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HAM-D (Hamilton Depression Rating Scale)

The Hamilton Depression Rating Scale has proven useful for determining the level of depression before, during, and after treatment.
It is based on the clinician's interview with the patient and probes symptoms such as depressed mood, guilty feelings, suicide, sleep disturbances, anxiety levels and weight loss.
The interview and scoring takes about 15 minutes. The rater enters a number for each symptom construct that ranges from 0 (not present) to 4 (extreme symptoms).
   
 
Supporting Article
  • A Rating Scale for Depression
    By M. Hamilton,
    Journal of Neurology, Neurosurgery, and Psychiatry 23:56-62, 1960

    This is the original publication of the HAM-D.
More About Depression and the HAM-D
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Depression is a risk factor for cardiovascular disease and death in many ways, directly and indirectly. It is independently linked to smoking, diabetes, and obesity—all of which are risk factors for coronary heart disease (CHD).1... More »
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Jay M. Pomerantz, MD
Assistant Clinical Professor of Psychiatry
Harvard Medical School, Boston

A large number of psychiatric tests, scales, and forms have been created over the years to help in diagnosing mental illness and assisting in treatment and follow-up. This Web-based service offers copies of some of the most popular and useful instruments. The hope is that healthcare professionals—whether in specialty practices, primary-care settings, or emergency services—will find this format convenient and useful, allowing them to find the right instrument quickly, print it out for immediate use with patients, and add the findings to their records. Since most of the tools are designed for repeated use over time, they will provide not only a longitudinal view but also document the medical record.

In addition to the forms themselves, you will find instructions on how to administer and score the scales as well as related articles and links to other useful guidance. When appropriate, we will supply video resources for additional insights.

These scales have demonstrated high levels of accuracy and validity and the results can give important clues to possible mental disorders that warrant follow up. However, please remember that they depend on the skills of the clinicians administering them and the accuracy of the information provided by the patients.