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Brief Psychiatric Rating Scale (BPRS)

Brief Psychiatric Rating Scale (BPRS) Test

Understand current psychotic symptom severity in about 4 minutes. An 18 item scale that helps spot key symptoms fast and track response to treatment over time.

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Questions: 184 minutes

Hi! My name is Freudly, i am an AI therapist, I will give you an interpretation of the test after you complete it.

08:30

October 2, 2025

October 2, 2025
Material has been updated

October 2, 2025
Material has been published

16102 views

1534 completions

1266 likes

Scale Explorer

How the Scales are Structured

example score

10/21

Suspiciousness/Hostility (S)

Assesses the severity of distrust, hostility, and potential for conflictual or aggressive attitudes toward others.

Low

Moderate

High

3 – 8: Low | 9 – 14: Moderate | 15 – 21: High

A score of 10 falls in the Moderate range, suggesting noticeable suspiciousness or hostility that may affect interactions but is not at the highest severity level.

example score

13/21

Excitement / Tension (E/T)

Measures the degree of internal anxiety, irritability, and psychomotor agitation reflected in observable tension and motor activity.

Low

Moderate

High

3 – 8: Low | 9 – 14: Moderate | 15 – 21: High

A score of 13 falls in the Moderate range, indicating noticeable but not extreme tension and agitation at the time of assessment.

example score

12/28

Apathy and Psychomotor Retardation (AaPR)

Assesses the severity of reduced motivation and activity and slowing of thinking and behavior (apathy/psychomotor retardation).

Low

Moderate

High

4 – 11: Low | 12 – 19: Moderate | 20 – 28: High

A score of 12 falls in the Moderate range, suggesting noticeable but not severe apathy and slowing at the time of assessment.

example score

21/28

Thought Disorder (TD)

Assesses the severity of disordered thinking such as illogicality, incoherence, and delusional ideas.

Low

Moderate

High

4 – 11: Low | 12 – 19: Moderate | 20 – 28: High

A score of 21 falls in the High range, indicating marked thought disturbance that may be prominent at the time of assessment.

example score

16/28

Anxious Depression (AD)

Measures the severity of combined anxiety and depressive symptoms.

Low

Moderate

High

4 – 12: Low | 13 – 20: Moderate | 21 – 28: High

A score of 16 falls in the Moderate range, indicating a mid-level severity of anxious and depressive symptoms at the time of assessment.

example score

82/126

Total Score (TS)

The BPRS Total Score quantifies the overall severity of current psychopathological symptoms in adults with acute psychiatric presentations.

Low severity

Moderate severity

High severity

19 – 39: Low severity | 40 – 60: Moderate severity | 61 – 126: High severity

A total score of 82 falls in the High severity range, indicating pronounced current symptom severity relative to the scale.

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DATA-BASED USER COHORTS

Who Usually Takes This Test?

Inpatient psychiatry clinicians

46%OF USERS

Psychiatrists and ward clinicians use it to quickly rate symptom severity in adults admitted with acute psychosis and to track response to treatment.

Emergency mental health teams

32%OF USERS

Crisis and ER staff use it during urgent evaluations to document current psychotic symptoms and support triage and immediate care decisions.

Outpatient follow-up providers

22%OF USERS

Community psychiatrists and clinic teams use it at follow-up visits to monitor changes in hallucinations, paranoia, mood, and anxiety over time.

BASED ON AGGREGATED, ANONYMIZED DATA FROM TENS OF THOUSANDS OF FREUDLY USERS.

RESULTS YOU CAN ACTUALLY USE

What You’ll See After You Finish the Test

Scale Results
— Explained Clearly

Your scores across each test scale, translated into plain, usable insights. Not just numbers, but what they actually mean for your daily life, emotional state, and overall well-being.

AI-Powered
Interpretation

A structured, clinically grounded explanation. Our AI analyzes patterns and relationships between scales to provide a coherent interpretation — without alarmist language.

Statistical
Comparison

See how you compare to others. Your scores are placed in a statistical context, showing percentiles and trends based on anonymized platform data to help you understand what`s typical.

Practical
Recommendations

Actionable guidance tailored to your profile. Receive clear, realistic suggestions you can apply immediately — focused on coping, self-regulation, and realistic next steps.

AI-Detected
Insights

Key patterns you might not notice on your own. Surfacing subtle connections in your responses that help you better understand what may be driving your current results.

Discuss with
an AI Psychologist

Clarify, reflect, and explore right away. Talk through your outcomes, ask questions, and explore meanings in a calm, non-diagnostic dialogue environment.

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Used in 52+ countries

Benchmarking

See How You Compare

Once you finish the test, your results will be compared with real-world data from people in your country.
Below is a preview of the benchmarks we use to place your score in context.

Suspiciousness, Hostility (SH)

Average

13.6

Normal range

10.7 — 16.5

min.

max.

majority

This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.

Arousal / tension (A/t)

Average

9.5

Normal range

6.4 — 12.6

min.

max.

majority

This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.

Apathy, sluggishness (As)

Average

14.9

Normal range

10.9 — 18.9

min.

max.

majority

This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.

Thinking Disorders (TD)

Average

16.5

Normal range

13.3 — 19.6

min.

max.

majority

This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.

Anxious Depression (AD)

Average

17.4

Normal range

13.4 — 21.4

min.

max.

majority

This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.

Total Score (TS)

Average

70.3

Normal range

50.6 — 90.1

min.

max.

126

majority

This curve shows how scores are typically distributed.
Once you complete the test, your result will appear here so you can see where you land.

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CLEAR ANSWERS TO COMMON QUESTIONS

Frequently Asked Questions

Any questions left?

What does this scale measure?

It rates the current severity of key psychiatric symptoms such as hallucinations, delusions, disorganization, anxiety, and depression. Scores support symptom monitoring over time.

Who is this scale intended for?

It is intended for adults with suspected or known acute psychosis, including schizophrenia-spectrum and related conditions. It is not designed for children or routine screening in non-acute settings.

How is the rating completed?

A clinician conducts a brief interview and uses direct observation to rate each item. Ratings reflect symptom severity during the current assessment period.

How long does it take and how many items are rated?

Administration typically takes about 4 minutes. There are 18 items.

Does the score provide a diagnosis?

No, it does not establish a diagnosis. It indicates symptom severity and can be used to track change with treatment or over the course of care.

WHAT THE TEST MEASURES

About This Assessment

Brief Psychiatric Rating Scale (BPRS) Test

psychopathology schizophrenia

This measure is designed to support rapid, structured evaluation of current psychiatric symptom severity in adults. The Brief Psychiatric Rating Scale (BPRS), developed by Donald R. Gorham and John E. Overall, is commonly used in acute settings to quantify symptom intensity based on interview content and clinical observation.

The instrument includes 18 items and typically requires about 4 minutes to administer. Ratings are intended to reflect the clinician’s judgment of symptom severity at the time of assessment and are generally used to monitor change over time rather than to establish a diagnosis. In clinical practice, the Brief Psychiatric Rating Scale (BPRS) can help characterize prominent symptom domains and support treatment planning and ongoing symptom tracking.

Author: Donald R. Gorham, John E. Overall

Literature: Overall, J. E., & Gorham, D. R. The brief psychiatric rating scale. Psychological Reports. 1962.; Andreasen, N. C. Scale for the assessment of negative symptoms (SANS). University of Iowa. 1983.; Zygmunt, A., Olfson, M., Boyer, C. A., & Mechanic, D. Interventions to improve medication adherence in schizophrenia. American Journal of Psychiatry. 2002.

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