ADHD screener
Initial screen
Based on Zimmerman M, Gorlin E, Dalrymple K, Chelminiski I. A clinically useful screen for attention-deficit/hyperactivity disorder in adult psychiatric outpatients. Ann Clin Psychiatry. 2017;29(3):160-166.
Do you often have difficulty sustaining attention in tasks or play activities (e.g. difficulty remaining focused during lectures, conversations, lengthy reading, or movies)?
Yes
No
Do you often fidgets with or tap your hands or feet or squirm in your seat, or do you feel like it takes a lot of effort to stop yourself from doing so?
Yes
No
If patient answers NO to both questions, ADHD is effectively ruled out.
If patient answers YES to one or two questions, please proceed with the next section.
Secondary screen
Based on Ustun B, Adler LA, Rudin C, et al. The World Health Organization Adult Attention-Deficit/Hyperactivity Disorder Self-Report Screening Scale for DSM-5. JAMA Psychiatry. 2017;74(5):520-527.
Check the box that best describes how you have felt and conducted yourself over the past 6 months:
Never
Rarely
Sometimes
Often
Very often
How often do you have difficulty concentrating on what people are saying to you even when they are speaking to you directly?
How often do you leave your seat in meetings or other situations in which you are expected to remain seated?
How often do you have difficulty unwinding and relaxing when you have time to yourself?
When you’re in a conversation, how often do you find yourself finishing the sentences of the people you are talking to before they can finish them themselves?
How often do you put things off until the last minute?
How often do you depend on others to keep your life in order and attend to details?
ASRS-5 score
ASRS-5 score is 14 or above: please continue with referral for a diagnostic interview.
ASRS-5 is less than 14: threshold not met for primary care assessment, consider formal psychologist referral if there is still clinical concern for ADHD.
Submit
Should be Empty: