@article{ref1,
title="Severe and complex youth depression: clinical and historical features of young people attending a tertiary mood disorders clinic",
journal="Early intervention in psychiatry",
year="2021",
author="Rice, Simon M. and McKechnie, Ben and Cotton, Susan and Brooker, Abi and Pilkington, Vita and Youzchalveen, Belinsha and Schmaal, Lianne and Davey, Christopher G.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="AIM: The concept of severe and complex youth depression has evolved from clinical experience. Here we conducted a file audit study to evaluate supporting data for the construct. <br><br>METHODS: A retrospective file audit was undertaken with 84 consecutively discharged patients over 6-months from Orygen's Youth Mood Clinic (YMC; 50% female). <br><br>RESULTS: Over a third (36.9%) were disengaged from vocation and education, with exposure to traumatic events common (84.5%). Almost all patients (91.7%) reported past 2-week suicidal ideation at clinic entry. Hospital emergency departments were the most frequent referral source (31.0%). Most (72.6%) had received previous mental health treatment. Multimorbidity was frequently observed. The presence of a substance use disorder, or ≥ 3 comorbidities were both associated with a greater likelihood of prior suicide attempt. <br><br>CONCLUSIONS: These data highlight the clinical needs associated with severe and complex depression. <br><br>FINDINGS have implications for youth experiencing mood disorders attending tertiary and community mental health settings.<p /> <p>Language: en</p>",
language="en",
issn="1751-7885",
doi="10.1111/eip.13183",
url="http://dx.doi.org/10.1111/eip.13183"
}