Clinical Assessment Tool

Hamilton Depression Rating Scale

A validated 17-item clinical questionnaire for assessing depression severity. This standardized tool is used by healthcare professionals worldwide.

10-15 Minutes

17 Questions

Clinical Scoring

HAM-D Score Interpretation

0-7

Normal

8-13

Mild

14-18

Moderate

19+

Severe

Patient Information

Full Name *

Gender *

Age (in years) *

Email Address *

Mobile Number *

Assessment Date

Instructions

Please rate the symptoms based on how you have felt during the past week including today. Select the response that best describes your situation. For each item, select the option that most accurately reflects your current state.

1 Score Range: 0-4

Depressed Mood (Gloomy attitude, pessimism about future, feelings of emptiness, sadness)

0 - Absent 1 - These feeling states indicated only on asking 2 - These feeling states spontaneously reported verbally 3 - Communicates feeling states non-verbally (facial expression, voice, tendency to weep) 4 - Only the spontaneously reported suicidal thoughts and attempts

2 Score Range: 0-4

Feelings of Guilt (Feelings of inadequacy, self-reproach, excessive or inappropriate guilt)

0 - Absent 1 - Self-reproach, "I am a worthless person" 2 - Ideas of guilt or rumination regarding past mistakes or sins 3 - Present illness is a punishment; delusions of guilt 4 - Hallucinations of guilt, recommends punishment for self or others

3 Score Range: 0-4

Suicide (Thoughts that life is not worth living, wish to be dead, active or passive suicide attempt)

0 - Absent 1 - Feels life is not worth living 2 - Wishes to be dead 3 - Active or passive suicidal thoughts 4 - Suicide attempts

4 Score Range: 0-2

Insomnia - Early (Difficulty in falling asleep, i.e., beyond 30 minutes of going to bed)

0 - Absent 1 - Sleep onset latency > 30 minutes; mild 2 - Severe difficulty in falling asleep

5 Score Range: 0-2

Insomnia - Middle (Waking during the night, i.e., waking after sleep onset)

0 - No difficulty during the night 1 - Mild difficulty: waking up once, goes back to sleep easily 2 - Severe difficulty: waking up >1 time, up for >20 minutes, multiple awakenings

Understanding Your HAM-D Score

The Hamilton Depression Rating Scale (HAM-D) is one of the most widely used instruments for assessing depression severity. Your score helps guide treatment recommendations.

HAM-D 17-Item Score Interpretation

0-7

Normal

No significant depression. Continue maintaining healthy lifestyle habits.

8-13

Mild Depression

Consider lifestyle modifications, therapy, or counseling. Monitor symptoms.

14-18

Moderate Depression

Professional consultation recommended. Therapy and/or medication may be beneficial.

19-22

Severe Depression

Urgent professional help recommended. Combination of therapy and medication typically indicated.

23+

Very Severe

Immediate professional intervention required. Comprehensive treatment plan essential.

Important Disclaimer

This self-assessment is for informational purposes only and does not constitute a medical diagnosis. The HAM-D scale is typically administered by healthcare professionals. Please consult with a qualified mental health professional for proper evaluation and treatment planning. If you're experiencing thoughts of self-harm, please reach out to emergency services or a crisis helpline immediately.

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Hamilton Depression Rating Scale

HAM-D Score Interpretation

Patient Information

Instructions

Depressed Mood (Gloomy attitude, pessimism about future, feelings of emptiness, sadness)

Feelings of Guilt (Feelings of inadequacy, self-reproach, excessive or inappropriate guilt)

Suicide (Thoughts that life is not worth living, wish to be dead, active or passive suicide attempt)

Insomnia - Early (Difficulty in falling asleep, i.e., beyond 30 minutes of going to bed)

Insomnia - Middle (Waking during the night, i.e., waking after sleep onset)

Insomnia - Delayed (Waking up early in the morning, i.e., inability to return to sleep)

Work & Activities (Apparent retardation in activity, loss of interest in activities, feeling of increased activity)

Psychomotor Retardation (Slowness of thought, speech, activity; impaired facial expression; decreased arm/leg movement)

Psychomotor Agitation (Restlessness, pacing, hand-wringing, hair-pulling, nail-biting, inability to sit still)

Anxiety - Psychic (Tension, irritability, fear, worry, difficulty concentrating)

Anxiety - Somatic (Physiological symptoms: dry mouth, wind, indigestion, diarrhea, palpitations, hyperventilation, paresthesia)

Somatic Symptoms - Gastrointestinal (Loss of appetite, heavy feeling in abdomen, constipation)

Somatic Symptoms - General (Heaviness in limbs/head, back pain, muscle aches, loss of energy, fatigue)

Genital Symptoms (Men: decreased libido; Women: menstrual disturbances, loss of libido)

Hypochondriasis (Preoccupation with health, bodily functions;catastrophic thinking about illness)