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    SRG:PH9

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    POPCOM TABUK CITY
    The document provides instructions for using the PHQ-9 questionnaire to assess symptoms of depression in teens. It describes how to score the questionnaire and what scores indicate levels of depression from none to severe. Instructions are given for using it as a diagnostic tool, screening tool, and to evaluate suicide risk.

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    SRG:PH9

    Uploaded by

    POPCOM TABUK CITY
    7 views2 pages
    The document provides instructions for using the PHQ-9 questionnaire to assess symptoms of depression in teens. It describes how to score the questionnaire and what scores indicate levels of depression from none to severe. Instructions are given for using it as a diagnostic tool, screening tool, and to evaluate suicide risk.

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    shortened ph9 version

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    The document provides instructions for using the PHQ-9 questionnaire to assess symptoms of depression in teens. It describes how to score the questionnaire and what scores indicate levels of depression from none to severe. Instructions are given for using it as a diagnostic tool, screening tool, and to evaluate suicide risk.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    7 views2 pages

    SRG:PH9

    Uploaded by

    POPCOM TABUK CITY
    The document provides instructions for using the PHQ-9 questionnaire to assess symptoms of depression in teens. It describes how to score the questionnaire and what scores indicate levels of depression from none to severe. Instructions are given for using it as a diagnostic tool, screening tool, and to evaluate suicide risk.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    P H Q - 9: M o d i f i e d f o r T e e n s

    Name/. ID no.: Address/ School: Date:

    Instructions: How often have you been bothered by each of the following symptoms during the past two
    weeks? For each symptom put an “X” in the box beneath the answer that best describes how you have
    been feeling.

    (0) (1) (2) (3)


    Not At All Several More Than Nearly
    Days Half the Every Day
    Days
    1. Feeling down, depressed, irritable, or hopeless?
    2. Little interest or pleasure in doing things?
    3. Trouble falling asleep, staying asleep, or sleeping too
    much?
    4. Poor appetite, weight loss, or overeating?
    5. Feeling tired, or having little energy?
    6. Feeling bad about yourself – or feeling that you are a
    failure, or that you have let yourself or your family down?

    7. Trouble concentrating on things like schoolwork,


    reading, or watching TV?
    8. Moving or speaking so slowly that other people could have
    noticed?

    Or the opposite – being so fidgety or restless that you were


    moving around a lot more than usual?
    9. Thoughts that you would be better off dead, or of
    hurting yourself in some way?
    In the past year have you felt depressed or sad most days, even if you felt okay sometimes? [] Yes
    [ ] No
    If you are experiencing any of the problems on this form, how difficult have these problems made it for you to do your
    work, take care of things at home or get along with other people?

    [] Not difficult at all [ ] Somewhat difficult [ ] Very difficult [ ] Extremely difficult

    Has there been a time in the past month when you have had serious thoughts about ending your life? [ ] Yes
    [ ] No
    Have you EVER, in your WHOLE LIFE, tried to kill yourself or made a suicide attempt? [ ]
    Yes [ ] No
    **If you have had thoughts that you would be better off dead or of hurting yourself in some way, please
    discuss this with your Health Care Clinician, go to a hospital emergency room or call for local
    authorities.

    Office use only: Severity score:


    Modified with permission by the GLAD-PC team from the PHQ-9 (Spitzer, Williams, & Kroenke, 1999), Revised PHQ-A (Johnson,
    2002), and the CDS (DISC Development Group, 2000)

    Use with Permission. Guidelines for Adolescent Depression in Primary Care. Version 2, 2010. 1
    Scoring the PHQ-9 modified for Teens
    Scoring the PHQ-9 modified for teens is easy but involves thinking about
    several different aspects of depression.

    To use the PHQ-9 as a diagnostic aid for Major Depressive Disorder:


     Questions 1 and/or 2 need to be endorsed as a “2” or “3”
     Need five or more positive symptoms (positive is defined by a “2”
    or “3” in questions 1-8 and by a “1”, “2”, or “3” in question 9).
     The functional impairment question (How difficult….) needs to
    be rated at least as “somewhat difficult.”

    To use the PHQ-9 to screen for all types of depression or other mental
    illness:
     All positive answers (positive is defined by a “2” or “3” in questions 1-
    8 and by a “1”, “2”, or “3” in question 9) should be followed up by
    interview.
     A total PHQ-9 score > 10 (see below for instructions on how to
    obtain a total score) has a good sensitivity and specificity for MDD.

    To use the PHQ-9 to aid in the diagnosis of dysthymia:


     The dysthymia question (In the past year…) should be endorsed
    as “yes.”

    To use the PHQ-9 to screen for suicide risk:


     All positive answers to question 9 as well as the two additional
    suicide items MUST be followed up by a clinical interview.

    To use the PHQ-9 to obtain a total score and assess depressive severity:
     Add up the numbers endorsed for questions 1-9 and obtain a
    total score.
     See Table below:

    Total Score Depression Severity


    0-4 No or Minimal depression
    5-9 Mild depression
    10-14 Moderate depression
    15-19 Moderately severe depression
    20-27 Severe depression

    Use with Permission. Guidelines for Adolescent Depression in Primary Care. Version 2, 2010. 2

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