TABLE A1.

HANDS instrument scale

Question number	Over the past 2 weeks, how often have you…
1	Been feeling low in energy, slowed down?
2	Had poor appetite?
3	Had difficulty falling asleep, staying asleep?
4	Been feeling hopeless about the future?
5	Been feeling blue?
6	Been feeling no interest in things?
7	Had feelings of worthlessness?
8	Thought about or wanted to commit suicide?
9	Had difficulty concentrating or making decisions?

Note: Students responded to each question using a 4‐point Likert scale where 0 = “None of little of the time,” 1 = “Some of the time,” 2 = “Most of the time,” and 3 = “All of the time.” HANDS scores for an individual respondent are calculated by summing the value of responses across all questions. Respondents with scores between 17 and 27 are highly likely to be experiencing a major depressive episode; a major depressive episode is likely if the score is between nine and 16 and is unlikely for those with scores below 9 (Baer et al., 2000).