Hamilton Depression Rating Scale (HAM-D)
Stratifies severity of depression, similar to PHQ-9.
INSTRUCTIONS
The original HAM-D has 21 items, but scoring is based only on the first 17.
When to Use
Absent
0Sadness
+1Occasional weeping
+2 Frequent weeping
+3 Extreme symptoms
+4Absent
0Self-reproach, feels he/she has let people down
+1Ideas of guilt
+2Present illness is a punishment, delusions of guilt
+3Hallucinations of guilt
+4Absent
0Feels life is not worth living
+1Wishes he/she were dead
+2Suicidal ideas or gestures
+3Attempts at suicide
+4Absent
0Occasional
+1Frequent
+2Absent
0Occasional
+1Frequent
+2Absent
0Occasional
+1Frequent
+2No difficulty
0Feelings of incapacity, listlessness, indecision, and vacillation
+1Loss of interest in hobbies, decreased social activities
+2Productivity decreased
+3Unable to work, stopped working because of present illness only (if absent from work after treatment or recovery may rate a lower score)
+4Absent
0Slight retardation at interview
+1Obvious retardation at interview
+2Interview difficult
+3Complete stupor
+4Absent
0Mild
+1Severe
+2Absent
0Tension and irritability
+1Worrying about minor matters
+2Apprehensive attitude
+3Fears
+4Absent
0Mild
+1Moderate
+2Severe
+3Incapacitating
+4Absent
0Mild
+1Severe
+2Absent
0Mild
+1Severe
+2Absent
0Mild
+1Severe
+2Not present
0Bodily self-absorption
+1Preoccupation with health
+2Querulous attitude
+3Hypochondriacal delusions
+4None
0Slight
+1Obvious or severe
+2No loss
0Partial or doubtful loss
+1Loss of insight
+2Result:
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