Are You At Risk?

Risk Questionnaire 

There are a wide range of emotional reactions following the birth of a baby, including “baby blues” and “postpartum depression.” Your answers to these assessments will help us assess your risk for postpartum depression and find out if you need additional help.

To determine your risk for postpartum depression, answer yes or no to the following questions, then discuss with your health care provider.

1. My mother or sister(s) have had postpartum depression or anxiety.
2. During the past year, I have experienced a lot of stress and change, such as loss of a job or income, loss of a loved one, homelessness or other stressors.
3. This was a very difficult pregnancy for me emotionally and/or physically.
4. This was a very difficult birth for me emotionally and/or physically.
5. I have a history of depression, anxiety or other mental health condition that was not related to pregnancy or birth.
6. I had depression or anxiety for more than 3 weeks after another birth.
7. In the past year I have taken medicine for depression, anxiety or another mental health condition.
8. I need more emotional support from family and friends.
9. I had depression or anxiety that I felt I needed help with during this pregnancy.
10. My baby is in the Neonatal ICU
11. I have delivered a multiple birth

Are You Experiencing Postpartum Depression?

Using the Edinburgh Postnatal Depression Scale (EPDS) below, please circle the answer that best describes how you have felt over the past seven days.

1. I have been able to laugh and see the funny side of things
0 = As much as I always could
1 = Not quite so much now
2 = Definitely not so much now
3 = Not at all

2. I have looked forward with enjoyment to things
0 = As much as I ever did
1 = Rather less than I used to
2 = Definitely less than I used to
3 = Hardly at all

3. I have blamed myself unnecessarily when things went wrong.
3 = Yes, most of the time
2 = Yes, some of the time
1 = Not very often
0 = No, never

4. I have been anxious or worried for no good reason.
0 = No, not at all
1 = Hardly ever
2 = Yes, sometimes
3 = Yes, very often

5. I have felt scared or panicky for no very good reason.
3 = Yes, quite a lot
2 = Yes, sometimes
1 = No, not much
0 = No, not at all

6. Things have been getting on top of me.
3 = Yes, most of the time I have not been able to cope at all
2 = Yes, sometimes I haven't been coping as well as usual
1 = No, most of the time I have coped quite well
0 = No, I have been coping as well as ever

7. I have been so unhappy that I have had difficulty sleeping.
3 = Yes, most of the time
2 = Yes, sometimes
1 = Not very often
0 = No, not at all

8. I have felt sad or miserable.
3 = Yes, most of the time
2 = Yes, quite often
1 = Not very often
0 = No, not at all

9. I have been so unhappy that I have been crying.
3 = Yes, most of the time
2 = Yes, quite often
1 = Only occasionally
0 = No, never

10. The thought of harming myself has occurred to me.
3 = Yes, quite often
2 = Sometimes
1 = Hardly ever
0 = Never

If your total score is 12 or higher two weeks in a row, call your health care provider. If your score is more than eight, record your answers weekly to track whether your scores change. Share these scores and dates with your health care providers at your appointments.

NOTE: If your answer to question number 10 was NOT “0=Never," you may be experiencing suicidal thoughts. It is important that you contact your health care provider to discuss options for further evaluation.

Source: xCox, J.L., Holden, J.M., Sagovsky, R. (1987). Detection of Postnatal Depression:  Development of the Ten-Item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry, 150: 782-786.