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ELSA Depression & Anxiety detector

1. What is your biological sex? (The AI model is trained using biological sex; we are aware of possible discrepancies between biological sex and identified gender and the options in this question are not meant to be offensive or hurtful in anyway)  

2. What is the highest degree that you have obtained?   

3. What was your average duration of physical activity per day in the last 2 months? (Including all levels of physical activities, from walking to high-intensity training)  

4. How big is the difference between your current body shape and your dream body shape?   

5. In the last 6 months, have you experienced binge eating? (i.e., eating a large amount of food in a short period of time, without the ability to control when you start and stop eating, for example, consuming 1 kg of pasta in 20 minutes)  
No
Yes

6. In the last 6 months, have you gone to great lengths to control or reduce your weight, including the use of laxatives, diuretics, or self-induced vomiting (purging behavior)?  
No
Yes

7. Have you ever suffered a heart attack, stroke, or other cardiovascular events?  
No
Yes

8. In the past 12 months, how often did you have a headache?  

9. In the past 12 months, how intense was your headache on average?  

10. In the past 12 months, have you experienced migraine attacks?  

11. Are you currently in a relationship and living with your partner?  
No
Yes

12. Does your partner have a different race or ethnicity than you?
No
Yes

13. In the past 12 months, have you experienced a breakup in your romantic relationship, including divorce or separation? (Please consider breakup events even if you have reunited with your partner later)  
No
Yes

14. How strongly do you agree with the following statement: There is a wide variety of healthy foods (nutritious, low-fat, high in fibers etc.) available and affordable near my home.   

15. In the past 6 months, how often have there been violent arguments or fights among your neighbours?  

16. In the past 6 months, how often was there a robbery or assault in your neighborhood?  

17. In the past 12 months, how often have you practiced your faith within your community, including attending mass, service, or other activities regarding your confession? (NOT including events such as wedding, baptism, or funeral)

18. Are you able to complete all your tasks at work on time?

19. Does your work involve many repetitive tasks?  

20. How often are you confronted with contradictory or conflicting demands at your workplace?  

21. Do you feel like you are learning new things at work?  

22. How strongly do you agree with the following statement: My workplace is a calm and pleasant environment.

23. How strongly do you agree with the following statement: At my work, people get along well with each other. 

24. How strongly do you agree with the following statement: If I have a bad day at work, my colleagues understand.  

25. How strongly do you agree with the following statement: I can count on the support of my colleagues.  

26. How strongly do you agree with the following statement: I enjoy working with my colleagues.  

27. How strongly do you agree with the following statement: I have a good relationship with my superiors.  

28. Is your work making it difficult for you to fulfill domestic responsibilities, such as running family errands and caring for your children?  

29. Is your work preventing you from spending enough time with your family?  

30. Are your work and family duties preventing you from having time for your self-care, hobbies, and leisure activities?  

31. Are your family duties interfering with your work duties, such as arriving on time, performing tasks, work-related travel, attending meetings outside of regular hours, etc.?  

32. What is your monthly per capita household net income in relation to the national average? (Germany 2022: €2110)  

33. In the past 12 months, have you faced more serious financial difficulties than usual?

34. When was the last time you felt discriminated at your workplace (being fired, not getting a job, not being promoted, not fairly paid compared to your peers, etc.)?  

35. When was the last time you felt discriminated in public places (public offices, banks, hospitals, commercial establishments, etc.)?  

36. When was the last time you felt discriminated with respect to housing (having difficulties renting a place, buying a place, or having difficulties with the neighbors)?  

37. When was the last time you felt discriminated at your school or university (being discouraged to continue your studies, receiving unfair grades, being bullied, etc.)?   

38. When was the last time you felt discriminated by law enforcement (being accused, searched, beaten, etc.)?  

39. If applicable: At what age did you have your first pregnancy?

Not available

40. If applicable: Have you experienced any of the following events: stillborn, abortion, unsuccessful attempts to get pregnant for more than a year, weight gain greater than 30kg during pregnancy, eclampsia.  


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ELSA Depression & Anxiety detector


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Total risk


Tip: click or hover over the plot to view risk percentages of individual conditions.



General recommendations




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Protective conditions


Compare your significant protective conditions with
mean condition values from healthy population and Depression & Anxiety suffering population

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Your significant protective conditions

Mean healthy population conditions

Mean diagnosed population conditions



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Risk conditions


Compare your significant risk conditions with
mean condition values of healthy population and Depression & Anxiety suffering population

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Your significant risk conditions

Mean healthy population conditions

Mean diagnosed population conditions


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PHQ-9 depression screening test

1. Little interest or pleasure in doing things?

2. Feeling down, depressed, or hopeless?

3. Trouble falling or staying asleep, or sleeping too much?

4. Feeling tired or having little energy?

5. Poor appetite or overeating?

6. Feeling bad about yourself - or that you are a failure or have let yourself or your family down?

7. Trouble concentrating on things, such as treading the newspaper or watching television?

8. Moving or speaking so slowly that other people could have noticed? Or so fidgety or restless that you have been moving a lot more than usual?

9. Thoughts that you would be better off dead, or thoughts of hurting yourself in some way?


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PHQ-9 Depression test results



PHQ-9 results interpretation
PHQ-9 score Depression severity Proposed treatment actions
0 - 4 None or Minimal None
5 - 9 Mild Watchful waiting; repeat PHQ-9 at follow-up
10 - 14 Moderate Treatment plan, considering counseling, follow-up and/or pharmacotherapy
15 - 19 Moderately Severe Active treatment with pharmacotherapy and/or psychotherapy
20 - 27 Severe Immediate initiation of pharmacotherapy and, if severe impairment or poor response to therapy, expedited referral to a mental health specialist for psychotherapy and/or collaborative management


Scientific references:
  • Kroenke K, Spitzer RL, Williams JB. The Patient Health Questionnaire-2: Validity of a Two-Item Depression Screener. Medical Care. 2003;41:1284-92.
  • Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001;16:606-13.
  • Kroenke K, Spitzer RL. The PHQ-9: a new depression diagnostic and severity measure. Psychiatr Ann. 2002;32:509-21.

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Additional tests

GAD-7 Anxiety screening test


Over the last 2 weeks, how often have you been bothered by the following problems?
1. Feeling nervous, anxious or on edge?

2. Not being able to stop or control worrying?

3. Worrying too much about different things?

4. Trouble relaxing?

5. Being so restless that it is hard to sit still?

6. Becoming easily annoyed or irritable?

7. Feeling afraid as if something awful might happen?


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GAD-7 Anxiety test results



GAD-7 results interpretation

The GAD is a screening tool that provides an index of anxiety severity. Listed below is information on how to interpret GAD‐7 scores, as well as corresponding recommended treatments based on the National Institute for Health and Care Excellence (NICE) guidelines. The GAD‐7 is not a diagnostic tool, and recommended treatments should be considered guidelines to aid clinician’s treatment recommendations. When making treatment recommendations it is important to take into consideration the client’s current level of functioning, previous history of anxiety disorders, and the client’s preference for treatment.

When screening for anxiety disorders, a score of 8 or greater represents a reasonable cut-point for identifying probable cases of generalized anxiety disorder. Further diagnostic assessment is warranted to determine the presence and type of anxiety disorder. Using a cut-off of 8 the GAD-7 has a sensitivity of 92% and specificity of 76% for diagnosis generalized anxiety disorder. (2,3)

GAD-7 score Anxiety severity NICE Guidelines for Intervention
0 - 4 Minimal Anxiety None
5 - 9 Mild Anxiety Education and Watchful Waiting
10 - 14 Moderate Anxiety Education and Watchful Waiting
> 15 Severe Anxiety Psychotherapy


Scientific references:
  • 1.Spitzer RL, Kroenke K, Williams JB, Löwe B. A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006;166:1092-7.
  • 2.Plummer F, Manea L, Trepel D, McMillan D. Screening for anxiety disorders with the GAD-7 and GAD-2: a systematic review and diagnostic meta-analysis. Gen Hosp Psychiatry. 2016;39:24-31.
  • 3.Kroenke K, Spitzer RL, Williams JB, Monahan PO, Löwe B. Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Ann Intern Med. 2007;146:317-25.

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Welcome to ELSA


World's first AI-powered Depression & Anxiety detector
Capable of providing personalised influencing factor assessment and recommendations to help you strengthen your mental health.

Mental illness has become the leading cause of long-term sickness absence and work incapacity across many countries. Depression, anxiety and stress-related disorders are the most common mental health conditions seen in the workplace. Although these conditions are treatable and often preventable, they can also cause prolonged sickness absence, and impact on the well-being and occupational functioning of those affected. At the sametime, on average people have to wait for more than 5 months for their first psychotherapy session, if they can afford it.

Instead of waiting and letting your anxiety and depression get the best of you, you can simply fill in the short questionnaire, and through our state-of-the-art self-explaining AI algorithm, ELSA detector can provide an individual risk analysis service to quantitatively calculate the percentage of Anxiety and Depression presence, and giving you recommendations on what you can do TODAY to strengthen your mental health.

ELSA detector is evidence based, it is trained on data from 12,000 individuals across a diverse range of race, age and gender. It achieved state-of-the-art accuracies of 75% in detecting anxiety and 80% in detecting depression.

We hope this service can help you to bypass the long waiting time for psychotherapies and giving you a jump start towards better mental health today!

* ELSA detector is not providing professional medical advices, and any results provided by it cannot be interpreted as professional medical advice in any way or form.



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Who can benefit from ELSA


ELSA detector is very simple and versatile, it can be plug into different existing mental health services and help provide the optimal outcomes for all stakeholders.

For patients:
Thee patients get insights about their mental health issues, bypass the waiting time and get started with a personalised action plan for improving their mental health right away.

For therapists and psychiatrists:
ELSA can assist therapists and psychiatrists in diagnosing and treating patients. For psychiatrists, ELSA can accelerate their diagnosis and increase patient turn-over.

For tele-therapy and online coaching platforms:
ELSA can provide an easy way to achieve client stratification, better client acquisition and offer more targeted services.

For health insurances:
Health insurance companies can reduce the overall cost per patient as a result of the benefits from the other stakeholders.



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