Opportunities for Early Identification: Implementing Universal Depression Screening with a Pathway to Suicide Risk Screening in a Pediatric Health Care System.
Opportunities for Early Identification: Implementing Universal Depression Screening with a Pathway to Suicide Risk Screening in a Pediatric Health Care System.
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DOI：
10.1016/j.jpeds.2021.10.031
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发表时间：
2022-03
期刊：
影响因子：
--
通讯作者：
Kuelbs C
中科院分区：
文献类型：
--
作者：
Crandal BR;Aguinaldo LD;Carter C;Billman GF;Sanderson K;Kuelbs C
描述在儿科综合递送网络中进行自杀风险筛查的大规模普遍抑郁症筛查计划的实施过程和评估结果。这项回顾研究分析了95,613名12至17岁患者的抑郁和自杀风险筛查数据。在95,613名接受抑郁症筛查的青少年患者中，2.4%(2,266人)的中度-重度抑郁症风险筛查呈阳性(10名患者健康问卷；PHQ；9项版本)，4.1%(3,942人)支持增加自杀风险(≥1哥伦比亚自杀严重程度评定量表；C-SSRS)。总体而言，51%的有主要精神问题的筛查患者的自杀风险筛查呈阳性(2132)。在接受了主要医疗检查的筛查患者中，有2%的患者的自杀风险筛查呈阳性。在所有自杀风险升高的筛查中，近一半(45.9%)来自有主要医疗问题的患者。在使用PHQ和C-SSRS的儿科保健系统中，实施了一项大规模的普遍抑郁筛查计划，该计划具有识别自杀风险增加的途径。这项筛查计划确定了患有中重度抑郁症和自杀风险增加的年轻人，并在不同的服务环境中表现出精神方面的担忧。
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 to 17 years. Of the 95,613 adolescent patients who were screened for depression, 2.4% (2,266) screened positive for risk for moderate-severe depression (>10 Patient Health Questionnaire; PHQ; 9-item version) and 4.1% (3,942) endorsed elevated suicide risk (≥1 Columbia Suicide Severity Rating Scale; C-SSRS). Overall, 51% of screened patients who present with a primary psychiatric concern screened positive for elevated risk of suicide (2,132). Two percent of screened patients who presented with a primary medical concern screened positive for elevated risk of suicide. Nearly 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 healthcare system using the PHQ and the C-SSRS. This screening program identified youth with moderate-severe depression and elevated risk for suicide with and without presenting psychiatric concerns across service settings.
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影响因子：
2.8
作者：
Conway, Paul Maurice;Erlangsen, Annette;Larsen, Kim Juul
通讯作者：
Larsen, Kim Juul
验证在门诊专科和初级保健诊所向年轻人询问自杀筛查问题（ASQ）。
影响因子：
7
作者：
Aguinaldo LD;Sullivant S;Lanzillo EC;Ross A;He JP;Bradley-Ewing A;Bridge JA;Horowitz LM;Wharff EA
通讯作者：
Wharff EA
DOI：
10.1176/appi.ps.202000207
发表时间：
2021-02-01
期刊：
Psychiatric services (Washington, D.C.)
影响因子：
--
作者：
Davis M;Rio V;Farley AM;Bush ML;Beidas RS;Young JF
通讯作者：
Young JF
DOI：
10.1097/chi.0b013e3181b5dbe4
发表时间：
2009-10
影响因子：
13.3
作者：
Brent DA;Greenhill LL;Compton S;Emslie G;Wells K;Walkup JT;Vitiello B;Bukstein O;Stanley B;Posner K;Kennard BD;Cwik MF;Wagner A;Coffey B;March JS;Riddle M;Goldstein T;Curry J;Barnett S;Capasso L;Zelazny J;Hughes J;Shen S;Gugga SS;Turner JB
通讯作者：
Turner JB
DOI：
10.1097/00004583-199912000-00010
发表时间：
1999-12-01
影响因子：
13.3
作者：
Brent, DA;Baugher, M;Chiappetta, L
通讯作者：
Chiappetta, L