MDS Alert
SIGECAPS Screening Tool For Depression
PDF
Nursing staff can use this tool to screen residents for depression or dysthymia. Sleep increase/decrease A depressed mood or interest + 3 SIGECAPS most days for two or more years suggests dysthymia.
Interest in formerly compelling or pleasurable activities diminished
Guilt, low self esteem
Energy poor
Concentration poor
Appetite increase/decrease
Psychomotor agitation or retardation
Suicidal ideation
A depressed mood or interest + 4 SIGECAPS for two or more weeks suggests major depression.
Note: The above tool should be used only to flag residents who need more in-depth assessment by a qualified practitioner -- ideally, a clinical social worker, psychologist, psychiatrist, or psychiatric mental health clinical nurse specialist.
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