Hopelessness
BHS
A related Beck-family scale measuring hopelessness as a suicide-risk factor; relevant when item 9 of the BDI-II is positive.
Coming soonThe Beck Depression Inventory–II (Beck, Steer & Brown, 1996) is one of the most widely used self-report measures of depressive symptom severity in adults and adolescents (from age 13). Revised to align with DSM-IV criteria, its 21 items rate affective, cognitive, and somatic features of depression over the past two weeks.
Unlike PHQ-9 (9 items, mapped to the DSM criteria and convenient for a quick screen), the BDI-II grades severity in more detail on a 0–63 scale and gives fuller weight to the cognitive component (self-criticism, pessimism, guilt). It is completed by the respondent.
| Score range | Severity | Clinical meaning |
|---|---|---|
| 0–13 | Minimal | Minimal level of depressive symptoms |
| 14–19 | Mild | Mild level of depressive symptoms |
| 20–28 | Moderate | Moderate level of depressive symptoms |
| 29–63 | Severe | High level of depressive symptoms |
The BDI-II is used to gauge baseline depression severity and to monitor change over time (repeat measurements at intervals). It is a severity measure, not a diagnostic test.
The total score on its own does not establish a depressive-disorder diagnosis, which a clinician makes from a full clinical assessment. Somatic items can inflate the score in people with physical illness.
Item 9 concerns suicidal ideation: any positive response calls for a direct suicide-risk assessment (the BDI-II is not a risk-assessment tool). At high (severe) scores, prioritise clinical assessment and a safety check.
Enter the BDI-II total score (0–63):
Questions about scoring, severity bands, and the scale's limits
Record BDI-II totals, get the severity band automatically, and track session-to-session change without manual entry.