Columbia Depression Scale – Parent/Other Report INSTRUCTIONS: Considering the child’s present state (last four weeks), please answer the following questions about the child as honestly as possible. In the last four weeks …. Required fields are marked * cmhid (optional) rid (optional) Comments (optional) 1.Have she/he often seemed sad or depressed? * No Yes 2.Has it seemed like nothing was fun for her/him and she/he just wasn’t interested in anything? * No Yes 3.Has she/he often been grouchy or irritable and often in a bad mood, when even little things would make her/him mad? * No Yes 4.Has she/he lost weight, more than just a few pounds? * No Yes 5.Has it seemed like she/he lost her appetite or ate a lot less than usual? * No Yes 6.Has she/he gained a lot of weight, more than just a few pounds? * No Yes 7.Has it seemed like she/he felt much hungrier than usual or ate a lot more than usual? * No Yes 8.Has she/he had trouble sleeping – that is, trouble falling asleep, staying asleep, or waking up too early? * No Yes 9.Has she/he slept more during the day that she/he usually does? * No Yes 10.Has she/he seemed to do things like walking or talking much more slowly than usual? * No Yes 11.Has she/he often seemed restless… like she/he just had to keep walking around? * No Yes 12.Has she/he seemed to have less energy than she/he usually does? * No Yes 13.Has doing even little things seemed to make her/him feel really tired? * No Yes 14.Has she/he often blamed her/himself for bad things that happened? * No Yes 15.Has she/he said she/he couldn’t think as clearly or as fast as usual? * No Yes 16.Has it seemed like she/he couldn’t think as clearly or as fast as usual? * No Yes 17.Has she/he often seemed to have trouble keeping her/his mind of her/his (schoolwork/work) or other things? * No Yes 18.Has it often seemed hard for her/him to make up her/his mind or to make decisions? * No Yes 19.Has she/he said she/he often thought about death or about people who had died or about being dead her/himself? * No Yes 20.Has she/he talked seriously about killing her/himself? * No Yes 21.Has she/he EVER, in her/his WHOLE LIFE, tried to kill her/himself or made a suicide attempt? * No Yes 22.Has she/he tried to kill herself in the last four weeks? * No Yes