Scoring and severity bands
Each of the nine items is scored 0 (not at all) to 3 (nearly every day), giving a total score from 0–27. Score bands: 0–4 = minimal; 5–9 = mild; 10–14 = moderate; 15–19 = moderately severe; 20–27 = severe.
The ninth item asks about thoughts of self-harm or being better off dead. A score above zero on this item is clinically significant regardless of the overall total and always warrants immediate follow-up.
PHQ-9 score = sum of 9 items (0–3 each)
Total score range: 0–27