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Teen Screen PHQ-9 2010 free printable template

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A Survey From Your Healthcare Provider PHQ9 Modified for Teens Name Clinician Date Instructions: How often have you been bothered by each of the following symptoms during the past two weeks? For each
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How to fill out Teen Screen PHQ-9

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How to fill out Teen Screen PHQ-9

01
Read the instructions provided at the top of the form carefully.
02
Answer each question honestly based on your feelings over the past two weeks.
03
For each question, choose a response that best reflects your experience, ranging from 'Not at all' to 'Nearly every day'.
04
Make sure to answer all questions, as each one contributes to the overall assessment.
05
After completing the form, review your answers to ensure they are clear and accurate.
06
Submit the completed form to the designated person or platform as instructed.

Who needs Teen Screen PHQ-9?

01
Teen Screen PHQ-9 is designed for adolescents who may be experiencing symptoms of depression.
02
It is useful for healthcare professionals who want to assess the mental health of their teenage patients.
03
Parents or guardians who are concerned about their child's emotional well-being may also need this tool.
04
Schools and community organizations may use it to identify students in need of support.
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A PHQ-9 score ≥ 10 has a sensitivity of 88% and a specificity of 88% for major depression.1 Since the questionnaire relies on patient self-report, the practitioner should verify all responses.
Interpretation PHQ-9 ScoreDepression Severity5 – 9Mild10 – 14Moderate15 – 19Moderately Severe20 – 27Severe1 more row
The PHQ-9 total score ranges from 0 to 27 (scores of 5–9 are classified as mild depression; 10–14 as moderate depression; 15–19 as moderately severe depression; ≥ 20 as severe depression) [30].
Scores represent: 0-5 = mild 6-10 = moderate 11-15 = moderately severe. 16-20 = severe depression. GAD-7 Anxiety Severity.
The PHQ-9 is a multipurpose instrument for screening, diagnosing, monitoring and measuring the severity of depression: n The PHQ-9 incorporates DSM-IV depression diagnostic criteria with other leading major depressive symptoms into a brief self-report tool.
0–9 = normal, 10–19 = mild depression, 20–30 = severe depression.
Using the MHP reinterview as the criterion standard, a PHQ-9 score ≥10 had a sensitivity of 88% and a specificity of 88% for major depression. PHQ-9 scores of 5, 10, 15, and 20 represented mild, moderate, moderately severe, and severe depression, respectively.
PHQ-9 Score Interpretation Scoring between 5-9 points indicates mild depression, 10-14 points indicates moderate depression, 15-19 points indicates moderately severe depression, and 20 or more points indicates severe depression.

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Teen Screen PHQ-9 is a screening tool designed to assess the presence and severity of depression in adolescents. It consists of nine questions based on the DSM-5 criteria for depression.
Typically, health care providers, schools, and mental health professionals who work with adolescents may be required to administer the Teen Screen PHQ-9 to evaluate the mental health status of their patients or students.
To fill out the Teen Screen PHQ-9, the adolescent answers each of the nine questions based on their experiences over the past two weeks, marking the option that best reflects their feelings or behaviors.
The purpose of Teen Screen PHQ-9 is to identify adolescents at risk for depression, facilitate early intervention, and guide treatment planning by providing a standardized measure of depressive symptoms.
The information that must be reported includes the responses to the nine questions concerning mood, interest, sleep, fatigue, appetite, feelings of worthlessness, difficulty concentrating, psychomotor agitation or retardation, and thoughts of self-harm.
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