If there is no cutoff, what does my score actually mean?
It means how many of the twenty complaints you reported over the last 30 days, and the refusal to fix a line is the source's position rather than something missing here. The World Health Organization guide states that no global, generally applicable cutoff can be recommended for the SRQ and that each study should determine its own, because the right threshold depends on the language, on how the questionnaire is given, on the population answering it and on what the screening is for. Published cutoffs range from 3/4 to 11/12 across the studies in the guide's own table, which is a wide enough spread that picking one and calling it the World Health Organization's would be a fabrication. So this test tells you where you sit against that range, and it quotes the individual lines with the population each came from. The best known is Brazil's 7/8, from primary care in Sao Paulo and confirmed later against a structured clinical interview, which means eight or more counted as a probable case in those samples. Yours may not be one of those samples.
Question 17 asks about thoughts of ending my life. What happens to that answer?
It is scored like the other nineteen, one point, and it is not reported to anyone. Nothing on this platform is monitored by a person and nothing here triggers a call. That is worth knowing precisely, because it also means the questionnaire cannot help you in the moment. If that thought is present, it is not a data point to average with headaches and appetite: contact a professional, someone you trust, or an emergency service where you live, today. The item is in the instrument because the World Health Organization put it there and removing it would change the score, and it is the single clearest reason this test is flagged as sensitive.
Does the World Health Organization endorse NOESIS?
No, and it is worth stating plainly. The World Health Organization granted NOESIS written permission to reproduce the SRQ-20 on this platform, under Permission Request No. MRR-048859. Permission to use an instrument is not approval of the platform that uses it. The World Health Organization does not endorse, sponsor, certify or recommend NOESIS, its reports or its other tests, and it has not reviewed any of them. What comes from the World Health Organization is the questionnaire and its scoring rule. Everything else on this page is ours, including the decision about how to report a score with no cutoff.
Which of these six languages is the World Health Organization's text, and which is yours?
One is theirs and five are ours. The English questionnaire is the one printed in the World Health Organization guide, reproduced word for word, and the guide's own title page carries the mark English only. Portuguese, Spanish, French, German and Italian are NOESIS translations of that English text. The World Health Organization did not write them, did not review them and did not approve them, and it takes no responsibility for their accuracy. The English version is the authentic text, which is what settles any difference between languages. We say the same on the instruction screen before you start and in the copyright notice beside the questionnaire, because a translation nobody authenticated should not be able to pass for one that was.
Why are the Portuguese, Spanish and French versions yours and not the World Health Organization's?
Because we asked for theirs and were told to write our own. The preface of the WHO user's guide lists Portuguese, Spanish and French as available on request from the division that held them, and the permission we operate under requires the official translation to be used as published wherever one exists. So we wrote and asked. The answer, which forms part of that same permission, is that WHO will not supply the pending versions and that we may use translations prepared by NOESIS, provided they are clearly identified as NOESIS translations and are never presented as official WHO translations or as translations reviewed, approved or endorsed by WHO. English remains the authentic source text. If WHO later identifies an official version in any of these languages, ours is replaced by it.
Who can see my results?
This test is flagged as sensitive in NOESIS. Your results belong to you. If you ever take it inside a corporate program, individual results of sensitive tests are never shown to your employer without your explicit per-test consent, which defaults to off. That is a platform rule, not a courtesy. A mental health screen has no place in a hiring decision either, which is why this test is marked unsuitable for recruitment.