Prince George’s County Fire/EMS Department
Risk Management Office
Depression and Alcohol Assessment Interview Questions
The following are questions designed to protect the emotional and physical health of our
current and prospective employees from the risk of depression and alcoholism. This is
directly linked to the ongoing efforts to prevent and protect individuals from injury and
illness while supporting any needed medical and rehabilitative care.
Clinical practices that screen for depression should have systems in place to ensure that
positive screening results are followed by accurate diagnosis, effective treatment, and
careful follow-up. Benefits from screening are unlikely to be realized unless such systems
are functioning well. Many formal screening tools are available. However, asking two
simple questions about mood and anhedonia may be as effective as using any of the
longer screening instruments:
1. Over the past two weeks, have you felt down, depressed, or hopeless?
2. Over the past two weeks, have you felt little interest or pleasure in doing things?
The RAPS4 gets its name from the questions it poses to the patient which pertain to
remorse (R), amnesia (A), performance (P), and starter drinking behavior (S). It is used
by clinical healthcare offices that have been shown to be effective in detecting alcohol
dependence in the past 12 months.
1. Have you had a feeling of guilt or remorse after drinking?
2. Has a friend or a family member ever told you about things you said or did while
you were drinking that you could not remember?
3. Have you failed to do what was normally expected of you because of drinking?
4. Do you sometimes take a drink when you first get up in the morning?