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    Hamilton Depression Rating Scale (HAM-D)

    Stratifies severity of depression, similar to PHQ-9.
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    INSTRUCTIONS

    The original HAM-D has 21 items, but scoring is based only on the first 17.

    When to Use

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

    Result:

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    Next Steps
    Evidence
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    Advice

    Do you use the Hamilton Depression Rating Scale and want to contribute your expertise? Join our contributor team!

    About the Creator
    Dr. Max Hamilton
    Are you Dr. Max Hamilton?