PTSD in Adolescents / Teens

Key things to know What the evidence shows
How common is it? 12.0% DSM-5 PTSD among trauma-exposed 1–18-year-olds*
Is it more common among adolescents / teens? High after qualifying trauma; girls at greater risk
Are adolescents / teens at higher risk? Strongly depends on trauma exposure/type
How much higher is the risk? Same pooled youth estimate; interpersonal trauma and female sex increase risk
How often can it be missed? Very high
Does it show up differently among adolescents / teens? Yes
How might it look different? Risk-taking, irritability, school withdrawal, sleep problems, self-harm/substance use can coexist
What commonly occurs alongside it? Depression; anxiety; substance use; self-harm
What can it be confused with? BPD; depression; ADHD; substance effects; adjustment disorder
Common screening tool PCL-5 where developmentally appropriate
Separate screening tool for adolescents / teens CPSS-5 / UCLA PTSD Reaction Index
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