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Mental Health Toolkit

Depression and Anxiety

PHQ Screeners

This website allows selection of several different screening tools in multiple languages. 

Columbia-Suicide Severity Rating Scale (C-SSRS)

The C-SSRS is widely used and is much more selective in eliminating false positive screens for suicide.  Scroll down on this link to select the version of the screener desired.  The C-SSRS is available in several languages.  

Perinatal Mood and Anxiety Disorders

Edinburgh Postnatal Depression Scale (Spanish/English)

The EPDS should be administered during the postpartum period.

Antenatal (Psychosocial) Risk Questionnaire (ANRQ)

FYI - this tool is to be used with permission of the author.  Use in an EMR would require a royalty.

Alcohol and Substance Use

CAGE-AID is an easy-to-use screen for alcohol and drug use.

Intimate Partner Violence

The Danger Assessment-5

The Danger Assessment-5 should be completed if the HITS screening is positive. This is a follow-up screening tool for a positive HITS screen.

Hurt, Insult, Threaten, Scream screening (HITS) - See PDF Link Below

Recommend screening all women of reproductive age. This is a first-line screening tool for intimate partner violence.