Table 1.

Risk management protocol after administration of the Edinburgh Postnatal Depression Scale.

Risk level	Risk cut-offs	Action
Low	Women: 0-9 total score Men: 0-5 total score AND 0 on Item 10	No action required.
Medium	Women: 10-12 total score Men: 6-8 total score OR 1 on Item 10	1. Email participant to organize a time to speak on the phone. Call within one week. 2. Re-administer the EPDS and check score against cut-offs. If now low risk, briefly discuss change between previous EPDS and current EPDS, and discuss what to do if situation worsens. Email referral information. If now high risk, follow protocol for high risk. If still medium risk, follow protocol below. 3. Discuss support options (ie, partner, family, friends). 4. Give support and referral information over the phone and by email: - PANDA (Post and Antenatal Depression Association) 1300 726 306 http://www.panda.org.au/ - Lifeline 13 11 14 https://www.lifeline.org.au/Get-Help/ - Mensline 1300 78 99 78 http://www.mensline.org.au/ - Family doctor - Psychologist www.psychology.org.au/FindaPsychologist/Default.aspx?ID=5911
High	Women: >13 total score Men: >9 total score OR 2 or 3 on Item 10	1. Email participant to organize a time to speak on the phone. Call same day. 2. Discuss support options (ie, partner, family, friends). 3. Give support and referral information over the phone and by email: - PANDA (Post and Antenatal Depression Association) 1300 726 306 http://www.panda.org.au/ - Lifeline 13 11 14 https://www.lifeline.org.au/Get-Help/ - Mensline 1300 78 99 78 http://www.mensline.org.au/ - Family doctor - Psychologist www.psychology.org.au/FindaPsychologist/Default.aspx?ID=5911 4. Assist participant to make a plan to access support, including immediate support if needed. 5. Arrange to speak again in one week, at which time the EPDS will be re-administered, and check score against cut-offs. If still high risk, remain engaged with participant until they are engaged with appropriate professional.