Depression is more than occasional sadness. In children and adolescents, it can affect mood, energy, sleep, concentration, motivation, relationships, school performance, and interest in activities they usually enjoy. Symptoms may look different across ages and can sometimes appear as irritability, withdrawal, physical complaints, or changes in behavior.

The resources below are intended to help healthcare providers, families, educators, and other professionals identify possible signs of depression, understand when further assessment may be helpful, and connect children and adolescents with appropriate support and treatment.

Depression
Screening and Assessment

These screening tools may be used by healthcare, mental health, and other qualified professionals to identify children and adolescents who may be experiencing depressive symptoms. They are screening tools only and do not establish a diagnosis. A positive result or ongoing concern should be followed by further assessment from an appropriately qualified professional.

Patient Health Questionnaire-9 Modified for Adolescents (PHQ-9A / PHQ-A)
English | Spanish

A brief self-report screening tool used to identify and measure the severity of depressive symptoms in adolescents.
Ages: 11–17
Completed by: Youth
Time: approximately 5 minutes
Important: Any endorsement of suicidal thoughts requires further suicide-risk assessment.

Patient Health Questionnaire-9 (PHQ-9)
A 9-item self-report tool used to screen for depression and monitor symptom severity. The official PHQ site includes English, Spanish, and other translations.
Completed by: Youth/adult
Time: approximately 5 minutes

Short Mood and Feelings Questionnaire (SMFQ)
Child Self-Report | Parent Report on Child
A brief 13-item depression screening measure for children and adolescents, with child- and parent-report versions available.
Ages: 6–17
Completed by: Youth or parent/caregiver
Time: approximately 5 minutes
Languages: English, Spanish, and several additional translations are available. Duke allows the forms to be downloaded and used free of charge.

Clinical Guidance
AACAP Clinical Practice Guideline for the Assessment and Treatment of Children and Adolescents With Major and Persistent Depressive Disorders
Evidence-based guidance for healthcare and mental health professionals on assessment, treatment, monitoring, and ongoing management of depressive disorders in children and adolescents. The current AACAP guideline was published in 2023.

Websites

American Academy of Child & Adolescent Psychiatry (AACAP) – Depression Resource Center
Information for families and professionals about depression in children and adolescents, including symptoms, evaluation, treatment, medications, and related concerns.

National Institute of Mental Health (NIMH) – Depression
Trusted information about depression symptoms, diagnosis, treatment, and current research, including how depression may present differently in children and adolescents.

HealthyChildren.org – Depression in Children and Teens
Parent-friendly information from the American Academy of Pediatrics about signs of depression, when to seek help, treatment options, and ways families can support children and teens.

Anxiety & Depression Association of America (ADAA)
National education and resources about depression, anxiety, treatment, and finding support for children, adolescents, and families

Resources

Depression: Parents’ Medication Guide – AACAP/APA
A family-friendly guide to childhood and adolescent depression, including treatment options, psychotherapy, medication, side effects, and questions families may want to discuss with a provider.

How Is Depression Treated in Children & Teens? – HealthyChildren.org
Practical information for families about treatment approaches including cognitive behavioral therapy, interpersonal therapy, family therapy, and medication.

AACAP Depression Resources for Parents
Parent-focused information about depression treatment, rating scales, medication guidance, and additional family resources.

AACAP Depression Resources for Clinicians
Clinical resources related to depression treatment, rating scales, research, and professional guidance for children and adolescents.

Depression in Children and Teens – HealthyChildren.org
A parent-friendly overview of how depression can appear in children and adolescents, signs to watch for, and when to seek professional help.