Score of 24

Total scores range from 5 - 60. The higher the score the higher the psychosocial risk
A cut off of 23 or more suggests substantial psychosocial risk. ie. 4 or more risk factors.
NB the cut-off score is suggestive of who should be monitored for mood or anxiety symptoms or difficulty adjusting to parenting.

If the women/birthing parent is postnatal, please ask them to answer these additional questions.

ANRQ description, use & scoring

The ANRQ examines psychosocial context (past & current psychosocial risk factors)
It can be used unscored or scored. Scoring is optional.
Though validated in pregnancy, it can be used in the same way both ante & postnatally.
It is best used with the Edinburgh Depression Scale to assess for current symptoms
Always discuss the results with your client at the time of assessment, and establish a psychosocial referral plan as appropriate.
The ANRQ is not a replacement for good clinical judgement- even if the woman denies any risk factors, the clinician may still identify a woman at significant risk based on her clinical presentation.

If scoring clinicians please note:

Use the ANRQ Clinician version.
There are 12 scored items
The higher score the greater psychosocial risk- score range 5-60.
A cut off of 23 or more suggests substantial psychosocial risk. ie. 4 or more risk factors.
The unscored questions given extra information on past mental health history, domestic violence, substance misuse, and childhood abuse
The 3 unscored postnatal Qs can be given for extra information in postnatal women/birthing parent.

NB the cut-off score itself is not critical but gives a good idea of who should be monitored for mood or anxiety symptoms or difficulty adjusting to parenting over the perinatal period.