Suicidal Ideation in Adolescents: Understanding Results from Screening with the PHQ-9M and the PSC-17P.
Journal
Journal of developmental and behavioral pediatrics : JDBP
ISSN: 1536-7312
Titre abrégé: J Dev Behav Pediatr
Pays: United States
ID NLM: 8006933
Informations de publication
Date de publication:
01 08 2022
01 08 2022
Historique:
received:
14
08
2021
accepted:
09
12
2021
pubmed:
8
2
2022
medline:
28
7
2022
entrez:
7
2
2022
Statut:
ppublish
Résumé
The objective of the study was to help pediatricians understand and respond to suicidal ideation (SI) in adolescents based on data from 2 widely used screening measures that assessed SI and other psychosocial vulnerabilities in a large, national sample. Adolescents (ages 11-17 years) completed the Patient Health Questionnaire Modified for Teenagers (PHQ-9M) using the Comprehensive Health and Decision Information System software before their well-child visits. Question 9 asks about past 2-week SI. Their parents filled out the Pediatric Symptom Checklist (PSC-17P), which screens for a broad range of psychosocial problems. Chi-square analyses and one-way analysis of variances assessed the relationship between SI and psychosocial problems. Among 5411 adolescents, 266 (4.9%) reported SI at least several days in the past 2 weeks. Among adolescents with SI, 187 (70.3%) reported moderate to very severe depression on the PHQ-9M (≥10), 68.1% were at risk on at least 1 PSC-17P problem subscale, 59.7% on the PSC-17P internalizing scale, 42.9% on PSC-17P overall, 20.6% on PSC-17P externalizing, and 18.5% on PSC-17P attention. Within the subsample endorsing SI nearly all days, 35.7% had a former suicide attempt. The PHQ-9M identifies a clinically heterogeneous subset of approximately 5% of adolescents who report occasional to frequent SI. The PSC-17P corroborates their high degree of overall risk and offers additional information that can help pediatricians assess clinical severity and range of psychosocial problems. Given our limited knowledge of how to predict and prevent an individual adolescent's suicide, the focus of screening should be to identify and help the subset of patients with chronic psychosocial vulnerability of any type.
Identifiants
pubmed: 35125467
doi: 10.1097/DBP.0000000000001063
pii: 00004703-202208000-00005
pmc: PMC9329154
mid: NIHMS1763486
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
346-352Subventions
Organisme : NIMH NIH HHS
ID : R44 MH116751
Pays : United States
Informations de copyright
Copyright © 2022 Wolters Kluwer Health, Inc. All rights reserved.
Déclaration de conflit d'intérêts
Disclosure: Comprehensive Health and Decision Information System, the web tool used in the study, was developed by R. Sturner and his spouse, B. Howard. R. Sturner is the Director of the Center for Promotion of Child Development through Primary Care, and B. Howard is the President of Total Child Health. Both are members of the Board of Directors of the Center and are paid employees or consultants to both entities. The remaining authors declare no conflict of interest.
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