The PHQ-9 severity bands
Published bands are 0–4 minimal, 5–9 mild, 10–14 moderate, 15–19 moderately severe, and 20–27 severe. A 10 or above is the point at which most primary care protocols move from monitoring to assessment.
- • 0–4 minimal · 5–9 mild · 10–14 moderate · 15–19 moderately severe · 20–27 severe
- • Item 9 is treated separately — any non-zero answer is followed up regardless of total
- • A 5-point drop is the usual definition of clinically meaningful improvement
Why item 9 is different
The last question asks about thoughts of self-harm. Clinicians treat any score above zero on that item as needing follow-up on its own, even when the total score is low. If that item is not zero for you, please reach out to a professional or, in the US, call or text 988.
FAQ
What PHQ-9 score indicates depression?
A total of 10 or more is the commonly used screening threshold for probable major depression, with roughly 88% sensitivity and specificity in the original validation. It is a signal for assessment, not a diagnosis.
What's the difference between PHQ-9 and PHQ-2?
The PHQ-2 is just the first two items, used as a very fast pre-screen. If the PHQ-2 is 3 or higher, the full PHQ-9 is administered.
How much of a change matters?
A five-point movement in either direction is generally treated as clinically meaningful, which is why the questionnaire is repeated every two to four weeks during treatment.
Can anxiety inflate a PHQ-9 score?
Yes — sleep, energy, and concentration items overlap heavily with anxiety, which is why the GAD-7 and PHQ-9 are so often scored together.
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