PHQ-2: Patient Health Questionnaire-2

Ultra-brief depression screening for busy clinical settings. ≈ 1 min to complete. Free with attribution.

depression 2 items ≈ 1 min Updated 2026-05-06

Score PHQ-2 below → Download printable PDF View source paper (DOI)
What is PHQ-2? PHQ-2 (Patient Health Questionnaire-2) is a validated instrument used to assess ultra-brief depression screening for busy clinical settings.. It is used in ultra-brief depression screening for busy clinical settings.. It comprises 2 items. Administration takes about 1 min.

What is PHQ-2?

PHQ-2 (Patient Health Questionnaire-2) is a validated clinical instrument used to assess ultra-brief depression screening for busy clinical settings.. It is most often used for ultra-brief depression screening for busy clinical settings.. The instrument contains 2 items. Typical administration time is ≈ 1 min.

Source / attribution: Free to use with citation

Clinical context: when PHQ-2 is used

Ultra-brief depression screening for busy clinical settings. PHQ-2 is part of standard practice in this setting because it provides a structured, replicable assessment that can be tracked over time and compared across patients or visits.

The instrument's primary construct — ultra-brief depression screening for busy clinical settings. — is operationalized through a fixed set of items, each with a defined response format. This standardisation is what allows PHQ-2 scores to be compared meaningfully across clinicians, sites, and studies.

Like all screening or assessment instruments, PHQ-2 is a structured aid — not a diagnostic test in isolation. Results should be interpreted alongside history, examination, and clinical context. Where a score crosses an actionable threshold, the next step is typically a more detailed clinical evaluation rather than a definitive diagnosis.

Score PHQ-2

Answer all 2 items below to see your PHQ-2 score and interpretation.

Each item is scored on a 4-point scale (0–3). Your score updates live as you answer.

All scoring runs in your browser. No data is sent anywhere — close the tab and the answers are gone.

How PHQ-2 is scored

Sum items 1-2 scored 0-3. Total range 0-6. Score >= 3 suggests further evaluation.

Scoring notes: Sum items 1-2 scored 0-3. Total range 0-6. Score >= 3 suggests further evaluation.

PHQ-2 score interpretation

The cutoffs below are drawn from the published validation literature. Always interpret in clinical context.

Score rangeBandInterpretation
0–2MinimalNone
3–6Possible depressionAdminister PHQ-9

How to score PHQ-2: a step-by-step worked example

This is an illustrative walkthrough, not a real patient. Follow the same four steps with your own answers — or use the live calculator at the top of this page.

Step 1 — Score each item

Read each question and choose the response that best fits. Each response has a number next to it — that number is the item's score. The example below uses illustrative answers.

#ItemExample responseScore
1Little interest or pleasure in doing thingsMore than half the days2
2Feeling down, depressed, or hopelessNearly every day3

Step 2 — Add up the scores

Add up all the item scores you noted in Step 1.

2 + 3 = 5

Step 3 — Look up the band

Find the row in the interpretation table whose range contains your total:

Total = 5 falls between 3 and 6Possible depression

Step 4 — What does this mean clinically?

Possible depression. Administer PHQ-9

A score is one input alongside history and examination. PHQ-2 supports clinical judgment — it does not replace it.

Score PHQ-2 with your own answers above →

PHQ-2 psychometric properties

Psychometric figures are drawn from the validation literature and may vary across clinical populations and translations.

Limitations & common pitfalls

How PHQ-2 compares to other depression scales

If PHQ-2 doesn't fit your context, related instruments in depression include:

ScaleMeasuresItemsTime
PHQ-8Research version of PHQ-9 excluding suicidality item for general population studies.8≈ 2 min
CES-D20-item screening test for depressive symptoms in the general population.20≈ 5 min
HADS-D7-item depression subscale designed for hospital and clinical outpatient settings.7≈ 2 min
SDS20-item self-report scale measuring affective, psychological, and somatic symptoms of depression.20≈ 5 min
PHQ-9Severity of depression9≈ 3 minutes
GAD-7Severity of generalized anxiety7≈ 2 minutes
AUDIT10-item WHO screening tool for hazardous alcohol consumption and dependence.10≈ 3 min
CHA2DS2-VAScAnnual stroke risk in non-valvular atrial fibrillation8

Frequently asked questions about PHQ-2

What does PHQ-2 measure?

PHQ-2 (Patient Health Questionnaire-2) is a validated instrument that assesses ultra-brief depression screening for busy clinical settings.. Its primary clinical use is ultra-brief depression screening for busy clinical settings..

How long does PHQ-2 take to complete?

PHQ-2 typically takes ≈ 1 min to administer. Time can vary slightly depending on whether it is self-administered or clinician-led.

How many items are on PHQ-2?

PHQ-2 contains 2 items. Items are summed to produce a total score.

What is a high PHQ-2 score?

Scores of 3–6 fall in the "Possible depression" band. Administer PHQ-9

What is a low PHQ-2 score?

Scores of 0–2 fall in the "Minimal" band. None

How reliable is PHQ-2?

PHQ-2 has reported Cronbach's α of 0.83 in validation samples and test–retest reliability of 0.82. Sensitivity 97%, specificity 67% for major depression.

Is PHQ-2 free to use?

PHQ-2 is free to use with attribution. Free to use with citation

What is the source paper for PHQ-2?

Kroenke, K., Spitzer, R. L., & Williams, J. B. W. (2003). The Patient Health Questionnaire-2: Validity of a two-item depression screener. Medical Care, 41(11), 1284-1292.

Can PHQ-2 replace clinical judgment?

No. PHQ-2 is a structured assessment aid. A score is one input alongside history, examination, and clinical context. Treatment decisions should never rest on a screening score alone.

References & validation

PHQ-2 is supported by the following peer-reviewed sources: