This pilot study aimed to develop and evaluate a rapid screening method for identifying psychologic distress in men with prostate carcinoma. The study was conducted at the Memorial Sloan-Kettering Cancer Center and involved 121 consecutive patients diagnosed with prostate carcinoma. Two self-report measures were used: the Hospital Anxiety and Depression Scale (HADS) and the Distress Thermometer. Patients scoring above a certain threshold on either measure were referred for psychiatric evaluation. The results showed excellent compliance in completing the measures, with only 6.6% refusing. Thirty-one percent of evaluable patients were referred, and 17 patients were actually evaluated. Eight of these 17 patients met criteria for a psychiatric disorder. The study concluded that the screening approach was acceptable but noted that older men were reluctant to agree to evaluation and treatment. Future studies should focus on identifying barriers to patient and oncologist engagement and validating the screening method in other cohorts.This pilot study aimed to develop and evaluate a rapid screening method for identifying psychologic distress in men with prostate carcinoma. The study was conducted at the Memorial Sloan-Kettering Cancer Center and involved 121 consecutive patients diagnosed with prostate carcinoma. Two self-report measures were used: the Hospital Anxiety and Depression Scale (HADS) and the Distress Thermometer. Patients scoring above a certain threshold on either measure were referred for psychiatric evaluation. The results showed excellent compliance in completing the measures, with only 6.6% refusing. Thirty-one percent of evaluable patients were referred, and 17 patients were actually evaluated. Eight of these 17 patients met criteria for a psychiatric disorder. The study concluded that the screening approach was acceptable but noted that older men were reluctant to agree to evaluation and treatment. Future studies should focus on identifying barriers to patient and oncologist engagement and validating the screening method in other cohorts.