CRIES-13
Children's Revised Impact of Event Scale (CRIES-13)
The CRIES is a questionnaire intended to assess the impact of traumatic events in children. It is designed to measure symptoms of avoidance, intrusion and hyperarousal following a traumatic event.
- Number of questions
- 13 questions
- Estimated duration
- 3 minutes
- Language
- English
- Original name
- Child Revised Impact of Events Scale
- Target audience
- Children aged 8 to 18
- Authors
- Patrick Smith, William Yule, S. N. Perrin (1998)
Preview of the 13 questions
Scoring & interpretation
The CRIES-13 comprises 13 items divided into three subscales: intrusion (items 1, 3, 6, 9), avoidance (items 5, 7, 8, 10) and arousal (items 2, 4, 11, 12, 13). Each item is rated on a 4-point Likert scale: 0 = Not at all, 1 = Rarely, 3 = Sometimes, 5 = Often. The intermediate values (2 and 4) are not used.
The total score is obtained by adding up the scores of all 13 items. It ranges from 0 to 65. A total score of 30 or higher is considered indicative of a high risk of posttraumatic stress disorder (PTSD). There is no clinical cutoff for the subscales.
CRIES-13 results should be interpreted as part of a comprehensive clinical assessment that takes into account the young person's context, history, protective factors and available sources of support. The tool cannot, on its own, establish a diagnosis of PTSD. Any diagnostic confirmation must be made by a professional duly trained in this type of assessment.
The CRIES-13 does not assess certain PTSD criteria introduced in DSM-5, notably negative alterations in cognitions and mood. It is therefore recommended to complement the assessment with questions exploring these dimensions.
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