Table 3.

English final version of ADRS clinician version (ADRSc)

Item #	Item title	Modality of response	points
1	Irritability	Absence of any irritability, either self-perceived or perceived by the observer	0
		Irritability perceptible or felt in dealings with the subject, although he/she can control it	2
		Considerable irritability in dealings with the subject, generating conflict, relational difficulties	4
		Intense, overpowering irritability making dealings and exchanges virtually impossible	6
2	Overwhelming experience of depression	No depressive feelings or thoughts (= gloominess, despair, sadness)	0
		Depressive feelings or thoughts present but controlled and manageable	2
		Feeling of being overwhelmed by depressive feelings or thoughts	4
		Intense feeling of being overwhelmed by depressive suffering that is devastating and impossible to contain	6
3	Negative perceptions of self	Perceptions of self are serene and relevant	0
		Tendency to depreciation of self and accomplishments	2
		Depreciation of self and accomplishments	4
		Self viewed as completely worthless, useless, overpowering despair	6
4	Ideas of death	No preoccupation regarding death or suicide	0
		Occasional preoccupations regarding death or suicide	2
		Recurrent preoccupations regarding death or suicide	4
		Pervasive and intrusive ideas regarding death or suicide	6
5	Mental slowing	No sign of mental slowness, thought and speech fluid	0
		Occasional difficulties in putting ideas together, mental inertia that hinders concentration	2
		Considerable difficulty concentrating, obvious repercussions on daily life or school	4
		Massive mental inertia, that can result in concentration being impossible or the interview being difficult	6
6	Sleep	No sleep disturbance, whether in duration or quality(= sleeplessness, nightmares, not feeling rested, sleeping excessively)	0
		Occasional sleep disturbance, unusual to the subject	2
		Marked, persistent sleep disturbance	4
		Major, persistent sleep disturbance, resistant insomnia	6
7	Investment in school, work or job seeking	Sustained investment in school or professional activities	0
		Loss of motivation for school or work, but activities maintained	2
		Marked loss of motivation, disinterest for school or professional activities	4
		Total loss of motivation, complete disinterest for school or professional activities	6
8	Investment in non-school activities	Interest and enjoyment intact, good investment in usual non-school activities	0
		Decrease of enjoyment or interest in usual non-school activities, but these are nonetheless maintained	2
		Loss of enjoyment or interest, repeated absence from usual activities, marked narrowing of activities	4
		Absence of enjoyment or interest in non-school activities, total cessation of usual activities	6
9	Relationship withdrawal	No relational withdrawal	0
		Unusual withdrawal from others	2
		Relational withdrawal, isolation from others	4
		Total isolation	6
10	Perceived empathy from the clinician	Interview felt to have occurred in a serene atmosphere	0
		Perception of sadness pervading the interview	2
		Feeling there was over-riding emotion and/or irrepressible sadness	4
		Perception of intense silent distress	6

Intermediate responses are allowed from 0 to 6.

One item has been removed from the initial version: "clinging relationships".