PCL-5 PTSD Screening Calculator

The PTSD Checklist for DSM-5 (PCL-5) is a 20-item self-report measure that assesses the presence and severity of post-traumatic stress symptoms over the past month, following exposure to a stressful or traumatic experience.

In the past month, how much were you bothered by:

1Repeated, disturbing, and unwanted memories of the stressful experience
2Repeated, disturbing dreams of the stressful experience
3Suddenly feeling or acting as if the stressful experience were actually happening again
4Feeling very upset when something reminded you of the stressful experience
5Having strong physical reactions when something reminded you of the stressful experience (e.g., heart pounding, trouble breathing, sweating)
6Avoiding memories, thoughts, or feelings related to the stressful experience
7Avoiding external reminders of the stressful experience (people, places, conversations, activities, objects, or situations)
8Trouble remembering important parts of the stressful experience
9Strong negative beliefs about yourself, other people, or the world
10Blaming yourself or someone else for the stressful experience or what happened after it
11Having strong negative feelings such as fear, horror, anger, guilt, or shame
12Loss of interest in activities that you used to enjoy
13Feeling distant or cut off from other people
14Trouble experiencing positive feelings
15Irritable behavior, angry outbursts, or acting aggressively
16Taking too many risks or doing things that could cause you harm
17Being "superalert," watchful, or on guard
18Feeling jumpy or easily startled
19Having difficulty concentrating
20Trouble falling or staying asleep

How the score is calculated

Each item is rated on a 0–4 scale describing how much you have been bothered by that symptom in the past month. The 20 item scores are summed for a total ranging from 0 to 80. Higher totals generally reflect a greater number and intensity of post-traumatic stress symptoms.

Important limitations

  • The PCL-5 screens for symptoms consistent with post-traumatic stress; it does not confirm a PTSD diagnosis, which requires a structured clinical interview.
  • A cutoff score is a statistical threshold, not a certainty — both false positives and false negatives can occur.
  • Recent unrelated stressors can also elevate some item scores.

Frequently Asked Questions

What is the PCL-5?

A 20-item self-report measure of post-traumatic stress symptoms based on DSM-5 criteria, covering the past month.

How is the PCL-5 scored?

Each item is rated 0–4; the 20 scores are summed for a total from 0 to 80.

Does a high PCL-5 score mean I have PTSD?

Not on its own. Your score may indicate a level of symptoms that warrants further discussion with a qualified healthcare professional, who can conduct a full evaluation.

What cutoff is commonly used?

A total of 33 or higher is a commonly cited provisional threshold in published research, though clinical judgment and context always matter alongside any cutoff.

Sources & References

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