Table 1.
Mental health screening measures for children and Adolescents*
| Measure | Description | Age Range |
Time to complete (min) |
Available Languages |
|---|---|---|---|---|
|
Patient Health Questionnaire–4 |
4 item scale for depression (2 item subscale) and anxiety (2 item subscale). Raw subscale score > = 3 probable depression/anxiety; combined score for overall psychological distress: 0–2 normal, 3–5 mild, 6–8 moderate, 9–12 severe 3–5 |
12+ | 1 | Over 50 translations, including Spanish, German, Greek, Chinese, Persian, Polish, Korean, and Filipino. |
|
Patient Health Questionnaire–9 |
9 item scale for depression. Raw scores: 5–9 = mild; 10–14 = moderate; 15–19 = moderately severe); 20–27 = severe. |
12+ | < 5 | Over 50 translations, including Arabic, Chinese, English, French, Hindi, and Spanish |
|
Generalized Anxiety Disorder-7 |
7 item scale for anxiety. Raw scores: 5–9 = mild; 10–14 = moderate; 15–21 = severe. |
12+ | < 2 | Over 50 translations, including Arabic, Chinese, English, French, Hindi, and Spanish |
| Screen for Childhood Anxiety Related Emotional Disorders (SCARED) [76, 77] |
41 item scale for anxiety. Raw scores ≥ 25 indicate clinically significant anxiety. |
8–18 | 10 | Arabic, Chinese, Czech, English, Finnish, French, German, Hebrew, Italian, Spanish, Tamil, Thai |
| The Center for Epidemiological Studies Depression Scale for children (CES-DC) [78] |
20 item scale for depression. Raw scores 15 and above indicate significant depression. |
6–17 | 5 | English |
|
Mood and Feeling Questionnaire for children |
Short (13 item) and long (33 item) versions for depressive symptoms. Raw score 12 + on the short form and 27 + on the long form indicate clinically elevated symptoms. |
6–17 | 5–10 | Arabic, Chinese, English, Filipino, Finnish, German, Norwegian, Portuguese, Spanish and others |
| Patient Symptom Checklist 17 items (PSC-17) [81] |
17 item scale for behavioral health problems. Raw score > = 15 indicate possible behavioral health disorder; sub-scores for certain group of questions indicate internalizing, externalizing and attention problems |
4–17 | < 5 | English, Spanish, Chinese, Vietnamese, Indonesian, Norwegian |
| Patient Reported Outcomes Information Measurement System (PROMIS) [82, 83] |
8 item scales for depressive and anxiety symptoms. Raw scores are converted to standardized T-scores:<50 = Normal; 50.0—54.9 = Mild; 55.0—64.9 = Moderate; 65 + = Severe. |
Available in pediatric (8–17) & adult versions (18+) | < 5 | Many translations including Arabic, Bengali, Chinese, Czech, Dutch, English, French, German, Gujarati, Hindi, Hungarian, Italian, Japanese, Kannada, Korean, Malayalam, Marathi, Polish, Portuguese, Punjabi, Russian, Spanish, Tamil, Telugu, Ukrainian |
| Ask Suicide-Screening Questions (ASQ) [75] | 4 questions + 1 acuity question (if needed) -> identifies those who need further safety/mental health assessment | 8+ | 1 | > 20 translations including Arabic, Chinese, Filipino, French, Hebrew, Hindi, Italina, Japanese, Spanish, Vietnamese |
*Screening measures detect symptoms and are not diagnostic. A positive screen indicated by a score above the cutoff indicates a need for further assessment to determine the presence or absence of a mental health disorder, and the appropriate treatment. All listed measures are publicly available to our knowledge, although there may be specific requirements for use per the measure developers. The list of available languages may not be complete as newer language translations become available