Columbia Depression Scale – Self Report INSTRUCTIONS: Completed by the teen, ages 11 and over. Consider your present state (last 4 weeks) and please answer the following questions as honestly as possible. In the last four weeks …. Required fields are marked * cmhid (optional) rid (optional) Comments (optional) 1.Have you often felt sad or depressed? * No Yes 2.Have you felt like nothing is fun for you and you just aren’t interested in anything? * No Yes 3.Have you often felt grouchy or irritable and often in a bad mood, when even little things would make you mad? * No Yes 4.Have you lost weight, more than just a few pounds? * No Yes 5.Have you lost your appetite or often felt less like eating? * No Yes 6.Have you gained a lot of weight, more than just a few pounds? * No Yes 7.Have you felt much hungrier than usual or eaten a lot more than usual? * No Yes 8.Have you had trouble sleeping – that is, trouble falling asleep, staying asleep, or waking up too early? * No Yes 9.Have you slept more during the day that you usually do? * No Yes 10.Have you often felt slowed down … like you walked or talked much slower than you usually do? * No Yes 11.Have you often felt restless … like you just have to keep walking around? * No Yes 12.Have you had less energy than you usually do? * No Yes 13.Has doing even little things made you feel really tired? * No Yes 14.Have you often blamed yourself for bad things that happened? * No Yes 15.Have you felt you couldn’t do anything well or that you weren’t as good looking or as smart as other people? * No Yes 16.Has it seemed like you couldn’t think as clearly or as fast as usual? * No Yes 17.Have you often had trouble keeping your mind on your (schoolwork/work) or other things? * No Yes 18.Has it often been hard for you to make up your mind or to make decisions? * No Yes 19.Have you often thought about death or about people who had died or about being dead yourself? * No Yes 20.Have you though seriously about killing yourself? * No Yes 21.Have you EVER, in your WHOLE LIFE, tried to kill yourself or made a suicide attempt? * No Yes 22.Have you tried to kill yourself in the last four weeks? * No Yes