Y-PSC - Youth Report Pediatric Symptom Checklist


The Youth Report Pediatric Symptom Checklist is 35-item psychosocial screen, to be completed by the adolescent patient ages 11 and up, designed to facilitate the recognition of cognitive, emotional, and behavioral problems in children.

Special Instructions

Once the patient has submitted it, you may preview it on the uninitialed documents tab in the EMR. However, do not initial it or it won't later be pulled into your Mobile Note.

Scores Produced

Total (0-70)


30 or higher may indicate psychological impairment


  • Jellinek MS, Murphy JM, Little M, et al. 1999. Use of the Pediatric Symptom Checklist (PSC) to screen for psychosocial problems in pediatric primary care: A national feasability study. Archives of Pediatric and Adolescent Medicine 153(3):254–260.
  • Jellinek MS, Murphy JM, Robinson J, et al. 1988. Pediatric Symptom Checklist: Screening school-age children for psychosocial dysfunction. Journal of Pediatrics 112(2):201–209.
  • Little M, Murphy JM, Jellinek MS, et al. 1994. Screening 4- and 5-year-old children for psychosocial dysfunction: A preliminary study with the Pediatric Symptom Checklist. Journal of Developmental and Behavioral Pediatrics 15:191–197.
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