Opportunities for Early Identification: Implementing Universal Depression Screening with a Pathway to Suicide Risk Screening in a Pediatric Health Care System.
implementation
prevention
Journal
The Journal of pediatrics
ISSN: 1097-6833
Titre abrégé: J Pediatr
Pays: United States
ID NLM: 0375410
Informations de publication
Date de publication:
02 2022
02 2022
Historique:
received:
09
04
2021
revised:
15
10
2021
accepted:
18
10
2021
pubmed:
26
10
2021
medline:
23
2
2022
entrez:
25
10
2021
Statut:
ppublish
Résumé
To describe the implementation process and assess results of a large-scale universal depression screening program with pathways to suicide risk screening in a pediatric integrated delivery network. This retrospective study analyzes depression and suicide risk screening data for 95 613 patients ages 12-17 years. Of the 95 613 adolescent patients who were screened for depression, 2.4% (2266) screened positive for risk for moderate-severe depression (>10 Patient Health Questionnaire; 9-item version) and 4.1% (3942) endorsed elevated suicide risk (≥1 Columbia Suicide Severity Rating Scale). Overall, 51% of screened patients who present with a primary psychiatric concern screened positive for elevated risk of suicide (2132). Two percent of screened patients who presented with a primary medical concern screened positive for elevated risk of suicide. Nearly one-half (45.9%) of all elevated suicide risk screenings were from patients with a primary medical concern. A large-scale universal depression screening program with a pathway to identify elevated suicide risk was implemented in a pediatric health care system using the Patient Health Questionnaire and the Columbia Suicide Severity Rating Scale. This screening program identified youth with moderate-severe depression and elevated risk for suicide with and without presenting psychiatric concerns across service settings.
Identifiants
pubmed: 34695448
pii: S0022-3476(21)01024-6
doi: 10.1016/j.jpeds.2021.10.031
pmc: PMC8792242
mid: NIHMS1750701
pii:
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
29-35.e1Subventions
Organisme : NIDA NIH HHS
ID : U01 DA041089
Pays : United States
Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.
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