Edinburgh Postnatal Depression Scale (EPDS) calculator

As you are pregnant or have recently had a baby, choose the answer that comes closest to how you have felt in the past 7 days, not just how you feel today. The calculator adds up the ten answers of the Edinburgh Postnatal Depression Scale. It is a screening questionnaire for information, not a diagnosis.

EPDS score (0–30)0
Reading
0–9: depression unlikely
Question 10 (thoughts of self-harm)
Never

Runs in your browser: nothing you enter is sent anywhere.

How to use it

  1. Think about how you have felt in the past 7 days.
  2. For each of the ten questions choose the answer that comes closest. The answers appear in the order of the printed questionnaire.
  3. Read the total, the reading and the separate line for question 10. Your answers never leave your browser.

How the score works

Each answer scores 0 to 3, so the total is 0 to 30. Questions 1, 2 and 4 score 0, 1, 2, 3 from the first answer to the last; questions 3 and 5–10 score 3, 2, 1, 0.

Score Usual reading
0–9 Depression unlikely
10–12 Possible depression
13–30 Likely depression

Any answer above 0 on question 10 is flagged on its own, whatever the total.

Worked example

A mother answers “not quite so much now” (1), “rather less than I used to” (1), “yes, some of the time” (2), “yes, sometimes” (2), “no, not much” (1), “yes, sometimes I haven’t been coping as well as usual” (2), “not very often” (1) and the most positive answer on questions 8–10 (0). The total is 1 + 1 + 2 + 2 + 1 + 2 + 1 = 10, possible depression, and question 10 is “never”.

Tips

  • Answer about the whole week, not just today.
  • Tiredness and changed sleep are normal with a new baby; the questions focus on mood, enjoyment and worry for that reason.
  • It is common to feel low or anxious in pregnancy and after birth, and help works. Share your result with your midwife, health visitor or doctor.
  • This page is informational only and is not a diagnosis.

Source

Cox JL, Holden JM, Sagovsky R. Detection of postnatal depression: development of the 10-item Edinburgh Postnatal Depression Scale. British Journal of Psychiatry. 1987;150:782–786.

Frequently asked questions

What EPDS score indicates postnatal depression?

A score of 13 or more suggests that depression is likely and a professional assessment is needed. Many services also use 10 or more as a sign of possible depression worth discussing. Below 10 depression is unlikely, but trust your feelings: if you are struggling, say so.

Why are some answers scored in reverse?

Questions 1, 2 and 4 score 0 for the first answer and 3 for the last. Questions 3 and 5 to 10 run the other way, from 3 to 0, so that the more troubling answer always scores higher. The calculator scores each answer correctly in whatever order it is listed.

Why is question 10 shown separately?

Question 10 asks about thoughts of harming yourself. Any answer other than “never” needs attention the same day, whatever the total. Talk to your doctor, midwife or health visitor, or call your local emergency number if you are in danger.

Can the EPDS be used during pregnancy or by partners?

Yes. Although it was written for the weeks after birth, it is widely used during pregnancy as well, and some services use it with fathers and partners. The scoring is the same.

Is this a diagnosis?

No. The EPDS is a screening questionnaire. It does not replace a conversation with a health professional, who will ask about how long you have felt this way and how it affects you and your baby.

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