Psychache Scale (PAS-13) Test

Understand intense inner distress like guilt, shame, and loneliness in about 3 minutes. Get a fast, validated snapshot to support risk screening and guide care planning.
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Questions133 minutes
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08:30
October 2, 2025
October 2, 2025
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How the Scales are Structured
example score
52/65
Suicide Risk (SR)
Assesses the likelihood of suicidal behavior based on the intensity of psychological pain.
Low to moderate
Elevated
High
1342Low to moderate4355Elevated5665High
A score of 52 falls in the Elevated range, suggesting higher suicidal risk associated with more intense psychological pain.
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DATA-BASED USER COHORTS
Who Usually Takes This Test?
Overwhelmed by emotional pain
44%OF USERS
People struggling with intense guilt, shame, loneliness, or inner anguish use it to put a number on how severe their suffering feels right now.
After major loss or breakup
33%OF USERS
People coping with grief, separation, or life upheaval take it to understand whether their distress has shifted into deep psychological pain.
In therapy or crisis check-in
23%OF USERS
People in counseling or feeling unsafe use it as a quick check to track emotional distress and flag when extra support may be needed.
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.
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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.
Suicidal risk (Sr)
Average
41.6
Normal range
35.348
min.
13
max.
65
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 measures the intensity of psychological pain such as guilt, shame, loneliness, resentment, and disappointment. It reflects how severe internal distress feels at the time of responding.
How long does it take and how many items are included?
It includes 13 items and usually takes about 3 minutes to complete.
How should responses be given?
Answer each item based on how it has felt recently, using the response options provided. Choose the option that best matches the current experience without overthinking.
What are the results used for?
Results may support screening for emotional distress and contribute to suicide risk assessment. They can also help guide treatment planning and track change over time.
Does a high score mean a diagnosis or an immediate crisis?
A high score does not establish a diagnosis by itself. It indicates elevated distress and should be interpreted with other clinical information; urgent evaluation is recommended if suicidal thoughts or intent are present.
WHAT THE TEST MEASURES
About This Assessment
Mental Pain Scale, PAS-13 Test

Psychache Scale (PAS-13) Test

This self-report measure is designed to assess the intensity of subjective psychological pain. The Psychache Scale (PAS-13) focuses on distressing internal experiences that may be difficult to articulate and can be clinically relevant in a range of mental health contexts.

It consists of 13 items and typically takes about 3 minutes to complete. Scores are commonly interpreted as an index of perceived emotional pain and may be used to support clinical formulation, including consideration of suicide risk when integrated with a comprehensive assessment. The Psychache Scale (PAS-13) is intended to complement, not replace, diagnostic evaluation and risk assessment procedures.

Author: aaron-t-beck, edwin-s-shneidman
Literature: Shneidman, E. S. The suicidal mind. Oxford University Press. 1996.; Joiner, T. E. Why people die by suicide. Harvard University Press. 2005.; Beck, A. T., Steer, R. A., & Brown, G. K. Manual for the Beck depression inventory-II. Psychological Corporation. 1996.; Holden, R. R., Mehta, K., Cunningham, E. J., & McLeod, L. D. Development and preliminary validation of a scale of psychache. Canadian Journal of Behavioural Science. 2001.
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