'Kick Off'
 'Tackling Mental Health for Rugby League'
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 Kick Off...Mental Health for Rugby League

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Kick off Depression Assessment

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Depression ‘Self Assessment’ Checklist 

This tool is designed for you to check for yourself whether you (or a team mate, friend or loved one etc.) may be experiencing a depressive illness. Please complete the following assessment to determine if this might be likely. Feel free to contact us via e-mail or telephone;  ‘Kick Off’ do not keep any record of your identity or the results. 


For a period of two (2) or more weeks have you

  

(a)                   felt ‘down’, ‘miserable’ or ‘sad’  most of the time?         Yes      No  

(b)                  lost interest or pleasure in most of your usual activities?         Yes    No  

   


    In answering ‘YES’ to either of these questions, complete the section below. 


      Not interested in going out, or have stopped going out except

for club functions.    Yes       No  

  

Using Alcohol &/or drugs &/or sedatives to cope.        Yes       No  

  

Withdrawing from family & friends. Tending to isolate yourself at home,  

after training or games.         Yes          No  

  

Not getting things completed at home. Not concentrating on the game or  

interested in the result.         Yes        No  

  

Unable to concentrate, preoccupied.      Yes        No  

                                                     

Thinking you are a ‘failure’, ‘worthless’; blaming yourself,

even when you’re not to blame.     Yes   No  

  

“Life isn’t worth living”; “nothing ever good happens”          Yes        No  

  

Feeling unhappy, miserable, flat or ‘depressed’. 

  *Does not need to be constantly, though most of the time.        Yes      No  

  

Easily irritated         Yes         No  

  

Feelings of ‘no confidence’.         Yes         No  

  

‘It’s all too much for you”, everything, even the simplest thing.     Yes          No  

  

Feeling miserable or sad.             Yes     No  

  

Feelings of guilt.       Yes     No  

  

Finding it difficult to make a decision.       Yes     No  

  

Sick & ‘run down’ much of the time, with headaches &

muscle/joint pain.     Yes        No  

  

Appetite & weight changes; either poor and weight loss,  

or increased appetite & weight gain.     Yes   No  

  

Poor sleep – waking early, difficulty getting to sleep

or frequently waking during the night.     Yes     No  

  


In answering ‘yes’ to 4 or more of these, you may very well have a depressive illness.                                        


     

email address (optional) - *only if you would like a response.     

                                                           

  


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