PHQ-9 Modified for Teens

How often have you been bothered by each of the following symptoms during the past two weeks? For each symptom put a number that best describes how you have been feeling.

0=not at all

1=several days

2=more than half the days

3=nearly every day

_____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 school work, 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?

0=Not difficult at all

1=Somewhat difficult

2=Very difficult

3=Extremely difficult

_____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?

Answer the following yes or no.

_____In the past year, have you felt depressed or sad most days, even if you felt okay sometimes?

_____