Crisis

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Self Assessment

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Screener

Select answers to all questions (Estimated time = 5 minutes)

Depression can affect the lives of adults in many ways, and those effects can differ a great deal between individuals. The following questions are frequently used by Specialists to assess the severity of symptoms for depression.

Over the last 2 weeks, how often have you been bothered by any of the following problems?

1 2 3 4 5 6 7 8 9 10

  • Little interest or pleasure in doing things *

    A. Not at all

    B. Several days

    C. More than half the days

    D. Nearly everyday

  • Feeling down, depressed or hopeless *

    A. Not at all

    B. Several days

    C. More than half the days

    D. Nearly everyday

  • Trouble falling or staying asleep, or sleeping too much *

    A. Not at all

    B. Several days

    C. More than half the days

    D. Nearly everyday

  • Feeling tired or having little energy *

    A. Not at all

    B. Several days

    C. More than half the days

    D. Nearly everyday

  • Poor appetite or overeating *

    A. Not at all

    B. Several days

    C. More than half the days

    D. Nearly everyday

  • Feeling bad about yourself - or that you are a failure or have let yourself or your family down *

    A. Not at all

    B. Several days

    C. More than half the days

    D. Nearly everyday

  • Trouble concentrating on things, such as reading the newspaper or watching television *

    A. Not at all

    B. Several days

    C. More than half the days

    D. Nearly everyday

  • Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual *

    A. Not at all

    B. Several days

    C. More than half the days

    D. Nearly everyday

  • Thoughts that you would be better off dead or of hurting yourself in some way *

    A. Not at all

    B. Several days

    C. More than half the days

    D. Nearly everyday

  • Because of the known association between depressive disorders and suicide risk, doctors agree that it's important to ask this question: Have you recently thought seriously about harming yourself? *

    A. No

    B. Yes

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