The total describes only how the two selected frequencies were scored. A result of 3–6 meets this page’s follow-up threshold; a result of 0–2 is below it. Neither output confirms nor rules out a depressive disorder.
Screening performance varies by population and setting, and clinical decisions require more information. A clinician may use a longer questionnaire and ask about duration, impairment, medical conditions, substances, grief, anxiety, mania and other relevant factors.
If you are completing the form for someone else, use their answers rather than guessing from appearance. If distress, safety concerns or significant changes in functioning are present, seek prompt help from an appropriate local healthcare service regardless of the numeric result.
Why context still matters
The two items were designed for brevity, so they do not ask about every symptom or cause of a change in mood. Physical illness, medication effects, sleep disruption and major life events can matter to an assessment. Language, reading of the response options and the setting in which the questions are asked can also affect answers.
Repeat scores can be useful only when the same questionnaire, timeframe and response method are used consistently. A numeric change should be discussed in context rather than assumed to show improvement or deterioration on its own. The page does not store a history or evaluate change over time.