* Patients who score 1 or higher on the question "Thoughts that you would be better off dead or of hurting yourself in some way" require same-day assessment for suicidal ideation and intent. This assessment should occur in conjunction with classification of the severity of depression symptoms and further diagnostic evaluation. Refer to related UpToDate topics on suicidal ideation and behavior in adults for details.
¶ Most patients with mild symptoms (PHQ-9 5 to 9) will not have major depression. These patients should undergo reassessment within 12 weeks, or sooner if symptoms worsen. Reassessment can occur by telephone, via telehealth, or in person.
Δ Patients with severe symptoms (PHQ-9 ≥20) require same-day evaluation, management, and/or referral.PHQ-2 (Inset 1) and PHQ-9 (Inset 2) developed by Drs. Robert L Spitzer, Janet BW Williams, Kurt Kroenke, and colleagues, with an educational grant from Pfizer, Inc. No permission required to reproduce, translate, display or distribute.
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