Altman Self-Rating Mania Scale (ASRM)
Altman Self-Rating Mania Scale (Altman 1997): a five-item patient self-report over the past week each rated 0-4, summed to 0-20.
Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.
Example
- Elevated/positive mood
- 3 — much / frequently
- Increased self-confidence
- 2 — moderately / often
- Decreased need for sleep
- 1 — slightly / occasionally
- Increased speech/talkativeness
- 1 — slightly / occasionally
- Increased activity level
- 1 — slightly / occasionally
Result: ASRM 8/20 — positive screen (>= 6).
The tool opens with these values already filled in. Replace them with your own.
What the result means
- 5 items
- elevated mood, increased self-confidence, decreased need for sleep, increased speech, and increased activity — each 0-4, total 0-20.
- 0-5
- negative screen: no significant manic symptoms over the past week.
- >= 6
- positive screen (paper cut > 5): high probability of a manic/hypomanic condition; sensitivity ~85%, specificity ~87%. A screen, not a diagnosis.
What you enter
- Elevated/positive mood (0 unchanged - 4 most severe)
- Increased self-confidence (0-4)
- Decreased need for sleep (0-4)
- Increased speech/talkativeness (0-4)
- Increased activity level (0-4)
How this is calculated
Altman EG, Hedeker D, Peterson JL, Davis JM. The Altman Self-Rating Mania Scale. Biol Psychiatry. 1997;42(10):948-955. Read the source ↗
A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.