The PHQ-9 asks nine questions about the last two weeks. Its total, from 0 to 27, screens for depression and tracks how severe it is over time.Answer the questions to score it, see what each band means, and record the result with the free template.
Scores as you answer
Recording template to copy
Two recorded examples
PHQ-9 result template
Free
PHQ-9 RESULT
Date: [Date]
Patient: [Name or ID, age]
Completed by: [Patient on paper, patient online, or read aloud by clinician; interpreter if used]
Reason: [Screening, follow-up of known depression, or treatment review]
SCORES
Items 1 to 9: [Score for each item, 0 to 3]
Total: [0 to 27]
Band: [Minimal, mild, moderate, moderately severe, or severe]
Item 9: [Score, and the risk assessment done if above 0]
Difficulty, item 10: [Not difficult at all, somewhat, very, or extremely difficult]
TREND
Previous scores: [Dates and totals]
Change from baseline: [Points and percent; response or remission if it applies]
CLINICAL PICTURE
Interview findings: [What the conversation added: duration, impairment, other causes considered]
Impression: [Working diagnosis or screen result]
PLAN
Next step: [Watch and repeat, start or change treatment, refer]
Repeat PHQ-9: [Date or interval]
Clinician: [Name, credentials]
Ask about past episodes of mania before starting an antidepressant
Avoid: Diagnosing major depression from the total alone.
Item 9
Any answer above 0 means the patient has had thoughts of death or self-harm; follow up the same day.
Ask directly about thoughts, plans, intent, and past attempts
Ask about access to means, such as firearms and stored medicines
Record the risk assessment and the plan, including a safety plan if needed
Avoid: Treating item 9 as a yes or no for suicide. Many people who answer above 0 have passive thoughts only; the assessment tells them apart.
Tracking over time
Repeat the PHQ-9 at follow-up visits to see whether treatment is working.
Use the same version and the same way of giving it each time
Compare with the baseline: 50% lower is a response, under 5 is remission
Change the plan when the score hasn’t improved after 8 to 12 weeks
Tworecordedresults.Everypart,filledin.
Each one follows the recording template. Use them to judge how much to write.
PHQ-9 result: positive screen in primary care
Family practice, annual visit, completed on a tablet in the waiting room
Scores
Items 1 to 9: 2, 2, 3, 2, 1, 2, 1, 0, 0. Total 13, moderate. Item 9: 0. Difficulty: very difficult.
Trend
PHQ-2 of 1 last year. No earlier PHQ-9.
Clinical picture
44-year-old man. Low mood and poor sleep for about 3 months since a layoff; still working part-time but avoiding friends. No past episodes of depression or mania. No alcohol increase. Thyroid tests normal in the spring. Impression: major depressive disorder, single episode, moderate.
Plan
Discussed options; he chose therapy first. Referral to a counselor, with a sleep plan. Repeat PHQ-9 in 4 weeks; discuss medication if it hasn’t fallen by then.
PHQ-9 result: follow-up on treatment, item 9 positive
Telehealth follow-up, 8 weeks after starting sertraline
Scores
Items 1 to 9: 2, 2, 1, 2, 1, 2, 1, 0, 1. Total 12, moderate. Item 9: 1, several days. Difficulty: somewhat difficult.
Trend
Baseline 19 on September 8. Now 12, a 37% fall: improving, not yet a response.
Clinical picture
29-year-old woman on sertraline 50 mg for 8 weeks. Item 9 followed up the same visit: passive thoughts that it would be easier not to wake up, a few nights in the past two weeks. No plan, intent, or past attempts. No firearms at home. Protective factors: her partner, her dog, and her work. Impression: passive ideation, no plan or intent.
Plan
Safety plan reviewed and updated, with 988 for a crisis. Sertraline raised to 100 mg. Referral to therapy. Repeat PHQ-9 in 4 weeks, sooner if worse.
Commonmistakes,andhowtoavoidthem.
Missing a positive item 9
A total of 6 with item 9 at 1 still needs the same-day risk assessment. Read item 9 every time.
Diagnosing from the score
The PHQ-9 screens and measures. Confirm the diagnosis in the interview, and rule out other causes.
Recording only the total
Item scores show which symptoms are driving the total, and item 9 must be visible on its own.
Not tracking it
One score is a snapshot. Repeat it at follow-up, and change the plan when it hasn’t moved.
Whereitcomesfrom,andhowyoumayuseit.
Who holds it
Developed by Drs. Robert L. Spitzer, Janet B.W. Williams, Kurt Kroenke and colleagues, with an educational grant from Pfizer Inc.
How you may use it
No permission is needed to reproduce, translate, display, or distribute it. The official versions and translations are on the PHQ Screeners site.
“Her PHQ-9 is 12 today, down from 19 in September.”
“Item 9 was a 1, so we went through it: passive thoughts only, no plan.”
Your template, filled in
PHQ-9 resultTreatment review · DraftYour template
ScoresTotal 12, moderate. Item 9: 1.
TrendBaseline 19. Down 37%: improving.
PlanSafety plan updated. Sertraline to 100 mg. Repeat in 4 weeks.
Talk through the result. Review the note.
Vero Scribe records the PHQ-9 result in your template from the visit, with the patient’s consent, or from your dictation: the scores, the trend, item 9 and what you did about it. You review and edit every line, then copy it into your record. Vero works in 60+ languages.
Each of the nine items scores 0 for not at all, 1 for several days, 2 for more than half the days, and 3 for nearly every day. Add them for a total from 0 to 27. Item 10, on difficulty, is not added.
What PHQ-9 score means depression?
A total of 10 or more is the usual screening cutoff for likely major depression. The bands are 0 to 4 minimal, 5 to 9 mild, 10 to 14 moderate, 15 to 19 moderately severe, and 20 to 27 severe. The diagnosis still comes from a clinical interview.
What should I do if item 9 is positive?
Assess suicide risk the same day: thoughts, plans, intent, past attempts, access to means, and protective factors. Record the assessment and the plan, including a safety plan when needed. The 988 crisis line takes calls and texts.
What is the difference between the PHQ-2 and the PHQ-9?
The PHQ-2 is the first two items of the PHQ-9, on low interest and low mood. It’s a quick first screen; a score of 3 or more is followed by the full PHQ-9.
Is the PHQ-9 free to use?
Yes. No permission is needed to reproduce or use it, and the official versions and translations are on the PHQ Screeners site. The recording template on this page is free to copy or download too.
Morementalhealthtools,andtemplates.
PHQ-2
Two questions on interest and mood: a quick first screen for depression, scored 0 to 6.