A widely used scale for measuring depression, consisting of a list of 17 symptoms, designed to be rated by a clinician on three-point and five-point scales after a full interview. The symptoms are: depressed mood (0–4); guilt feelings (0–4); suicide (0–4); insomnia, initial or early (0–2); insomnia, middle (0–2); insomnia, terminal or late (0–2); disturbed work and activities (0–4); psychomotor retardation (0–4); psychomotor agitation (0–4); anxiety, psychological (0–4); anxiety, somatic (0–4); gastrointestinal symptoms (0–2); somatic symptoms (0–2); sexual dysfunction or menstrual disturbance (0–2); hypochondriasis (0–4); weight loss (0–2); lack of insight (0–2). The maximum score is 52, and the following interpretation of scores is often used: 10–13 mild depression; 14–17 moderate depression; 18–30 marked depression; over 30 severe depression. Several alternative versions of the scale have been devised. Compare Beck Depression Inventory. HAM-D or HRSD abbrev. It was developed by the English psychiatrist Max Hamilton (1912–88) and first published in the Journal of Clinical Psychiatry in 1960.