Use this questionnaire to help you determine if your child may need to see a mental health professional for diagnosis and treatment of posttraumatic stress disorder (PTSD) after a mental or physical injury.
Instructions: The items below refer to a recent injury experienced by your child. It works best if the child can answer the questions directed toward them.
Copyright 2003 Children’s Hospital of Philadelphia. All rights reserved. Adopted from the 2003 article that appeared in the Journal of the American Medical Association, Screening for Risk of Persistent Posttraumatic Stress in Injured Children and Their Parents, Flaura K. Winston, MD, PhD; Nancy Kassam-Adams, PhD; Felipe Garcia-Espana, PhD; Richard Ittenbach, PhD; Avital Cnaan, PhD. For personal, research, or educational use only; other use may be prohibited by law.