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PHQ-2 depression screening calculator

Over the last 2 weeks, how often have you been bothered by the following problems? Select one response for every item. This is a screening tool, not a diagnosis.

Calculator

Total score
0
Screening interpretation
Below the usual positive-screen threshold

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How this calculator works

The two original PHQ-2 items each contribute 0 to 3 points, for a total from 0 to 6. A total of 3 or more is the usual threshold for further depression assessment. A lower score does not rule out depression. Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc. No permission is required to reproduce, translate, display or distribute the instrument. A professional can interpret the score alongside symptoms, functional difficulty and clinical history. The result is an estimate for information only and is not medical advice.

Formula

Total = sum of the item scores, each coded 0 (Not at all), 1 (Several days), 2 (More than half the days) or 3 (Nearly every day). PHQ-2 total of 3 or greater: positive screen requiring further assessment.

Worked example

Several days on both items gives 1 + 1 = 2, below the usual screening threshold. More than half the days on the first and Several days on the second gives 2 + 1 = 3, a positive screen.

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Frequently asked questions

What time period should I use?

Use the last two weeks for every answer. A lifetime recollection or a different time period would change the instrument.

Does this diagnose a disorder?

No. A positive screen supports further assessment. A low score does not exclude a condition, particularly when symptoms or safety concerns are present.

What if I need urgent help?

Do not wait for a screening score if you may harm yourself or are unsafe. Seek immediate local emergency or crisis support.

Sources

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