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psychiatry

Primary Care PTSD Screen for DSM-5 (PC-PTSD-5)

5-item screen for PTSD in primary care settings. A positive screen (≥3) warrants further evaluation. Validated against structured clinical interview (SCID). Requires a traumatic event as a precondition.

Score interpretation

Screen Negative 0–2

PC-PTSD-5 score <3 — PTSD unlikely (if trauma precondition met)

→ No further PTSD assessment indicated; if subclinical distress, consider brief supportive counselling or brief trauma-focused CBT

Screen Positive 3–5

PC-PTSD-5 ≥3 — positive screen; PTSD possible

→ Formal PTSD diagnostic assessment (PCL-5 or structured clinical interview); refer to trauma-focused therapy (EMDR, prolonged exposure, CPT); assess for comorbid depression, substance use, and suicide risk; safeguarding review if appropriate

Interpretation bands for the PC-PTSD-5. Apply clinical judgement and local guidance.

References

Related

Curated clinical cross-links plus same-class fallbacks.

Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.