HAMILTON DEPRESSION RATING

Rating date: [Date]
Patient: [Name or record number, age]

RATING DETAILS
HAM-D version: [17-item, 21-item, or 24-item]
Interview guide: [GRID-HAMD, SIGH-D, another structured guide, or unstructured]
Interviewer: [Name, role, and training on this version]
Interview format: [In person or video; minutes taken; interpreter if used]
Rating period: [Past 7 days, or the period your protocol sets]
Purpose: [Baseline before treatment, follow-up, end of a treatment course, or study visit]

SEVERITY TODAY
HAM-D17 total: [0 to 52]
Severity band: [Normal 0 to 7, mild 8 to 13, moderate 14 to 18, severe 19 to 22, or very severe 23 or more; name another set if your service uses one]
Extra items in longer versions: [Their scores, kept apart from the 17-item total, or not used]

AGAINST BASELINE
Baseline HAM-D17: [Date, total, and what treatment started then]
Change: [Points and percent since baseline]
Response status: [Response at a fall of 50% or more, remission at 7 or less, improving, unchanged, or worse]

ITEMS TO NOTE
Suicide item: [Score; if above 0, the same-day risk assessment and what it found]
Areas carrying the score: [Symptom areas rated near the top of their range, such as low mood, guilt, sleep, or anxiety]
Things that may inflate it: [Physical illness, medicine side effects, or recent events that raise the physical or anxiety items]
Not counted by the scale: [Oversleeping, eating more, or weight gain, if present]

PLAN
Treatment decision: [Continue, raise the dose, switch, add therapy or a second medicine, refer, or consider ECT or TMS]
Next HAM-D: [Date or weeks from now; same version, guide, and interviewer where possible]

Rated by: [Name, credentials]