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    Patent Pending

    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

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

    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
    Creator Insights
    Dr. Max Hamilton

    About the Creator

    Max Hamilton, MD, FRCP, (d. 1988) was a senior lecturer in psychiatry at the University of Leeds in England. He was also president of the British Psychological Society and received the Paul Hoch Prize for Distinguished Psychiatric Research from the American Psychopathological Association in 1980. Dr. Hamilton’s research focused primarily on psychometrics and clinical statistics.

    To view Dr. Max Hamilton's publications, visit PubMed

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    MDCalc loves calculator creators – researchers who, through intelligent and often complex methods, discover tools that describe scientific facts that can then be applied in practice. These are real scientific discoveries about the nature of the human body, which can be invaluable to physicians taking care of patients.
    About the Creator
    Dr. Max Hamilton
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