PD Vang… - Journal of Social Work, 2011 - jsw.sagepub.com ... of most respondents. The second most common symptom was 'feeling as though everything is an effort'. 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% H opelessness Excessive Effort Crying Suicidal ideation Feel ...