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Patient Health Questionnaire - 9 (PHQ-9)

for Health Care Providers

Patient Health Questionnaire - 9 (PHQ-9)

Patient Health Questionnaire - 9 (PHQ-9)
Over the last 2 weeks, how often have you been bothered by any of the following problems?Not at allSeveral daysMore than half the daysNearly every day
1. Little interest or pleasure in doing things0123
2. Feeling down, depressed, or hopeless0123
3. Trouble falling or staying asleep, or sleeping too much0123
4. Feeling tired or having little energy0123
5. Poor appetite or overeating0123
6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down0123
7. Trouble concentrating on things, such as reading the newspaper or watching television0123
8. 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 usual0123
9. Thoughts that you would be better off dead, or of hurting yourself in some way0123
Add columns:
0+ ____+ _____+ ____
= Total Score: _______

If you checked off any problems, 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?

Copyright © Pfizer Inc. All rights reserved. Reproduced with permission of Pfizer, Inc.
Not difficult at allSomewhat difficultVery difficultExtremely difficult
Scoring the PHQ-9
1-4Minimal depression
5-9Mild depression
10-14Moderate depression
15-19Moderately severe depression
20-27Severe depression

Clinicians should be particularly alert to patients' responses to question 9, "Thoughts that you would be better off dead, or of hurting yourself in some way." Any affirmative response to question 9, or a PHQ-9 score of >9, requires that a suicide risk assessment be completed within 24 hours (see below).

The PHQ-9 is validated for use only with English-speaking persons of European origin; some experts feel it is less sensitive for depression in many patients with Asian or Latino backgrounds. As with all symptom questionnaires, assessment results should be interpreted and guided by clinical experience.

From Depression
Primary Care of Veterans with HIV
Office of Clinical Public Health Programs
Veterans Health Administration, 2009