Public domainGeneral distress / well-being Available now

K6

Kessler Psychological Distress Scale (6-item)

The six-item short form of the Kessler distress scale.

Items

6

Time to complete

2 min

Population

adult

Score range

0–24

About the K6

The Kessler-6 (K6) is the six-item short form of the K10, measuring non-specific psychological distress over the past 30 days. It is widely used in national health surveys because it is brief while retaining strong screening performance for serious mental illness.

Each item is rated 0–4 (or 1–5 depending on the version in use), and higher totals indicate greater distress.

K6 questions

Response scale
0 = None of the time1 = A little of the time2 = Some of the time3 = Most of the time4 = All of the time
  1. 1

    ...nervous?

  2. 2

    ...hopeless?

  3. 3

    ...restless or fidgety?

  4. 4

    ...so depressed that nothing could cheer you up?

  5. 5

    ...that everything was an effort?

  6. 6

    ...worthless?

Items reproduced from a documented, freely usable source. Item wording is preserved exactly as published.

Scoring & interpretation

RangeBandInterpretation
012TypicalWithin typical distress range.
1318Moderate distressModerate mental distress — clinical review indicated.
1924Serious distressSerious mental illness likely; prompt clinical assessment recommended.

Higher scores indicate greater symptom severity.

Clinical applications

Frequently asked questions

How many items does the K6 have?

The K6 has 6 items and takes about 2 minutes to complete.

How is the K6 scored?

Item responses are summed for a total score from 0 to 24, where higher scores indicate greater severity. Totals fall into the interpretive bands shown above.

Is the K6 free to use?

Yes — the K6 is in the public domain and free to use, reproduce, and translate.

Who is the K6 for?

The K6 is designed for adult and is used by clinicians, researchers, and integrated-care teams.

Source & references

AuthorsKessler RC, Andrews G, Colpe LJ
First published2002
CitationKessler RC et al. Short screening scales to monitor population prevalences and trends in non-specific psychological distress. Psychol Med. 2002;32(6):959-976.
PubMed12214795
LicensePublic domain
Source obtained from https://www.hcp.med.harvard.edu/ncs/k6_scales.php on 2026-05-16. Every instrument in our catalog has a documented, legitimate source — never scraped from another platform.

Ready to administer this assessment?

Send it to clients in seconds, score automatically, and generate a clinician-ready report.