The DSM-5 Level 2—Mania—Child Age 11–17 is based on the Altman Self-Rating Mania Scale (ASRM), a 5-item self-assessment tool designed to evaluate the presence and severity of manic symptoms in children and adolescents aged 11 to 17. This measure is typically completed by the child before meeting with the clinician and asks the child to rate the presence and intensity of their manic symptoms over the past week. Each item is rated on a 5-point scale, with response options varying according to the specific symptom being assessed. For example, “I do not need less sleep than usual” to “I can go all day and all night without any sleep and still not feel tired.” The ASRM is useful for both initial assessment and ongoing monitoring of manic symptoms, allowing clinicians to gauge the severity of the symptoms and tailor treatment plans accordingly. These scores can be used to assess the severity of the child's symptoms and to monitor changes over time. Regular administration of the ASRM can identify persistent areas of concern that may require additional attention or adjustments in treatment.

Child/Adolescent Self-Report

5

11-17

Weekly or as clinically indicated

Scoring the ASRM involves summing the raw scores from each of the five items, resulting in a total score that can range from 5 to 25. A total score of 6 or more suggests a high probability of a manic or hypomanic episode, indicating the need for further diagnostic evaluation or treatment. Conversely, a score of 5 or lower suggests that significant manic symptoms are less likely.

N/A

American Psychiatric Association. (2013). Diagnostic and Statistical Manual of Mental Disorders (5th Ed.). Arlington, VA: American Psychiatric Publishing.

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