Citation

Shahidullah JD, Forman SG, Lekwa AJ. Fam. Syst. Health 2020; 38(2): 172-183.

Copyright

(Copyright © 2020, Families, Systems and Health)

DOI

10.1037/fsh0000484

PMID

32525351

Abstract

INTRODUCTION: Primary care is a common access point for children and adolescents with depression and suicidality concerns. In this setting, pediatricians typically function as front-line providers given barriers that patients face in accessing mental health clinicians.
METHOD: This study surveyed chief residents from all pediatric residency programs in the United States (N = 214) to evaluate (a) their attitudes, knowledge, practices, and comfort in managing depression and suicidality concerns in primary care, and (b) the relationship between residency training processes and pediatric residents' practices, knowledge, and comfort related to identifying and managing depression and suicidality.
RESULTS: The usable response rate was 37.6%. The large majority of respondents are involved in evaluation and management of depression and suicidality; yet many respondents reported a lack of knowledge and comfort in these roles.
CONCLUSIONS: Recommendations for pediatric residency program training processes are discussed, including the potential added value of colocating mental health clinicians into the primary care continuity training clinic. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Language: en

Keywords

Humans; United States; Adult; Female; Male; Qualitative Research; Physicians; Depression; Suicide; Pediatrics; Surveys and Questionnaires; Primary Health Care; Mass Screening; Internship and Residency; Delivery of Health Care, Integrated; Education, Medical, Graduate