Overall total
Seventeen items scored 0–2 give a 0–34 total. A score of 15 or more is the recommended PSC-17 follow-up threshold.
Parent/caregiver clinical screener
A parent or caregiver can check broad emotional, attention, and behavior concerns in a child or teen age 4–17. Your complete basic result is free. This is a screen—not a diagnosis.
Parent/caregiver completed · no child name requested · full basic result free
What you will do
After one non-scored eligibility question, rate each PSC-17 item as Never, Sometimes, or Often based on what best describes your child.
What the PSC-17 measures
The PSC-17 is a short version of the Pediatric Symptom Checklist. It is intended to flag broad psychosocial concerns that may deserve follow-up, not to assign a diagnosis.
Seventeen items scored 0–2 give a 0–34 total. A score of 15 or more is the recommended PSC-17 follow-up threshold.
Five items cover sadness, hopelessness, self-view, worry, and reduced enjoyment. Published follow-up threshold: 5+.
Five items cover restlessness, daydreaming, distractibility, concentration, and high activity. Published follow-up threshold: 7+.
Seven items cover rule-following, conflict, empathy, teasing, blame, sharing, and taking things. Published follow-up threshold: 7+.
A score can suggest that fuller evaluation may help, but it cannot say which disorder—if any—is present.
This version is completed by a parent or caregiver. It does not replace the child’s own perspective, teacher observations, or professional assessment.
Scoring
Each scored item is rated Never (0), Sometimes (1), or Often (2). The 17 item scores are summed for the overall total, and the three subscales are summed separately.
The overall score, all three subscale scores, thresholds, limitations, and basic next steps are free.
What a professional adds
A pediatrician or child mental-health professional can consider developmental history, family and school context, sleep, learning, medical issues, trauma, duration, impairment, and information from more than one setting.
What this screen can and cannot tell you
False positives and false negatives occur in screening. A specific concern can still matter even when the overall total is below cutoff, and a positive screen should be interpreted in context.
This screening implementation should not be treated as a validated clinical or diagnostic tool unless an independent qualified reviewer verifies the exact PSC-17 version, scoring, age positioning, current reproduction terms, privacy flow, child-safeguarding copy, and U.S.-first care guidance.
Sources and instrument governance
Mass General provides the PSC forms, scoring instructions, and free online versions. Because DesperateMinds is a commercial platform, final production launch still requires explicit confirmation that our intended online use is permitted under the current rights terms.
Frequently asked questions
No. The PSC-17 is a broad psychosocial screen. It can flag areas that deserve a closer look but cannot identify a specific diagnosis by itself.
That can still be useful information. A subscale reaching its published threshold can justify discussing that area even when the overall total is below 15.
No. This page implements the parent/caregiver PSC-17. A direct youth self-report requires a separate version and additional youth-safeguarding governance.
If a child may be in immediate danger, is talking about suicide or serious self-harm, or cannot be kept safe, use urgent local emergency/crisis support rather than relying on this screen.
Save the result as a conversation aid, not a label. Write down two or three specific examples of changes in behavior, mood, school performance, sleep or relationships and note where they occur. If possible, compare home observations with school or childcare information.
Persistent concerns can be discussed with a pediatric or primary-care clinician, school professional or qualified mental-health professional depending on the problem. Immediate safety concerns, suicidal behavior or severe deterioration require urgent help.
Using a parent screen well
Parents can observe behavior, routines and changes at home, but children may show different patterns at school, with peers or internally. A useful follow-up combines the screen with developmental history, teacher or school observations where appropriate, medical context and direct conversation with the child.
| Result pattern | Useful follow-up |
|---|---|
| Attention concerns | Ask whether difficulties appear across settings and whether sleep, learning, stress or developmental factors contribute. |
| Internalizing concerns | Explore worries, sadness, withdrawal, physical complaints and what the child says about their own experience. |
| Externalizing concerns | Look at triggers, consistency, developmental expectations, family and school context, and safety. |
Do not use a score as a label or punishment. If concerns are persistent or impairing, the child and teen mental-health hub explains broader evaluation. See also child mental-health warning signs.
Read before or after the screen
These guides explain the topic in depth without turning a screening result into a diagnosis.