What is an appropriate approach to brief depression screening in a workplace setting?

• A. Ignore mental health concerns to avoid stigma.
• B. Ask a single informal question without consent.
• C. Ask a general mood check and document no further action.
• D. Use a validated tool (e.g., PHQ-2/PHQ-9) with confidentiality and clear follow-up resources.

Answer: (D)

Engaging in a brief, effective depression screening in the workplace relies on using a validated, evidence-based tool while protecting privacy and planning clear next steps. Tools like PHQ-2 or PHQ-9 are designed to quickly and reliably identify symptoms that may indicate depression, which is more trustworthy than informal impressions. Confidentiality is essential: the results should be shared only with those who need to know to provide support, and employees should know how their information will be used and who will have access to it. A positive screen should trigger a structured follow-up process, including a respectful conversation, access to appropriate resources (such as employee assistance programs or occupational health services), and a plan for ongoing support or referral to primary care or mental health professionals as needed. It’s also important that participation is voluntary, stigma is minimized, and staff are trained to respond with empathy.

Other approaches fall short because they either ignore the issue, lack privacy, or provide no pathway to care. An approach that dismisses mental health concerns avoids an opportunity to help. Relying on a single informal question without consent undermines reliability and privacy. A general mood check with no documented action leaves someone without the necessary support.