The Depression Screening Instrument (DSI): a device for the detection of depressive disorders in general practice

The paper describes the design, application and psychometric properties of a 16-item depression screening questionnaire for use in community surveys carried out in general practice. The instrument was shown to have a satisfactory factorial structure and a high internal reliability. All 16 items showed very significant discrimination between a patient and a population sample and the total score correlated highly with that of two other widely used instruments. When measured against the PSE CATEGO-ID ratings the instrument was shown to have a high degree of validity and the value of the area under the receiver operating characteristic curve was high. Sensitivity and specificity levels were presented for a range of cutting points.