[{"data":1,"prerenderedAt":910},["ShallowReactive",2],{"assessment-phq-a":3,"all-assessments-nav":91,"related-assessments-query":756},{"id":4,"title":5,"body":6,"category":63,"categoryTitle":64,"clinicalCitations":63,"copyright":63,"description":12,"disclaimer":63,"downloadLink":63,"extension":65,"faqs":66,"i18nReady":81,"icon":63,"lastReviewed":63,"meta":82,"navigation":83,"path":84,"permissionsNote":63,"recommendedFrequency":63,"relatedConditions":63,"reviewedBy":63,"seo":85,"slug":86,"stem":87,"summary":88,"takeaways":63,"type":89,"usedToDiagnose":63,"__hash__":90},"assessments\u002Fhelp\u002Fassessment-library\u002Fphq-a.md","PHQ-A (Adolescent Depression Screener)",{"type":7,"value":8,"toc":56},"minimark",[9,13,18,21,24,27,30,33,36,40,43,46,49,53],[10,11,12],"p",{},"The PHQ-A is a 9-item validated depression screening tool adapted from the PHQ-9 for adolescents ages 11–17. Score 0–27; ≥10 indicates moderate depression. Item 9 screens for suicidal ideation. Public domain. Johnson et al. (2002).",[14,15,17],"h2",{"id":16},"what-is-the-phq-a","What is the PHQ-A?",[10,19,20],{},"The PHQ-A (Patient Health Questionnaire, Adolescent) is a validated\n9-item self-report depression screening tool adapted from the PHQ-9 for use with\nadolescents ages 11–17. It was developed by Johnson, Harris, Spitzer, and Williams (2002)\nand further validated in primary care settings by Richardson et al. (2010). The PHQ-A\nuses the same nine DSM-IV\u002F5 criterion symptoms as the adult PHQ-9 with age-appropriate\nlanguage and an additional question about functional impairment.",[10,22,23],{},"Each of the 9 items asks how often the adolescent has been bothered by a symptom over\nthe past 2 weeks, rated from 0 (Not at all) to 3 (Nearly every day). Total\nscores range from 0 to 27. A score of 10 or higher indicates moderate\ndepression and warrants further clinical evaluation. Item 9 asks specifically about\nthoughts of self-harm or suicide, any positive response (score ≥1) requires immediate\nclinical attention regardless of total score.",[10,25,26],{},"The PHQ-A is in the public domain and freely available for clinical,\neducational, and research use. It is recommended by the American Academy of Pediatrics\n(AAP) for annual depression screening in adolescents age 12 and older and is included\nin USPSTF guidance for adolescent depression screening.",[10,28,29],{},"Rate how often you have been bothered by each problem\nover the past 2 weeks.",[10,31,32],{},"Item 9 flagged: Any endorsement of thoughts of self-harm or suicide requires immediate clinical evaluation, regardless of total score. Please consult a mental health professional or call 988 (Suicide & Crisis Lifeline).",[10,34,35],{},"Educational reference only. Cannot diagnose or replace clinical evaluation. Any suicidal ideation requires immediate clinical attention.",[14,37,39],{"id":38},"phq-a-score-interpretation","PHQ-A Score Interpretation",[10,41,42],{},"Johnson et al. (2002); Richardson et al. (2010). Endorsed by AAP for annual screening ages 12+. Item 9 (suicidal ideation) always requires clinical review regardless of total score.",[10,44,45],{},"Item 9, Suicidal Ideation",[10,47,48],{},"Any positive response to Item 9 (\"Thoughts that you would be better off dead or of hurting yourself in some way\") requires immediate clinical evaluation, regardless of total score. Follow your organization's suicide risk protocol.",[14,50,52],{"id":51},"adolescent-mental-health-screening-in-hiboop","Adolescent Mental Health Screening in HiBoop",[10,54,55],{},"PHQ-A alongside CRAFFT, Vanderbilt ADHD, and SCARED, automated scoring, suicidal ideation flagging, and longitudinal outcome tracking for your adolescent patient panel.",{"title":57,"searchDepth":58,"depth":58,"links":59},"",2,[60,61,62],{"id":16,"depth":58,"text":17},{"id":38,"depth":58,"text":39},{"id":51,"depth":58,"text":52},null,"Depression","md",[67,69,72,75,78],{"question":17,"answer":68},"The PHQ-A is a 9-item adolescent depression screener adapted from the PHQ-9 for use with patients ages 11–17. Items mirror DSM depression criteria with adolescent-appropriate wording and timeframes (Johnson et al., 2002).",{"question":70,"answer":71},"At what age can the PHQ-A be administered?","The PHQ-A is validated for adolescents ages 11–17. For children under 11, providers typically use parent-report measures; for adults 18+, the standard PHQ-9 is used.",{"question":73,"answer":74},"How is the PHQ-A different from the PHQ-9?","The PHQ-A uses adolescent-appropriate language and reference periods while preserving the same 9-item structure and 0–27 scoring range as the PHQ-9. Item 9 (suicidal ideation) is included and requires immediate clinical follow-up if endorsed.",{"question":76,"answer":77},"Is the PHQ-A in the public domain?","Yes. The PHQ-A is in the public domain and freely available for clinical, educational, and research use without licensing fees, consistent with the PHQ family of instruments.",{"question":79,"answer":80},"What is the cutoff score on the PHQ-A?","A PHQ-A score of 10 or higher is the standard cutoff for moderate depression in adolescents and is endorsed by the American Academy of Pediatrics for screening in primary care settings. 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