Adolescent Patients—Healthy or Hurting?

Frankenfield, Diane L.; Keyl, Penelope M.; Gielen, Andrea; Wissow, Lawrence S.; Werthamer, Lisa; Baker, Susan Pardee

doi:10.1001/archpedi.154.2.162

Cited by 102 publications

(18 citation statements)

References 66 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…37–50 Adolescents should receive more routine STD testing and emotional and mental health screening. 37,51–55 Studies have shown that only 18% of adolescents reported discussing risky behaviors 37 and that the odds of receiving preventive counseling and screening were higher for adolescents who reported meeting privately with providers. 37,47 Providing confidential care itself is another measure of quality of adolescent primary care.…”

Section: Discussionmentioning

confidence: 99%

Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care

Toomey

Elliott

Schwebel

et al. 2016

Academic Pediatrics

View full text Add to dashboard Cite

Objective Few studies have examined adolescent self-report of patient-centered care (PCC). We investigated whether adolescent self-report of PCC varied by patient characteristics and whether receipt of PCC is associated with measures of adolescent primary care quality. Methods We analyzed cross-sectional data from Healthy Passages, a population-based survey with 4,105 tenth-graders and their parents. Adolescent report of PCC was derived from four items. Adolescent primary care quality was assessed by measuring access to confidential care, screening for important adolescent health topics, unmet need, and overall rating of health care. We conducted weighted bivariate analyses and multivariate logistic regression models of the association of PCC with adolescent characteristics and primary care quality. Results Forty-seven percent of adolescents reported that they received PCC. Report of receiving PCC was associated with high quality for other measures such as having a private conversation with a clinician (AOR 2.2; 95%CI [1.9, 2.6]) and having talked about health behaviors (AOR 1.6; 95%CI [1.4, 1.8]); it was also associated with lower likelihood for self-reported unmet need for care (AOR 0.8; 95% CI [0.7, 0.9]) and having a serious untreated health problem (AOR 0.4; 95% CI [0.3, 0.5]). Conclusions Many adolescents do not report receiving PCC. Adolescent-reported PCC positively correlates with measures of high-quality adolescent primary care. Our study provides support for using adolescent-report of PCC as a measure of adolescent primary care quality.

show abstract

Section: Discussionmentioning

confidence: 99%

Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care

Toomey

Elliott

Schwebel

et al. 2016

Academic Pediatrics

View full text Add to dashboard Cite

show abstract

“…These prevalence rates are consistent with previous findings. 16 Although the recent emphasis has been on depression screening in primary care, [9][10][11] these data suggest expanding best practice guidelines to include suicide screening as a required or, at least, encouraged domain for assessment in primary care. In addition, suicide risk spans numerous health conditions and can present without depression.…”

Section: Discussionmentioning

confidence: 99%

Attitudes, Practices, and Barriers to Adolescent Suicide and Mental Health Screening

Diamond

O’Malley

Wintersteen

et al. 2011

J Prim Care Community Health

View full text Add to dashboard Cite

show abstract

“…Additionally, current screening methods are unable to conveniently make the distinction between typical persons with suicidal ideation (i.e., with depression) and atypical (i.e., without depression). The efficient identification of persons at risk for suicide with atypical profiles could broaden our screening criteria and increase the likelihood of identifying this at-risk group in a timely way (Frankenfield et al, 2000). Clarification of the symptom profiles for this atypical group may also provide empirical evidence to support or refute clinical reports and theory about this atypical subtype.…”

Section: Introductionmentioning

confidence: 99%

Screening for atypical suicide risk with person fit statistics among people presenting to alcohol and other drug treatment

Conrad

Bezruczko

Chan

et al. 2010

Drug and Alcohol Dependence

View full text Add to dashboard Cite

Symptoms of internalizing disorders (depression, anxiety, somatic, trauma) are the major risk factors for suicide. Atypical suicide risk is characterized by people with few or no symptoms of internalizing disorders. Objective In persons screened at intake to alcohol or other drug (AOD) treatment, this research examined whether person fit statistics would support an atypical subtype at high risk for suicide that did not present with typical depression and other internalizing disorders. Methods Symptom profiles of the prototypical, typical, and atypical persons, as defined using fit statistics, were tested on 7,408 persons entering AOD treatment using the Global Appraisal of Individual Needs (GAIN; Dennis, 2003). Results Of those with suicide symptoms, the findings were as expected with the atypical group being higher on suicide and lower on symptoms of internalizing disorders. In addition, the atypical group was similar or lower on substance problems, symptoms of externalizing disorders, and crime and violence. Conclusions Person fit statistics were useful in identifying persons with atypical suicide profiles and in enlightening aspects of existing theory concerning atypical suicidal ideation.

show abstract

Adolescent Patients—Healthy or Hurting?

Cited by 102 publications

References 66 publications

Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care

Relationship Between Adolescent Report of Patient-Centered Care and of Quality of Primary Care

Attitudes, Practices, and Barriers to Adolescent Suicide and Mental Health Screening

Screening for atypical suicide risk with person fit statistics among people presenting to alcohol and other drug treatment

Contact Info

Product

Resources

About