MDCalc

Major Depression Index (MDI)

Screens for depression based on clinically significant questions.

Ask the patient: how often have they been bothered by the following over the past 2 weeks?

1. Felt low in spirits or sad?
2. Lost interest in daily activities?
3. Felt lacking in energy and strength?
4. Felt less self-confident?
5. Had a bad conscience or feelings of guilt?
6. Felt that life wasn’t worth living?
7. Had difficulty in concentrating, e.g. when reading the newspaper or watching television?
8a. Felt very restless?
8b. Felt subdued or slowed down?
9. Had trouble sleeping at night?
10a. Suffered from reduced appetite?
10b. Suffered from increased appetite?

Result:

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Advice

Patients with depression should be provided with further resources and potentially referred to psychiatry, as well as be screened for emergency psychiatric conditions like suicidal ideation or psychosis.