Major Depressive Disorder in Children and Adolescents Screening Checklist

If your child or teen has experienced some of these symptoms, he or she may be suffering from depression. Please answer yes or no to the following questions: 1. Does your child feel sad, blue or tearful?   YES NO 2. Is your child often angry or picks fights at home or in school?   YES NO 3. Does your child no longer care about favorite activities?   YES NO 4. Has your child lost or gained a lot of weight?   YES NO 5. Does your child have trouble sleeping or sleeps too much?   YES NO 6. Does your child have trouble sitting still or appear very slowed down?   YES NO 7. Does your child always look tired or is "too tired to play"?   YES NO 8. Does your child feel hopeless or tell you, "I'm no good"?   YES NO 9. Does your child have trouble concentrating or making small decisions?   YES NO 10. Does your child talk about how life is not worth living, death, or suicide?   YES NO 11. Have you noticed these symptoms have been present almost every day for a two week period?   YES NO 12. Do these problems get in the way of activities at home, in school, or with friends?   YES NO