In South Africa, the prevalence of symptoms of common mental disorders (CMD), . depression, anxiety and suicidal thoughts are high. This study aimed to use a cognitive interviewing technique to validate the content and structure of a 4-item screening tool, to adapt the tool accordingly, and to use receiver operating curve (ROC) analysis to determine the optimum cut-point for identifying pregnant women with symptoms of CMD. | Validation of a brief mental health screening tool for pregnant women in a low socio-economic setting