Depression-suicide risk assessment Depression-suicide risk assessment Choose your current feelings or attitudes Answer ALL questions for greatest accuracy Afraid that something bad is going to happen to you Yes No Are basically satisfied with your life Yes No Are in good spirits most of the time Yes No Don't care whether you live or die Yes No Feel full of energy Yes No Feel happy most of the time Yes No Feel most people are better off than you are Yes No Feel pretty worthless the way you are now Yes No Feel it is wonderful to be alive now Yes No Choose your current feelings or attitudes (cont.) Answer ALL questions for greatest accuracy Feel your situation is hopeless Yes No Feel your life is empty Yes No Have dropped many activities and interests Yes No Have thought about hurting yourself or committing suicide Yes No Have tried to hurt yourself or commit suicide Yes No Often feel helpless Yes No Often get bored Yes No Prefer to stay at home, rather than going out and doing new things Yes No Feel you have more problems with memory than most Yes No Results/advice - severity of depression Total # of answers indicating depression Depression Comments: 0-4 usually normal (depending on age, education, other complaints) 5-8 mild depression 8-11 moderate depression 12-15 severe depression Any of the above can be a symptom of depression. Depression is common and treatable. Specific medical illnesses and medication side effects can cause depression. Talk to your primary care doctor or therapist if you experience 5 or more of the above or you just feel depressed. References: Geriatric Depression Rating Scale Brink TL, Yesavage JA, Lum O, Heersema P, Adey MB, Rose TL: Screening tests Results/advice - suicide risk Total # of answers indicating risk of suicide Suicide Comments Any YES answer indicates a higher than average risk of suicide. References: Suicide Rates Are High Among the Elderly - NY Times Suicide in the Elderly - AAMFT Email report Enter your email address then click "Email report" to send your results to you Provide your email address and click "Email report" if you would like a report sent to you Captcha Δ
