for DSM-5 (LEC-5)

Standard Version

Version date: 12 April 2018

Reference: 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) –

Standard. [Measurement instrument].

Available from https://www.ptsd.va.gov/

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Instructions: Listed below are a number of dicult or stressful things that sometimes happen to people. For each

event check one or more of the boxes to the right to indicate that: (a) it happened to you personally; (b) you witnessed

it happen to someone else; (c) you learned about it happening to a close family member or close friend; (d) you were

exposed to it as part of your job (for example, paramedic, police, military, or other rst responder); (e) you’re not sure if

it fits; or (f) it doesn’t apply to you.

Be sure to consider your entire life (growing up as well as adulthood) as you go through the list of events.

Event

Happened

Doesn’t

4. Serious accident at work, home, or during

recreational activity

5. Exposure to toxic substance (for example,

dangerous chemicals, radiation)

6. Physical assault (for example, being attacked, hit,

slapped, kicked, beaten up)

7. Assault with a weapon (for example, being

shot, stabbed, threatened with a knife, gun,

bomb)

8. Sexual assault (rape, attempted rape, made to

11. Captivity (for example, being kidnapped,

abducted, held hostage, prisoner of war)

12. Life-threatening illness or injury

13. Severe human suering

14. Sudden violent dea

th (for example, homicide,

suicide)

15. Sudden acciden

tal dea

th

16.