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. 2019 Oct 7;6:e24. doi: 10.1017/gmh.2019.21

Table 5.

Proposed new screening tool for CPMD.

PMHP screening tool for mental distress during pregnancy
ONLY to be conducted if resources are available for referral, e.g. mental health nurse, social worker, NGO, medical officer, counsellor, psychiatrists or other services.
Instructions:
Step 1. Complete section A first.
Step 2. Complete section B (optional).
Section A: Symptoms of depressed mood and/or anxiety and suicidality

  1. During the past month, have you often been bothered by feeling down, depressed or hopeless?

 YES NO

  1. During the past month, have you often been bothered by having little interest or pleasure in doing things?

 YES NO

  1. During the past month, have you often been bothered by not being able to stop or control worrying?

 YES NO

  1. During the past month, has the thought of committing suicide often occurred to you?a

 YES NO
Count the number of YES answers above:
A score of 2 or more requires further assessment and referral for mental distress,
aYES on question 4 requires immediate referral for psychiatric assessment.		 graphic file with name S2054425119000219_inline1.jpg
Section B. Risk factors
If the woman has a risk factor, this may help you to refer her to the best type of support she needs. It will also help the providers who next see her to understand her better and plan for her care.
It is worthwhile to make a detailed list of local resources (and their contact details), easily available for these referrals. These resources could be in the community or the facility and may change over time. This resource map will make it quicker for staff to do the screening and for mothers to access the referrals.
Answers in the shaded area indicate a stressor that may increase the risk of mental distress.

  1. You have had problems with depression and or anxiety in the past.

 YES NO

  1. You have had some very difficult things happen to you in the last year.b

 YES NO

  1. Your husband/boyfriend or someone else at home is sometimes violent towards you.

 YES NO

  1. You have experienced some kind of abuse in the past (e.g. physical, emotional, sexual abuse or rape).

 YES NO

  1. You have a special person who is a real source of comfort to you.

 YES NO

b(E.g. Death of a close relative; serious injury/illness/assault of a close relative; major financial crisis; something valuable lost/stolen; serious problem with a close friend/neighbour/relative; problems with police/court appearance)