PHQ-9 Depression Calculator
Score the PHQ-9 (Patient Health Questionnaire-9) to assess depression severity and guide treatment recommendations.
About this calculator
The PHQ-9 calculator converts nine symptom-frequency responses into three displayed results, reproducing the PHQ-9 (Patient Health Questionnaire-9) validated by Kroenke, Spitzer, and Williams in a 2001 Journal of General Internal Medicine study. It first rounds every response to an integer and keeps it between 0 and 3, then adds the nine values. This creates a total score ranging from 0 to 27. Because the calculation is a plain sum, loss of interest, depressed mood, sleep difficulty, low energy, appetite change, negative self-view, concentration trouble, movement or restlessness, and self-harm thoughts each contribute the same number of points at the same response frequency. Severity is encoded in five steps.
Totals of 0–4 map to level 1, 5–9 to level 2, 10–14 to level 3, 15–19 to level 4, and 20–27 to level 5. The separate treatment-recommendation code uses broader breakpoints: level 1 below 10, level 2 from 10 through 14, and level 3 at 15 or above. Consequently, severity can change at 5 or 20 without changing that recommendation code. The output summarizes the entered responses; it does not diagnose depression, measure impairment, verify how long symptoms have persisted, or account for bereavement, physical illness, medication, substance use, bipolar-spectrum symptoms, or personal safety circumstances. The ninth response is included in the same arithmetic as every other item, so any self-harm concern requires human attention beyond what this numerical result can provide.
Crisis Resources
If you or someone you know is in crisis or experiencing thoughts of self-harm, please reach out immediately. Call or text 988 (Suicide & Crisis Lifeline), text HOME to 741741 (Crisis Text Line), or call 911 for emergencies. You are not alone — help is available 24/7.
Medical Disclaimer
This calculator is for informational and educational purposes only. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider before making decisions about your health. Never disregard professional medical advice or delay seeking it because of results from this tool.
Inputs
Results
Total PHQ-9 Score
0 / 27
Severity
1 (1=None, 2=Mild, 3=Moderate, 4=Mod. Severe, 5=Severe)
Figures current as of 2001. Source: Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: Validity of a Brief Depression Severity Measure. J Gen Intern Med. 2001;16(9):606-613.
How to Use This Calculator
- Rate each of the 9 PHQ-9 questions from 0 (not at all) to 3 (nearly every day) based on your experience over the past 2 weeks.
- The questions cover mood, energy, sleep, appetite, concentration, and thoughts of self-harm.
- Review the Total PHQ-9 Score: 0–4 = minimal, 5–9 = mild, 10–14 = moderate, 15–19 = moderately severe, 20–27 = severe depression.
- Read Treatment Recommendation as code 1 below 10, code 2 from 10–14, and code 3 from 15 upward.
- This tool is for informational screening only — consult a mental health professional for diagnosis and treatment.
What each input means
- Little Interest or Pleasure
- 0 = Not at all, 1 = Several days, 2 = More than half the days, 3 = Nearly every day.
How this is calculated
Worked example, using the default values
- Identify Input Parameters4 parametersLittle Interest or Pleasure = 0, Feeling Down, Depressed, Hopeless = 0, Trouble Sleeping = 0, Feeling Tired or Little Energy = 0 = 9 input(s) provided
- Calculate Total PHQ-9 ScoreTotal PHQ-9 Score0 = 0
- Calculate SeveritySeverity1 = 1
- Calculate Treatment RecommendationTreatment Recommendation1 = 1
Figures and sources
- PHQ-9 (Patient Health Questionnaire-9) — items, scoring, and severity bands (2001) — Kroenke K, Spitzer RL, Williams JBW. The PHQ-9: Validity of a Brief Depression Severity Measure. J Gen Intern Med. 2001;16(9):606-613.
Engine last updated . Checked against 5 independently-derived tests — how we verify calculators. Built by Paul Gunder, a software engineer, not a licensed financial, medical, or legal professional.
Frequently Asked Questions
Are some PHQ-9 questions weighted more heavily?
No. After each answer is rounded and constrained to 0–3, the engine simply adds all nine values. The same one-level change contributes one point regardless of which symptom item changed.
How are severity and treatment recommendation different?
Severity uses five bands beginning at totals of 5, 10, 15, and 20, matching the severity categories from the PHQ-9's original 2001 validation study by Kroenke, Spitzer, and Williams (Journal of General Internal Medicine). The recommendation output has only three codes, changing at 10 and 15, so the two outputs do not move at every shared score.
Does a self-harm response trigger a special calculation?
No. Question nine contributes to the total exactly like the other eight questions, and there is no separate alert output in this engine. Any such thoughts merit immediate human support regardless of the total.
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