*6.6.3.2.2 Administration*

	- 1.Each question is scored with a 0 for 'No' or 1 for 'Yes'.
	- 2.The higher a score is, the more likely the woman is experiencing some level of antenatal depression.
	- 3. Standard cut off score of 10 or greater is recommended as an indicator of possible depression [117]
	- 4.When validating SRQ in antenatal clinics in the Blantyre district, optimum cut off score of greater than 9 was used.
	- 5.Refer for diagnostic mental health assessment all pregnant women who score 10 or more on SRQ.
	- 6. If a pregnant woman scores 1 specifically on questions 16 or 17, immediate action is needed. An immediate emergency referral to a mental health professional may be the most appropriate next step if a patient has suicidal ideation.




