Patient Depression Self-Assessment Tool (9-item Patient Health Questionnaire) (PHQ-9)

  Question
  Options
  1.Can’t get excited or uninterested when doing something
  ①Not at all
  ②For several days
  ③More than half of the days
  ④Almost every day
  2.Feeling depressed, frustrated or hopeless
  ①Not at all
  ②Several days
  ③More than half of the days
  ④Almost every day
  3.Hard to fall asleep, restless or sleep or more
  ①Not at all
  ②Several days
  ③More than half of the days
  ④Almost every day
  4.Feeling tired or lack of energy
  ①Not at all
  ②Several days
  ③More than half of the days
  ④Almost every day
  5.Loss of appetite or eating too much
  ①Not at all
  ②Several days
  ③More than half of the days
  ④Almost every day
  6.Feeling bad – or feeling like a failure, or letting yourself or your family down
  ①Not at all
  ②Several days
  ③More than half of the days
  ④Almost every day
  7.Have trouble concentrating on things, such as reading the newspaper or watching TV
  ①Not at all
  ②For several days
  ③More than half of the days
  ④Almost every day
  8.Move or talk so slowly that others have noticed? Or just the opposite – more irritable or fidgety, moving around than usual
  ①Not at all
  ②For several days
  ③More than half of the days
  ④Almost every day
  9. The thought of dying or hurting oneself in some way
  ①Not at all
  ②Several days
  ③More than half of the days
  ④Almost every day
  Scoring rules.
  ①Not at all = 0 points
②Several days = 1 point
③More than half of the days = 2 points
④Almost every day=3 points
Total score 0-27 points
  Total score=
  Scoring rules of PHQ-9 scale and treatment recommendations
  Score
  Analysis of results
  Treatment recommendation
  Score 0-4
  No depression
  No
  5-9 points
  Mild depression
  Watchful waiting: PHQ-9 reviewed at follow-up
  10-14 points
  Moderate depression
  Develop treatment plan, consider counseling, follow up and/ or medication
  15-19 points
  Moderate to severe depression
  Active medication and/ or psychotherapy
  20-27 points
  Severe depression
  Immediate first choice of medication, if severely impaired or ineffective to treatment, transfer to a psychiatric specialist for psychotherapy and/integrated treatment is recommended.