Table 5. Depression Response and Suicidality Measurement Using 9-Item Patient Health Questionnaire (PHQ-9) and Electronic Health Records (EHR) Data among Depressed Patients in DARTNet Practices
Depression CohortDepression Cohort + Fulfillment Data Available
PHQ-9s collected, n1,440192
Episodes with at least one PHQ-9, n738169
Patients with at least one PHQ-9, n670149
Depression response measurement
    Episodes with a response PHQ-9, n684149
    Response PHQ-9s per episode, n
        Mean1.81.1
        Median1.01.0
        Range1–281–4
    Days between index depression diagnosis and closest PHQ-9, n
        Mean796.8802.5
        Median545630
        Range8–33272–2934
    Response PHQ-9s collected after depression diagnosis (days)
        7–60107 (15.64)17 (11.41)
        61–9019 (2.78)1 (0.67)
        >90558 (81.58)131 (87.92)
    Depression response measurement
        ICD-9 severity level
            Level 5 (partial response)1 (0.10%)0 (0.00%)
            Level 6 (full/complete response)1 (0.10%)0 (0.00%)
        PHQ-9 severity level (lowest response)
            <10 (partial response)464 (67.84%)96 (64.43%)
            <5 (full/complete response)272 (39.77%)53 (35.57%)
    Days between baseline and lowest response PHQ-9
        Mean71.142.0
        Median37.042.0
        Range10–37829–55
    Change in PHQ-9 scores (baseline to lowest)
        Mean5.13.0
        Median3.03.0
        Range−3 to 191–5
    Ranges of change
        −5 to −1 point8 (9.88%)0 (0.00%)
        0–5 points42 (51.85%)2 (100.0%)
        6–10 points14 (17.28%)0 (0.00%)
        >10 points17 (20.99%)0 (0.00%)
        ≥50%45 (55.56%)0 (0.00%)
        Baseline ≥10 and response <1029 (35.80%)2 (100.0%)
Emergent suicidality measurement
    ICD-9 suicidality
        Ideation2 (0.29%)1 (0.67%)
        Suicide attempt1 (0.15%)1 (0.67%)
        None681 (99.56%)147 (98.66%)
    PHQ-9 item 9 (suicidality)
        Mean0.60.2
        Median0.00.0
        Range0–30–3
        Specific scores
            0 (no thoughts in past 2 weeks)317 (53.01%)124 (84.35%)
            1 (thoughts on several days)212 (35.45%)14 (9.52%)
            2 (thoughts on more than half the days)48 (8.03%)5 (3.40%)
            3 (thoughts nearly every day)21 (3.51%)4 (2.72%)
    Emergence vs. resolution of suicidality (for episodes with baseline and response PHQ-9 item 9)
        Episodes
        Episodes with baseline suicidality = 0 and emergent suicidality >010 (16.67)0 (0.00)
        Episodes with baseline suicidality >0 and emergent suicidality = 08 (13.33)0 (0.00)
  • Data provided as n (%) unless otherwise indicated.

  • ICD-9, International Classification of Diseases, Ninth Revision.