Geriatric Depression Scale (GDS-15) Assessment
Screen past-week depression-related responses in older adults with GDS-15, strict follow-up thresholds, and separate safety cues.{{ summaryTitle }}
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Depression is not an inevitable part of getting older. In later life it may be overlooked when low energy, reduced activity, sleep changes, memory complaints, illness, grief, pain, medication effects, or social isolation are blamed on age alone. Sadness may not be the most obvious concern; loss of interest, helplessness, worthlessness, and hopelessness can be equally important.
The 15-item short form of the Geriatric Depression Scale (GDS-15) is a Yes/No questionnaire for older adults. It asks about the past week and counts answers keyed in a depression-related direction. The short response format can reduce burden, but it also compresses experience into broad choices, so the total must be read alongside the person’s words, health, functioning, and circumstances.
| Response area | Context worth checking |
|---|---|
| Activities and staying home | Mobility, transport, pain, caregiving, bereavement, and available social contact |
| Energy and memory | Medical conditions, medication effects, sleep, sensory loss, delirium, and cognitive change |
| Worthlessness and hopelessness | Current safety, recent losses, support, and the need for direct conversation |
GDS-15 is a screening aid, not a diagnostic interview. A result above a follow-up threshold indicates that a fuller assessment is warranted; it does not establish a depressive disorder or identify the cause of the answers. Conversely, a lower total cannot dismiss persistent concern, a marked change in daily life, or information that falls outside the questionnaire.
Worthlessness and hopelessness receive separate attention because they deserve a direct response even when the total remains low. GDS-15 does not ask about suicidal thoughts or intent, so it cannot rule out suicide risk. If someone is thinking about self-harm, has an immediate plan, or cannot stay safe, contact local emergency or crisis support now.
The most useful result is therefore not a label about the person. It is a structured past-week signal that can support a respectful follow-up interview, medical review, and discussion of changes in mood and daily functioning.
How to Use This Tool:
Answer all 15 questions for the same past week, using the person’s own experience rather than what others think the answer should be.
- Begin the assessment in a setting where the respondent can answer privately and ask for clarification if reading, vision, hearing, or language creates a barrier.
- Choose Yes or No for each question. Do not assume that every Yes answer adds a point; several positively worded items are keyed in the opposite direction.
- Complete all 15 items, then read the GDS-15 total and the follow-up message. If a result is unavailable, return to the unanswered question.
- Review the worthlessness and hopelessness responses before relying on the aggregate result, and use Answer review to prepare a fuller conversation.
Interpreting Results:
The GDS-15 total counts depression-keyed answers from 0 to 15. Higher totals mean that more responses matched the keyed direction during the past week. The result does not measure symptom intensity within a Yes/No answer and does not show whether illness, grief, medication, isolation, or another factor contributed.
- 0 to 5 — Below follow-up threshold: keep concerns and changes in functioning in view; a low total is not proof that depression or safety concerns are absent.
- 6 to 10 — Follow-up suggested: the source rule is strictly greater than 5, so 6 is the first score that warrants a follow-up interview.
- 11 to 15 — Strong positive signal: the source rule is strictly greater than 10, so 11 is the first score in this range and supports prompt clinical follow-up.
A Yes to worthlessness or hopelessness triggers support guidance independently of these bands. Compare repeated totals only when the same English form, past-week frame, and administration conditions are retained, and examine which answers changed.
Technical Details:
Each GDS-15 item contributes either 0 or 1 point. The keyed direction depends on the wording: a No response adds a point on five positively worded items, while a Yes response adds a point on the other ten items. This aligns all contributions so larger totals represent more depression-related responses.
Transformation Core
| Items | Response worth 1 point | Response worth 0 points |
|---|---|---|
| 1, 5, 7, 11, and 13 | No | Yes |
| 2, 3, 4, 6, 8, 9, 10, 12, 14, and 15 | Yes | No |
Formula Core
The total adds the 15 binary keyed scores with equal weight.
G is the GDS-15 total and si is the keyed score for item i. All 15 answers are required. The result is an integer from 0 to 15 with no weighting, averaging, prorating, or rounding.
Rule Core
| Exact condition | Displayed result |
|---|---|
| G ≤ 5 | Below follow-up threshold |
| 5 < G ≤ 10 | Follow-up suggested |
| G > 10 | Strong positive signal |
A Yes response to item 12 on worthlessness or item 14 on hopelessness activates the separate support rule without changing G. This priority rule is a prompt for direct follow-up, not a substitute for a suicide-risk assessment.
Safety, Limits, and Privacy:
GDS-15 cannot diagnose depression, select treatment, distinguish depression from medical or cognitive causes, or clear someone of immediate risk. A fuller evaluation may need medical history, medication review, functional assessment, cognitive information, and a direct safety conversation.
- Ordinary answers stay in the current browser session and are not added to the URL automatically.
- A copied link contains all 15 raw Yes/No responses in an encoded URL fragment. It is not encrypted, so share it only with a trusted recipient.
- Restarting clears the in-memory response session and removes the shared fragment.
- Use urgent local help for self-harm thoughts or an inability to stay safe, regardless of the total or the worthlessness and hopelessness responses.
References:
- Geriatric Depression Scale Short Form English Scoring, Stanford University and Jerome A. Yesavage.
- Depression and Suicide Risk in Adults: Screening, U.S. Preventive Services Task Force, 2023.
- Depression and Older Adults, National Institute on Aging, updated 2025.