORDERS
07 Major Depressive Disorder ? 1 2 3 P21
3 1
(D.9/lifetime)(D.17/past month) P22

Lifetime Prevalence Past 2 Years
08 Persistent Depressive Disorder ? 1 2 3 1 3 P23

(A.32/past two years)(A.36/prior P24
to past two years)
Current Only Past 12 Months
09 Premenstrual Dysphoric Disorder ? 1 3 P25

(A.41/past 12 months)
10 Other Specified Depressive ? 1 3 1 3 P26

Disorder (D.12/lifetime) P27
(D.13/past month)
11 Depressive Disorder Due to ? 1 3 1 3 P28
Another Medical Condition P29
month) Specify AMC:_________
SCID
Inadequate Sub-
3 1
Depressive Disorder P31
month) Specify substance:___
SCHIZOPHRENIA AND OTHER PSYCHOTIC DISORDERS
13 Schizophrenia (C.5/lifetime) ? 1 2 3 P32
3 1
(C.17/past month) P33
14 Schizophreniform Disorder ? 1 2 3 P34

3 1
(C.7/lifetime)(C.19/past month) P35
15 Schizoaffective Disorder ? 1 2 3 P36

3 1
(C.9/lifetime)(C.17/past month) P37
16 Delusional Disorder ? 1 2 3 P38

3 1
(C.11/lifetime)(C.17/past P39
month)
17 Brief Psychotic Disorder ? 1 2 3 P40
3 1
(C.14/lifetime)(C.19/past P41
month)
18 Psychotic Disorder Due to ? 1 3 P42
3 1
(C.22/lifetime)(C.19/past
month) Specify GMC:______
19 Substance-Induced Psychotic ? 1 3 P44
3 1 P45
Disorder (C.24/lifetime)
(C.19/past month)
20 Other Specified Psychotic ? 1 3 P46
3 1
Disorder(C.16/lifetime) P47
(C.19/past month)

Lifetime Prevalence Past 12 Months
SUBSTANCE USE DISORDERS

21 Alcohol (E.4/past 12 months) ? 1 2 3 P48
3 1 P49
(E.9/prior to past 12 months)
22 Sedative-Hypnotic-Anxiolytic ? 1 2 3 P50
3 1 P51
(E.17/past 12 months)
23 Cannabis (E.17/past 12 months) ? 1 2 3 P52
3 1 P53
24 Stimulants/Cocaine ? 1 2 3 P54
3 1
(E.17/past 12 months) P55
25 Opioids (E.17/past 12 months) ? 1 2 3 P56
3 1 P57
26 PCP (E.17/past 12 months) ? 1 2 3 P58
3 1
(E.26/prior to past 12 months) P59
27 Other Hallucinogens ? 1 2 3 P60

3 1
(E.17/past 12 months) P61
28 Inhalants (E.17/past 12 months) ? 1 2 3 P62
3 1
(E.26/prior to past 12 months) P63
29 Other/Unknown (E.17/past 12 ? 1 2 3 P64

3 1
months) (E.26/prior to past 12 P65
months)
SCID Inadequate Sub-


ANXIETY DISORDERS
30 Panic Disorder ? 1 2 3 P66
3 1
(F.5/lifetime)(F.5/past month) P67

31 Agoraphobia (F.11/lifetime) ? 1 2 3 P68

3 1
(F.12/past 6 months) P69
32 Social Anxiety Disorder ? 1 2 3 P70

3 1
(F.16/lifetime)(F.17/past 6 P71
months)
33 Specific Phobia (F.21/lifetime) ? 1 2 3 P72
3 1
(F.22/past 6 months) P73
34 Generalized Anxiety Disorder ? 1 2 3 P74

3 1
(F.30/lifetime)(F.26/past 6 P75
months)

35 Separation Anxiety Disorder ? 1 1 3 P76

(OPTIONAL) (Opt-F.4/past 6
months only)

36 Other Specified Anxiety ? 1 3 P77

3 1
Disorder (F.32/lifetime) P78
(F.32/past month)
37 Anxiety Disorder Due to ? 1 3 P79
3 1
(F.34/lifetime)(F.34/past month)
Specify AMC:______
3 1
Anxiety Disorder P82
(F.36/lifetime)(F.36/past month)
OBSESSIVE-COMPULSIVE AND RELATED DISORDERS
39 Obsessive Compulsive Disorder ? 1 2 3 P83
3 1
(G.5/lifetime)(G.6/past month) P84
40 Hoarding Disorder (OPTIONAL) ? 1 2 3 P85

3 1
(Opt-G.3/lifetime)(Opt-G.4/past P86
month)
41 Body Dysmorphic Disorder ? 1 2 3 P87
3 1
(OPTIONAL) (Opt-G.7/lifetime) P88
Opt-G.9/past month)
42 Trichotillomania (Hair-Pulling ? 1 2 3 P89
3 1
Disorder) (OPTIONAL) P90
(Opt-G.11/lifetime)
(Opt-G.12/past month)
43 Excoriation (Skin-Picking) ? 1 2 3 1 3 P91
Disorder (OPTIONAL) P92
(Opt-G.14/lifetime)
(Opt-G.15/past month)
SCID
Inadequate Sub-
44 Other Specified Obsessive ? 1 2 3 P93

3 1
Compulsive and Related P94
Disorder (G.9/lifetime)(G.9/past
month)
45 Obsessive-Compulsive and ? 1 2 3 P95
3 1
Related Disorder Due to P96
Another Medical Condition
(G.13/lifetime)(G.13/past
month)
Specify AMC: _________
46 Substance/Medication-Induced ? 1 2 3 P97
3 1
Obsessive-Compulsive and P98
Related Disorder (G.16/lifetime)
(G.16/past month). Specify
substance: ______

SLEEP-WAKE DISORDERS
47 Insomnia Disorder (OPTIONAL) ? 1 3 P99
(Opt-H.3/past 3 months)
48 Hypersomnolence Disorder ? 1 3 P100
(OPTIONAL) (Opt-H.7/past 3
months)
49 Substance-Induced Sleep ? 1 3 P101
Disorder (OPTIONAL) (Opt-
H.11)

FEEDING AND EATING DISORDERS

50 Anorexia Nervosa (I.1/lifetime) ? 1 2 3 P102
3 1
(I.2/past 3 months) P103
51 Bulimia Nervosa (I.5/lifetime) ? 1 2 3 P104

3 1
(I.6/past 3 months)) P105
52 Binge Eating Disorder ? 1 2 3 P106

3 1 P107
(I.8/lifetime)(I.9/past
3 months)

Current Only Past Month
53 Avoidant/Restrictive Food ? 1 3 P108

Intake Disorder (OPTIONAL)
(Opt-I.3/past month)

54 Other Specified Feeding or ? 1 2 3 P109

3 1
Eating Disorder (I.10/lifetime) P110
(I.10/past month)
SCID Inadequate Sub-


SOMATIC SYMPTOM AND RELATED DISORDERS

55 Somatic Symptom Disorder ? 1 3 P111
(OPTIONAL) (Opt-J.2/past 6
months)
56 Illness Anxiety Disorder ? 1 3 P112
(OPTIONAL) (Opt-J.4/past 6
months)
EXTERNALIZING DISORDERS
57 Adult Attention-deficit/ ? 1 3 P113
Hyperactivity Disorder
(K.5/past 6 months)
58 Intermittent Explosive Disorder ? 1 3 P114
(OPTIONAL) (Opt-K.4/past 12
months)
59 Gambling Disorder (OPTIONAL) ? 1 3 P115
(Opt-K.7/past 12 months)
Current Only Past Month
TRAUMA- AND STRESSOR-RELATED DISORDERS

60 Acute Stress Disorder ? 1 3 P116
(L.10/past month)
61 Posttraumatic Stress Disorder ? 1 2 3 P117

3 1
(L.18/lifetime)(L.18/past P118
month)
62 Adjustment Disorder ? 1 3 P119

(L.22/past 6 months)
63 Other Specified Trauma- and ? 1 2 3 P120

3 1
Stressor-Related Disorder P121
(L.23/lifetime)(L.23/past
month)
64 OTHER DSM-5 DISORDER: ? 1 2 3 P122
3 1
Specify: _______________ P123
PRINCIPAL DIAGNOSIS (i.e., the disorder that is [or should be] the main focus of current clinical
attention).
Enter SCID Code number from scoresheet for principal diagnosis: __ __ P124
Note: Code 00 if no current mental disorder. Code 99 if unknown.

INTERVIEWER’S DIAGNOSES, IF DIFFERENT FROM SCID DIAGNOSES:
____________________ ____________________ ____________________ P125
PROVISIONAL DIAGNOSIS (i.e., the disorder(s) that need more information in order to be P126
ruled out).
____________________________________________________________________________________
SOCIAL AND OCCUPATIONAL FUNCTIONING ASSESSMENT SCALE (SOFAS)
Consider psychological, social, and occupational functioning on a continuum from excellent functioning to grossly impaired
functioning. Include impairments in functioning due to physical limitations, as well as those due to mental impairments. To be
counted, impairment must be a direct consequence of mental and physical health problems; the effects of lack of opportunity and
other environmental limitations are not be to considered.
CODE (Note: Use intermediate codes when appropriate, e.g., 45, 68, 72). __ __ __ P127
100 Superior functioning in a wide range of activities.
91
90 Good functioning in all areas, occupationally and socially effective.
81
80 No more than a slight impairment in social, occupational, or school functioning (e.g., infrequent interpersonal conflict,
temporarily falling behind in schoolwork).
71
70 Some difficulty in social, occupational, or school functioning, but generally functioning well, has some meaningful
interpersonal relationships.
61
60 Moderate difficulty in social, occupational, or school functioning (e.g., few friends, conflicts with peers or coworkers).
51
50 Serious impairment in social, occupational, or school functioning (e.g., no friends, unable to keep a job).
41
40 Major impairment in several areas, such as work or school, family relations, (e.g., depressed man avoids friends,
neglects family, and is unable to work; child frequently beats up younger children, is defiant at home, and is failing at
school).
31
30 Inability to function in almost all areas (e.g., stays in bed all day; no job, home, or friends).
21
20 Occasionally fails to maintain minimal personal hygiene; unable to function independently.
11
10 Persistent inability to maintain minimal personal hygiene. Unable to function without harming self or others or without
considerable external support (e.g., nursing care and supervision).
1
0 Inadequate information.

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STRUCTURED CLINICAL INTERVIEW FOR

Michael B. First, MD; Janet B.W. Williams, PhD;

Study: __________________________________ Study No.: __ __ __ __ P1

Subject: __________________________________ I.D. No.: __ __ __ __ P2

Rater: __________________________________ Rater No.: __ __ __ P3

Sources of information (check all that apply): __ Subject/Patient P5

Edited and checked by: __________________________________ Date: _______________________

Web page: http://www.scid5.org E-mail: [email protected]

The following acknowledgment accompanies the SOFAS:

Meets Symptomatic Dx. Crit.

BIPOLAR AND RELATED DISORDERS

Current or most recent episode:

Current or most recent episode:

Meets Symptomatic Dx. Crit.

03 Cyclothymic Disorder ? 1 3 P14

Meets Symptomatic Dx. Crit.

04 Other Specified Bipolar Disorder ? 1 2 3 P15

05 Bipolar Disorder Due to Another ? 1 3 P17

Meets Symptomatic Dx. Crit.

08 Persistent Depressive Disorder ? 1 2 3 1 3 P23

09 Premenstrual Dysphoric Disorder ? 1 3 P25

10 Other Specified Depressive ? 1 3 1 3 P26

14 Schizophreniform Disorder ? 1 2 3 P34

15 Schizoaffective Disorder ? 1 2 3 P36

16 Delusional Disorder ? 1 2 3 P38

Meets Symptomatic Dx. Crit.

SUBSTANCE USE DISORDERS

27 Other Hallucinogens ? 1 2 3 P60

29 Other/Unknown (E.17/past 12 ? 1 2 3 P64

SCID Inadequate Sub-

Meets Symptomatic Dx. Crit.

Meets Symptomatic Dx. Crit.

31 Agoraphobia (F.11/lifetime) ? 1 2 3 P68

32 Social Anxiety Disorder ? 1 2 3 P70

34 Generalized Anxiety Disorder ? 1 2 3 P74

Meets Symptomatic Dx. Crit.

35 Separation Anxiety Disorder ? 1 1 3 P76

Meets Symptomatic Dx. Crit.

36 Other Specified Anxiety ? 1 3 P77

40 Hoarding Disorder (OPTIONAL) ? 1 2 3 P85

44 Other Specified Obsessive ? 1 2 3 P93

Meets Symptomatic Dx. Crit.

Meets Symptomatic Dx. Crit.

FEEDING AND EATING DISORDERS

51 Bulimia Nervosa (I.5/lifetime) ? 1 2 3 P104

52 Binge Eating Disorder ? 1 2 3 P106

Meets Symptomatic Dx. Crit.

53 Avoidant/Restrictive Food ? 1 3 P108

Meets Symptomatic Dx. Crit.

54 Other Specified Feeding or ? 1 2 3 P109

SCID Inadequate Sub-

Meets Symptomatic Dx. Crit.

SOMATIC SYMPTOM AND RELATED DISORDERS

TRAUMA- AND STRESSOR-RELATED DISORDERS

61 Posttraumatic Stress Disorder ? 1 2 3 P117

62 Adjustment Disorder ? 1 3 P119

63 Other Specified Trauma- and ? 1 2 3 P120

Note: Code 00 if no current mental disorder. Code 99 if unknown.

SOCIAL AND OCCUPATIONAL FUNCTIONING ASSESSMENT SCALE (SOFAS)

Study: ______________________________ Study No.: P1

Subject: ______________________________ I.D. No.: P2

Rater: ________________________________ Rater No.: P3

Edited and checked by: ____________ Date: _