Table 1.

Summary of screens available for PTSD and/or Depression in hospitalized trauma patients

	Sensitivity/Specificity*	Benefits	Limitations
In-person screens
Symptom screens
PTSD Checklist for DSM-5 (PCL5)  20 items; Likert scale (0 - 4)	Not documented in this population	Well established measure that examines specific symptoms of PTSD Previous iterations of the screen are well validated across multiple populations	Diagnostic tool not designed to predict PTSD Not predictive of depression No validation study for a cut-off in the hospitalized injured population
Posttraumatic Adjustment Screen (PAS)  10 items; Likert scale (0 - 4)	12 months post injury:  PTSD = .82/.84  Depression = .72/.75	Created for and normed on the traumatic injury population Cross validated via subsample	Non-U.S. sample with minimal assaultive trauma Likert scale more cumbersome
Peritraumatic Distress Inventory (PDI)  13 items; Likert scale (0 - 4)	1 month post injury:  PTSD = .71/.73  Depression = .70/.69	Available in multiple languages Recent analysis with the traumatic injury population Cut-scores for depression and PTSD	Administered 1 month after injury to predict 1 month distress Likert scale more cumbersome
Risk factor screens
Predictive screening tool for depression and PTSD after injury  8 items; Yes/No response	Not documented	Simple Yes/No response format	Created for and normed on Emergency Department population No known validation study
Inured Trauma Survivor Screen (ITSS)  9 items (5 for PTSD risk, 5 for depression risk, with 1 overlapping item); Yes/No response	One-month post injury:  PTSD = .75/.94 (≥2)  Depression = .75/.95 (≥2) Six-month post injury  PTSD = .85/.67 (≥2)  Depression = .73/.70 (≥2)	Created for and normed on the traumatic injury population Simple Yes/No response format	No known validation study+
Automated screens
Automated EMR screen 10 items collected from electronic medical record	One-month post injury:  PTSD = .70/.40 (>3) Six months post injury:  PTSD = .81/.38 (>3) 12 months post injury:  PTSD = .84/.36 (>3)	Created for and normed on the traumatic injury population Cross validated via validation sample Optimizes population level impact	Information may not be available in EMR Not predictive of depression

Note.

^*Refers to the sensitivity and specificity of the measure in the traumatic service population;

⁺AAST multi-institutional validation study underway.