PHQ-A
PHQ-9 modified for Adolescents

OutcomeTools®
PHQ-9 modified for Adolescents
How often have you been bothered by each of the following symptoms during the past two weeks? For each symptom select the answer that best describes how you have been feeling.
 
1.
Feeling down, depressed, irritable, or hopeless?
Not at all   
Several days   
More than half the days   
Nearly every day   
 
2.
Little interest or pleasure in doing things?
Not at all   
Several days   
More than half the days   
Nearly every day   
 
3.
Trouble falling asleep, staying asleep, or sleeping too much?
Not at all   
Several days   
More than half the days   
Nearly every day   
 
4.
Poor appetite, weight loss, or overeating?
Not at all   
Several days   
More than half the days   
Nearly every day   
 
5.
Feeling tired, or having little energy?
Not at all   
Several days   
More than half the days   
Nearly every day   
 
6.
Feeling bad about yourself - or feeling that you are a failure, or that you have let yourself or your family down?
Not at all   
Several days   
More than half the days   
Nearly every day   
 
7.
Trouble concentrating on things like school work, reading, or watching TV?
Not at all   
Several days   
More than half the days   
Nearly every day   
 
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?
Not at all   
Several days   
More than half the days   
Nearly every day   
 
9.
Thoughts that you would be better off dead, or of hurting yourself in some way?
Not at all   
Several days   
More than half the days   
Nearly every day   
 

 
 
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