How the EPDS Score Is Calculated
The Edinburgh Postnatal Depression Scale (EPDS) is a validated 10-item self-report questionnaire developed by Cox, Holden, and Sagovsky (1987) to screen for depressive symptoms during pregnancy and in the first year after childbirth. Each item asks how you have felt over the past 7 days, with four possible responses scored 0-3. This calculator sums all 10 item scores into a total from 0 to 30, then reports the standard likelihood band and a dedicated safety flag for Question 10.
Scoring each item and reading the total
Items 1, 2, and 4 are scored in ascending order (the least-symptomatic answer is 0, the most-symptomatic is 3). Items 3 and 5 through 10 are reverse-scored, so "yes, most of the time" or similarly severe answers are worth 3 points and "never"/"not at all" answers are worth 0 — this keeps the point value consistent with symptom severity across every question. Total score = sum of all 10 item scores, ranging from 0 (no reported symptoms) to 30 (maximum reported symptoms).
What the cutoff scores mean
A total of 0-8 is generally considered a low probability of depression. A score of 9-12 is borderline and often prompts a repeat screen in a few weeks or a conversation with a provider. A score of 13 or higher is the most widely cited cutoff for probable depression and typically warrants a clinical evaluation. These bands come from validation studies and vary slightly by country and population, so treat them as guidance for a conversation with a clinician, not a diagnosis.
Question 10 and safety
Question 10 asks specifically about thoughts of self-harm. Any answer other than "Never" (a score above 0) is flagged by this calculator as a safety concern that deserves prompt follow-up with a healthcare provider, regardless of the total score. If you are currently in crisis or having thoughts of harming yourself, contact your local emergency number or a crisis line right away (in the US, call or text 988). This tool is educational and intended to support — not replace — a conversation with a qualified healthcare or mental health professional.