Structured Clinical Interview for DSM

The SCID for the DSM-III-R helped determine Axis I (SCID-I) and Axis II disorders (SCID-II).Spitzer, Robert L, Williams Janet BW, Gibbon Miriam, First Michael B, Structured Clinical Interview for DSM-III-R Axis II Disorders,(SCID-II), Washington, D.C.: American Psychiatric Press, Inc., 1990 Separate versions were used to assess psychiatric patients (SCID-P) and to study non-patient populations (SCID-NP). Another form of the SCID-P, SCID-P W/PSY SCREEN, was developed for patients in which psychotic disorders were expected to be rare and only included screening questions for these disorders but not the complex module. Special versions were also created for studying panic disorder, assessing PTSD and combat experience in Vietnam veterans and studying the social and psychiatric consequencies of HIV infection.{{cite web |url=https://www.researchgate.net/publication/21518985 |title=The Structured Clinical Interview for DSM-III-R (SCID); History, Rational, and Description}}

The reliability and validity of the SCID for DSM-III-R has been reported in several published studies. With regard to reliability, the range in reliability is enormous, depending on the type of the sample and research methodology (i.e., joint vs. test-retest, multi-site vs. single site with raters who have worked together, etc.){{citation needed|date=September 2022}}

The Structured Clinical Interview for DSM-IV Dissociative Disorders (SCID-D) is used to diagnose dissociative disorders, especially in research settings. It was originally designed for the DSM-III-R but early access to DSM-IV criteria for dissociative disorders allowed them to be incorporated into the SCID-D.{{cite book |last=Steinberg |first= Marlene |title=Interviewer's Guide to the Structured Clinical Interview for DSM-IV Dissociative Disorders (SCID-D) Revised Edition |date=1994 |page=5 |publisher= American Psychiatric Pub |isbn= 978-1-58562-349-5 |url=https://books.google.com/books?id=XDcgAX35QY8C&dq=scid-d%20steinberg&pg=PA31}}

For subjects with non-dissociative disorders administration takes between 30 minutes and 1.5 hours. Subjects with dissociative disorders usually require between 40 minutes to 2.5 hours. These subjects should be given enough time to describe their experiences fully.{{cite book |last=Steinberg |first= Marlene |title=Interviewer's Guide to the Structured Clinical Interview for DSM-IV Dissociative Disorders (SCID-D) Revised Edition |date=1994 |page=31 |publisher= American Psychiatric Pub |isbn= 978-1-58562-349-5 |url=https://books.google.com/books?id=XDcgAX35QY8C&dq=scid-d%20steinberg&pg=PA31}}

The SCID-D has been translated into Dutch and Turkish and is used in the Netherlands and Turkey.{{cite journal |vauthors=Boon S, Draijer N |title=Diagnosing dissociative disorders in The Netherlands: a pilot study with the Structured Clinical Interview for DSM-III-R Dissociative Disorders |journal=The American Journal of Psychiatry |volume=148 |issue=4 |pages=458–62 |year=1991 |pmid=2006691 |doi=10.1176/ajp.148.4.458}}{{Cite journal|title=Reliability and Validity of the Turkish Version of the Structured Clinical Interview for DSM–IVDissociative Disorders (SCID-D): A Preliminary Study|journal=Journal of Trauma & Dissociation|volume=15|pages=24–34|issue=1|doi=10.1080/15299732.2013.821434|year=2014|pmid=24377970|vauthors=Kundakçi T, Sar V, Kiziltan E, Yargiç IL, Tutkun H|s2cid=5056359 }}

SCID for DSM-IV also follows the multi-axial system, SCID-I for Axis I disorders (major mental disorders) and SCID-II for Axis II disorders (personality disorders).

There are several variants of SCID-I addressed to different audiences. Similarly to the previous edition SCID-I is available for examining psychiatric patients (SCID-I/P)First, Michael B., Spitzer, Robert L, Gibbon Miriam, and Williams, Janet B.W.: Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition. (SCID-I/P) New York: Biometrics Research, New York State Psychiatric Institute, November 2002. and studying non-patients (SCID-I/NP)First, Michael B., Spitzer, Robert L, Gibbon Miriam, and Williams, Janet B.W.: Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Non-patient Edition. (SCID-I/NP) New York: Biometrics Research, New York State Psychiatric Institute, November 2002.

and patient populations where psychotic disorders are not expected (SCID-I/P W/ PSY SCREEN).First, Michael B., Spitzer, Robert L, Gibbon Miriam, and Williams, Janet B.W.: Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition With Psychotic Screen (SCID-I/P W/ PSY SCREEN) New York: Biometrics Research, New York State Psychiatric Institute, November 2002.

Specific version for clinicians (SCID-CV)First, Michael B., Spitzer, Robert L, Gibbon Miriam, and Williams, Janet B.W.: Structured Clinical Interview for DSM-IV Axis I Disorders, Clinician Version (SCID-CV). Washington, D.C.: American Psychiatric Press, Inc., 1996. and clinical trials (SCID-CT)First, Michael B., Williams, Janet B.W., Spitzer, Robert L., and Gibbon, Miriam: Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Clinical Trials Version (SCID-CT). New York: Biometrics Research, New York State Psychiatric Institute, 2007. were also developed.

The SCID-II for DSM-IV comes in a single edition.First, MB., Gibbon M, Spitzer RL, Williams, JBW, Benjamin LS.: Structured Clinical Interview for DSM-IV Axis II Personality Disorders, (SCID-II). Washington, D.C.: American Psychiatric Press, Inc., 1997.

A variant of the tool (KID-SCID) was developed at York University for generating childhood DSM-IV diagnoses for clinical research studies.{{cite web |url=https://psycentre.apps01.yorku.ca/wp/structured-clinical-interview-for-dsm-iv-childhood-version-kid-scid/ |title=Structured Clinical Interview for DSM-IV, Childhood version (KID-SCID), York University}} In 2015 a study evaluated the psychometric properties of the KID-SCID in a Dutch sample of children and adolescents{{cite web |url=https://www.researchgate.net/publication/262885023 |title=The Structured Clinical Interview for DSM-IV Childhood Diagnoses (Kid-SCID): First Psychometric Evaluation in a Dutch Sample of Clinically Referred Youths}} which later led to the creation of SCID-5-Junior for the DSM-5 (see below).

An Axis I SCID assessment with a psychiatric patient usually takes between 1 and 2 hours, depending on the complexity of the subject's psychiatric history and their ability to clearly describe episodes of current and past symptoms. A SCID with a non-psychiatric patient takes {{frac|1|2}} hour to {{frac|1|1|2}} hours. A SCID-II personality assessment takes about {{frac|1|2}} to 1 hour.{{citation needed|date=September 2022}}

There are at least 700 published studies in which the SCID was the diagnostic instrument used.{{citation needed|date=September 2022}}

Major parts of the SCID have been translated into other languages, including Danish, French, German, Greek, Hebrew, Italian, Portuguese, Spanish, Swedish, Turkish, and Zulu.{{citation needed|date=September 2022}}

SCID-5-RV (Research Version) is the most comprehensive version of the SCID-5. It contains more disorders and includes all of the relevant subtypes and severity and course specifiers. An important feature is its customizability, allowing the instrument to be tailored to meet the requirements of a particular study. SCID-5-CV (Clinician Version) is a reformatted version of the SCID-5-RV for use by clinicians. It covers the most common diagnoses seen in clinical settings. Despite the "clinician" designation, it can be used in research as long as the disorders of interest are among those included in this version. SCID-5-CT (Clinical Trials version) is an adaptation of the SCID-5-RV that has been optimized for use in clinical trials.

SCID-5-PD (Personality Disorders version) is used to evaluate the 10 personality disorders. Its name reflects the elimination of the multiaxial system of the SCID-IV. The SCID-5-AMPD (Alternative DSM-5 Model for Personality Disorders) provides dimensional and categorical approaches to personality disorders. Designed for trained clinicians, the modular format allows the researcher or clinician to focus on those aspects of the Alternative Model of most interest.{{cite web |url=https://www.appi.org/products/structured-clinical-interview-for-dsm-5-scid-5#versions |title=About the SCID-5, American Psychiatric Association}}

Various versions of the SCID-5 have been translated to Chinese, Danish, Dutch, German, Greek, Hungarian, Italian, Japanese, Korean, Norwegian, Polish, Portuguese, Romanian, Spanish, Turkish.{{cite web |title=Translations |website=Columbia University Department of Psychiatry |date=2 August 2018 |url=https://www.columbiapsychiatry.org/research/research-labs/diagnostic-and-assessment-lab/structured-clinical-interview-dsm-disorders-3}}

As a result of earlier studies conducted on Dutch youth a variant of the tool, SCID-5-Junior, a revision of the KID-SCID, is available in Dutch.{{cite book |url=https://dare.uva.nl/search?identifier=977492fc-954b-45dd-8cde-c40b5ae53b38 |vauthors=Wante L, Braet C, Bögels S, Roelofs J |year=2021 |publisher=Amsterdam: Boom |title=SCID-5 Junior: een semi-gestructureerd klinisch interview voor DSM-5 stoornissen bij kinderen en adolescenten |isbn=978-90-244-3153-3 |language=Dutch}}{{cite web |url=https://www.boompsychologie.nl/productgroep/101-119_SCID-5-Junior |title=SCID-5-Junior product page |website=Boom Psychologie & psychiatrie |language=Dutch}} There are plans to create a more widely available version for children and adolescents.{{cite web |url=https://www.appi.org/products/structured-clinical-interview-for-dsm-5-scid-5 |title=Can the SCID-5 be administered to children? |website=American Psychiatric Association Publishing}}

The NetSCID-5 is an online version of the SCID-5, developed and marketed in consultation with the SCID-5 authors by TeleSage, Inc. in Chapel Hill, North Carolina.{{Cite journal |last1=Brodey |first1=Benjamin B. |last2=First |first2=Michael |last3=Linthicum |first3=Jared |last4=Haman |first4=Kirsten |last5=Sasiela |first5=Jordan W. |last6=Ayer |first6=David |date=2016-04-01 |title=Validation of the NetSCID: an automated web-based adaptive version of the SCID |journal=Comprehensive Psychiatry |volume=66 |pages=67–70 |doi=10.1016/j.comppsych.2015.10.005 |issn=0010-440X |pmc=4800162 |pmid=26995238}} NetSCID-5 is offered as an online service with user accounts and payment per-administration. Diagnoses and response data are made available in the form of reports and raw data download. TeleSage currently{{When|date=March 2025}} offers the NetSCID-5 in Research, Clinician, and Personality Disorders versions. The content (e.g. text, branching and scoring) of each of these instruments is intended to match the corresponding paper version. Initial development was funded by a grant from the National Institute of Mental Health. Public availability was announced June 30, 2017.{{Cite news |title=TeleSage, Inc. Improves Accuracy In Behavioral Health Diagnoses |url=https://markets.businessinsider.com/news/stocks/telesage-inc-improves-accuracy-in-behavioral-health-diagnoses-1002139353 |archive-url=http://web.archive.org/web/20250120122350/https://markets.businessinsider.com/news/stocks/telesage-inc-improves-accuracy-in-behavioral-health-diagnoses-1002139353 |archive-date=2025-01-20 |access-date=2025-03-26 |work=markets.businessinsider.com |language=en}}

An electronic versions of the SCID-5 instrument is also offered with eInterview from Sunilion Software{{Cite web |date=2018-07-11 |title=FAQ |url=https://www.columbiapsychiatry.org/research/research-labs/diagnostic-and-assessment-lab/structured-clinical-interview-dsm-disorders-12 |url-status=live |archive-url=https://web.archive.org/web/20250326004821/https://www.columbiapsychiatry.org/research/research-labs/diagnostic-and-assessment-lab/structured-clinical-interview-dsm-disorders-12 |archive-date=26 March 2025 |access-date=2025-03-26 |website=Columbia University Department of Psychiatry |language=en}}{{Cite web |title=APA - The Structured Clinical Interview for DSM-5® |url=https://www.appi.org/products/structured-clinical-interview-for-dsm-5-scid-5 |url-status=live |archive-url=https://web.archive.org/web/20240408230648/https://www.appi.org/products/structured-clinical-interview-for-dsm-5-scid-5 |archive-date=2024-04-08 |access-date=2025-03-26 |website=www.appi.org}}

Computerized versions of mental health interviews has been suggested by some research to result in fewer branching and scoring errors compared to pencil-and-paper versions of the same instruments.{{Cite journal |last1=Townsend |first1=Lisa |last2=Kobak |first2=Kenneth |last3=Kearney |first3=Catherine |last4=Milham |first4=Michael |last5=Andreotti |first5=Charissa |last6=Escalera |first6=Jasmine |last7=Alexander |first7=Lindsay |last8=Gill |first8=Mary Kay |last9=Birmaher |first9=Boris |last10=Sylvester |first10=Raeanne |last11=Rice |first11=Dawn |last12=Deep |first12=Alison |last13=Kaufman |first13=Joan |date=2020-02-01 |title=Development of Three Web-Based Computerized Versions of the Kiddie Schedule for Affective Disorders and Schizophrenia Child Psychiatric Diagnostic Interview: Preliminary Validity Data |url=https://linkinghub.elsevier.com/retrieve/pii/S0890856719303326 |journal=Journal of the American Academy of Child & Adolescent Psychiatry |language=English |volume=59 |issue=2 |pages=309–325 |doi=10.1016/j.jaac.2019.05.009 |issn=0890-8567 |pmid=31108163|url-access=subscription }}

• DSM-IV Codes

{{reflist}}

• [https://www.columbiapsychiatry.org/research/research-areas/services-policy-and-law/structured-clinical-interview-dsm-disorders-scid Official website, Columbia University]
• [https://www.appi.org/products/structured-clinical-interview-for-dsm-5-scid-5 SCID-5 product information, American Psychiatric Association Publishing]

Category:Diagnostic and Statistical Manual of Mental Disorders

Category:Mental disorders screening and assessment tools