Clinical Tool

Screening Toolkit

For educational purposes only — a decision-support tool, not a substitute for clinical judgment.

Validated psychiatric screening instruments organized by clinical question. Interactive auto-scoring with evidence-based interpretation guides — every cutoff and psychometric number links to its source study.

All instruments are public domain or freely licensed for clinical use. No copyrighted tools are included.

Quick Guide: Start with PHQ-2 for rapid screening. If positive (>= 3), administer full PHQ-9. Use PHQ-A for adolescents 11-17.

Patient Health Questionnaire-9 (PHQ-9)

9-item self-report measure of depression severity based on DSM-IV/5 criteria. The most widely validated depression screening tool in primary care.

Population: Adults (18+)Time: 2-5 minutesTimeframe: Over the last 2 weeks

Patient Health Questionnaire-9

9-item depression severity measure. Self-report. Scores map to none, mild, moderate, moderately severe, and severe depression.
Adults (18+) | 2-5 minutes
Patient:
DOB:
Date:04/30/2026
Clinician:
MRN:
Over the last 2 weeks, how often have you been bothered by any of the following problems? (Mark one response per row)
Not at all
(0)
Several days
(1)
More than half the days
(2)
Nearly every day
(3)
1Little interest or pleasure in doing things
2Feeling down, depressed, or hopeless
3Trouble falling or staying asleep, or sleeping too much
4Feeling tired or having little energy
5Poor appetite or overeating
6Feeling bad about yourself -- or that you are a failure or have let yourself or your family down
7Trouble concentrating on things, such as reading the newspaper or watching television
8Moving 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
9Thoughts that you would be better off dead or of hurting yourself in some way
Column totals
Add column totals = / 27
Functional Impact (not scored)

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?

Not difficult at allSomewhat difficultVery difficultExtremely difficult
Scoring Guide
0-4None
5-9Mild
10-14Moderate
15-19Moderately Severe
20-27Severe
Maximum score: 27
Over the last 2 weeks
1

Little interest or pleasure in doing things

2

Feeling down, depressed, or hopeless

3

Trouble falling or staying asleep, or sleeping too much

4

Feeling tired or having little energy

5

Poor appetite or overeating

6

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

7

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

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 usual

9

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

Functional Impairment (not scored)

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?

Not scored but clinically important -- confirms functional impairment required for DSM diagnosis