LEC-5: Life Events Checklist for DSM-5

17-item self-report measure of exposure to potentially traumatic events. ≈ 3 min to complete. Free with attribution.

trauma 17 items ≈ 3 min Updated 2026-05-06

Score LEC-5 below → Download printable PDF View source paper (DOI)
What is LEC-5? LEC-5 (Life Events Checklist for DSM-5) is a validated instrument used to assess 17-item self-report measure of exposure to potentially traumatic events.. It is used in 17-item self-report measure of exposure to potentially traumatic events.. It comprises 17 items. Administration takes about 3 min.

What is LEC-5?

LEC-5 (Life Events Checklist for DSM-5) is a validated clinical instrument used to assess 17-item self-report measure of exposure to potentially traumatic events.. It is most often used for 17-item self-report measure of exposure to potentially traumatic events.. The instrument contains 17 items. Typical administration time is ≈ 3 min.

Source / attribution: Free to use with citation

Clinical context: when LEC-5 is used

17-item self-report measure of exposure to potentially traumatic events. LEC-5 is part of standard practice in this setting because it provides a structured, replicable assessment that can be tracked over time and compared across patients or visits.

Like all screening or assessment instruments, LEC-5 is a structured aid — not a diagnostic test in isolation. Results should be interpreted alongside history, examination, and clinical context. Where a score crosses an actionable threshold, the next step is typically a more detailed clinical evaluation rather than a definitive diagnosis.

Score LEC-5

Answer all 17 items below to see your LEC-5 score and interpretation.

All scoring runs in your browser. No data is sent anywhere — close the tab and the answers are gone.

How LEC-5 is scored

Count number of events endorsed. Used in combination with PCL-5 for PTSD assessment.

Scoring notes: Count number of events endorsed. Used in combination with PCL-5 for PTSD assessment.

LEC-5 score interpretation

The cutoffs below are drawn from the published validation literature. Always interpret in clinical context.

Score rangeBandInterpretation
0–0No trauma exposureNone
1–5Some trauma exposureMonitor
6–17High trauma exposureConsider evaluation

How to score LEC-5: a step-by-step worked example

This is an illustrative walkthrough, not a real patient. Follow the same four steps with your own answers — or use the live calculator at the top of this page.

Step 1 — Score each item

Mark each item Yes or No. Each "Yes" adds the item's weight; each "No" adds 0. The example below uses illustrative answers.

#ItemExample responseScore
1Natural disaster (for example, flood, hurricane, tornado, earthquake)No0
2Fire or explosionNo0
3Transportation accident (for example, car accident, boat accident, train wreck, plane crash)No0
4Serious accident at work, home, or during recreational activityNo0
5Exposure to toxic substance (for example, dangerous chemicals, radiation)No0
6Physical assault (for example, being attacked, hit, slapped, kicked, beaten up)No0
7Assault with a weapon (for example, being shot, stabbed, threatened with a knife, gun, bomb)No0
8Sexual assault (for example, rape, attempted rape)No0
9Other unwanted or uncomfortable sexual experienceNo0
10Combat or exposure to a war-zone (in the military or as a civilian)No0
11Captivity (for example, being kidnapped, abducted, held hostage, prisoner of war)No0
12Life-threatening illness or injuryYes1
13Severe human sufferingNo0
14Sudden violent passing (for example, homicide, act of terrorism)Yes1
15Sudden accidental passingNo0
16Serious injury, harm, or passing you caused to someone elseYes1
17Any other very stressful event or experienceNo0

Step 2 — Add up the scores

Add the weights from the items where you marked "Yes" (skip the "No" answers — they contribute 0).

0 + 0 + 0 + 0 + 0 + 0 + 0 + 0 + … (items 9–17 sum to 3) = 3

Step 3 — Look up the band

Find the row in the interpretation table whose range contains your total:

Total = 3 falls between 1 and 5 → Some trauma exposure

Step 4 — What does this mean clinically?

Some trauma exposure. Monitor

A score is one input alongside history and examination. LEC-5 supports clinical judgment — it does not replace it.

Score LEC-5 with your own answers above →

LEC-5 psychometric properties

Psychometric figures are drawn from the validation literature and may vary across clinical populations and translations.

Limitations & common pitfalls

How LEC-5 compares to other trauma scales

If LEC-5 doesn't fit your context, related instruments in trauma include:

ScaleMeasuresItemsTime
IES-R22-item self-report measure of post-traumatic stress symptoms.22≈ 5 min
PCL-520-item self-report measure of DSM-5 PTSD symptom severity.20≈ 5 min
PCL-C17-item civilian version of PTSD Checklist based on DSM-IV.17≈ 5 min
PHQ-9Severity of depression9≈ 3 minutes
GAD-7Severity of generalized anxiety7≈ 2 minutes
AUDIT10-item WHO screening tool for hazardous alcohol consumption and dependence.10≈ 3 min
CHA2DS2-VAScAnnual stroke risk in non-valvular atrial fibrillation8—
Glasgow Coma ScaleLevel of consciousness after head injury3—

Frequently asked questions about LEC-5

What does LEC-5 measure?

LEC-5 (Life Events Checklist for DSM-5) is a validated instrument that assesses exposure to potentially traumatic events. It is designed for clinicians, medical students, evidence-synthesis researchers. It takes about 3 min to complete, and the 17 items are summed to produce a total score.

How long does LEC-5 take to complete?

LEC-5 typically takes about 3 min to administer. The exact duration varies a little depending on whether it is self-administered or completed with a clinician. Its brief format is part of what makes it practical for routine clinical use and for repeat administration when tracking change over time.

How many items are on LEC-5?

LEC-5 contains 17 items. Item scores are summed to produce the total. Scores run from 0 to 17, grouped into 3 interpretation bands from ‘No trauma exposure’ up to ‘High trauma exposure’.

What is a high LEC-5 score?

On the LEC-5 (total score 0–17), scores of 6–17 fall in the ‘High trauma exposure’ band — interpreted as: Consider evaluation. The full ladder is: 0 — No trauma exposure: None.; 1–5 — Some trauma exposure: Monitor.; 6–17 — High trauma exposure: Consider evaluation. A higher score reflects a more severe presentation, and crossing a cutoff is a prompt to step up assessment or care — but these bands are screening thresholds, not diagnoses.

What is a low LEC-5 score?

Scores of 0 fall in the ‘No trauma exposure’ band: None. A low score is reassuring but does not by itself rule out the underlying condition — if symptoms or clinical suspicion persist, reassess over time or use a complementary evaluation rather than relying on the number alone.

How reliable is LEC-5?

LEC-5 has reported Cronbach's α of 0.9 in validation samples. Structured trauma exposure assessment. These figures come from the published validation literature cited below.

Is LEC-5 free to use?

LEC-5 is free to use with attribution — clinical, educational, and research use is permitted provided the original source is credited. If you publish results or reproduce the scale, include the citation to the source paper.

What is the source paper for LEC-5?

Weathers, F. W., Blake, D. D., Schnurr, P. P., Kaloupek, D. G., Marx, B. P., & Keane, T. M. (2013). The Life Events Checklist for DSM-5 (LEC-5). National Center for PTSD. This is the original publication for the LEC-5 — the reference to cite when reporting results.

Can LEC-5 replace clinical judgment?

No. LEC-5 is a structured assessment aid, not a diagnostic test. Its proper role is clinical assessment of exposure to potentially traumatic events — it standardizes assessment and flags who needs closer evaluation, but the result must be weighed alongside history, examination, and clinical context. When a score conflicts with your clinical impression, clinical judgment takes precedence; treatment decisions should never rest on a screening score alone.

References & validation

LEC-5 is supported by the following peer-reviewed sources: