Patient-Administered Screening Tool May Improve Detection and Diagnosis of Depression Among Adolescents

Leslie, Kimberly; Chike-Harris, Katherine

doi:10.1177/0009922817730343

Cited by 13 publications

(26 citation statements)

References 14 publications

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“…A similar study done in a rural clinic in South Carolina showed a compliance rate of 88% for administering depression screen in the adolescent population. 11 A study done in Michigan showed screening rate of 82%. Researchers were able to integrate the depression screening questionnaire into the clinic's EHR which made the screening process easier and also served as a reminder for the physicians.…”

Section: Discussionmentioning

confidence: 99%

“…Another study showed that implementing PHQ-A in a paediatric primary care setting led to increased diagnosis of depression among adolescents. 11 Major depressive disorder has short-term effects that include poor school performance, suboptimal growth and development, behavioural changes and impairment in normal interaction with family members and peers. Some of the long-term consequences include poor education rates that lead to low socioeconomic status, aggressive behaviour, the diagnosis of depression and anxiety in adulthood, increased risk for self-injurious behaviour and suicidal ideation.…”

Section: Introductionmentioning

confidence: 99%

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Implementing the Patient Health Questionnaire Modified for Adolescents to improve screening for depression among adolescents in a Federally Qualified Health Centre

et al. 2020

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BackgroundDepression, which is a serious medical illness, is prevalent worldwide and it negatively impacts the adolescent lifestyle. Adolescent depression is associated with adverse emotional and functional outcomes and suboptimal physical health. Over the last decade, it has been found that approximately 9% of teenagers meet the criteria for depression at any given time, and one in five teenagers have a history of depression during adolescence. Ninety per cent of paediatricians believe that recognition of child and adolescent depression is their responsibility; however, it has been reported that 46% lacked confidence that they could recognise depression.MethodsIn this study, adolescents between 12 and 17 years of age were screened during their well-child visits using the Patient Health Questionnaire Modified for Adolescents. A score of 10 or higher warrants a referral to a social worker and psychiatrist. The goals of this quality improvement project were to implement a standardised questionnaire and to improve the screening, diagnosis and treatment of depression in children from 12 to 17 years of age.ResultsIt was found that the adolescent depression screening rate significantly improved within 6 months of implementing this quality improvement project. The screening rate improved to 50% by mid-cycle (Plan-Do-Study-Act (PDSA) cycle 3) and up to 70% at the end of the 6-month period (PDSA cycle 5). Improvement was noted among all providers, across all age groups, and in both male and female patients by the end of the study period.ConclusionStandardised screening tests with a scoring system help providers to identify and monitor depression symptoms using a common language, especially in the outpatient clinical setting where the patient may be seen by different providers.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Implementing the Patient Health Questionnaire Modified for Adolescents to improve screening for depression among adolescents in a Federally Qualified Health Centre

et al. 2020

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“…Overall, implementing routine screening of depression in the PHC setting improved detection of depression [45,46,49,56]. These improvements did not mostly have statistical and practical signi cance.…”

Section: Effectiveness Of Screening Interventions With or Without Fee...mentioning

confidence: 96%

“…Regarding studies which evaluated screening/feedback interventions, several types of screening tools were used, including different versions of the Patient Health Questionnaire (PHQ) [45][46][47][48][49], Zung Selfrating Depression Scale (SDS) [47,50], Quick Inventory for Depression Symptomatology Self-report (QIDS-SR) [51], General Health Questionnaire (GHQ) [52][53][54][55], Edinburgh Postnatal Depression Scale (EPDS) [56], and Primary Care Evaluation of Mental Disorders (PRIME-MD) [57] (Table 3). Nevertheless, PHQ and GHQ were the most commonly used screening tools.…”

Section: Characteristics Of the Included Studiesmentioning

confidence: 99%

Interventions to improve the detection of depression in primary healthcare: systematic review

Habtamu

Birhane

Demissie

et al. 2022

Preprint

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Background Several studies have been conducted on the effect of interventions on the detection of depression in primary healthcare (PHC). Systematic reviews have also been done on the effectiveness of separate interventions to improve clinicians’ recognition of depression in the PHC setting. However, systematic reviews are not done on the comparative effectiveness of several interventions together. This study, therefore, aimed at synthesizing the global evidence on the effectiveness of interventions to improve the detection of depression in primary healthcare. Methods We searched PubMed, Embase, PsycINFO, Web of Science, Cochrane Database of Systematic Reviews, Global Index Medicus, African Index Medicus and African Journals Online, from the inception of the databases to until the 4th week of April 2020. We also searched references of the included articles. We included randomized controlled trials, cluster randomized trials or quasi-experimental studies, which evaluated the effectiveness of an intervention to improve detection of depression in the PHC setting. Two of the review authors independently extracted data from the included studies. The methodological quality of the included studies was assessed using the Assessment Tool for Quantitative Studies developed by the Effective Public Health Practice Project. The protocol for the review was registered on PROSPERO (CRD42020166291). Results Of 23,305 records identified, we included 58 articles in the review. Diverse types of interventions were evaluated to improve clinician diagnosis of depression in the PHC setting. Interventions related to implementation of guidelines, screening with feedback, educational interventions which incorporated active learning and clinical practice, and disclosure of screening results were found to be mostly effective. Interventions which combined education, screening and feedback were particularly more effective. Most of the included studies were weak or moderate in their methodological quality. Conclusions Our review indicates that implementation of a single type of intervention does not improve the detection of depression in PHC. Combining aspects of each type of intervention which are more effective may be useful. Most of the studies conducted in the area are from high-income countries and are weak in their methodological quality. There is need to conduct more number of rigorous studies, particularly in low and middle-income countries.

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“…EDs also have an increasing role for initiating follow-up care to reduce subsequent crises [3] [4]. Recent studies reveal usefulness of such questionnaires in detection of depressive status and suicide ideation of adolescents [5] [6]. The lack of determination of patient with high risk for re-suicidal attempt may result in undesired clinical outcomes.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of Predictors of Suicidal Re-Attempt in Pediatric Patients in the Emergency Department

Erenler¹,

Yardan²,

Kulaksiz³

et al. 2017

OJPed

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Background: Suicidal attempt in children is a serious public health problem. A proper identification of features of suicide-related behavior may help physicians to develop an accurate approach. The aim of this study was to clarify the characteristics of children with poisoning due to suicidal attempt and to determine the risk factors of suicidal re-attempt in the Emergency Department (ED) via a simple questionnaire. Methods: We collected medical data of patients under 18 years who were admitted to our ED with intoxication due to suicidal attempt, retrospectively. General characteristics of patients were evaluated. Patients were divided into 2 groups as 1) High risk: patients with repetitive suicide attempt; 2) Low risk: patients with first time suicidal attempt. Results: A total of 57 patients were included in this study. The mean age was 15.91 ± 0.97. Majority of the patients were female (73.7%). Analgesics were the most frequent abused drugs with a ratio of 51.1%. It is determined that the most important variables affecting the risk of suicidal re-attempt are "idea about the suicide" and "purpose". It was determined that patients with an idea of repetitive suicide (I will try again) and whose purpose was to die (I wish I have died) were in the most risky group with a history of previous suicidal attempt. Conclusion: This study suggests that answers of the pediatric patients to some question have a potential to predict the high risk patients. The risk of suicidal re-attempt may be predicted by the answers given to these questions: 1) What is your idea about suicide? 2) What was your purpose?

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Patient-Administered Screening Tool May Improve Detection and Diagnosis of Depression Among Adolescents

Cited by 13 publications

References 14 publications

Implementing the Patient Health Questionnaire Modified for Adolescents to improve screening for depression among adolescents in a Federally Qualified Health Centre

Implementing the Patient Health Questionnaire Modified for Adolescents to improve screening for depression among adolescents in a Federally Qualified Health Centre

Interventions to improve the detection of depression in primary healthcare: systematic review

Evaluation of Predictors of Suicidal Re-Attempt in Pediatric Patients in the Emergency Department

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