TY  - JOUR
PY  - 2021//
TI  - Opportunities for early identification: implementing universal depression screening with a pathway to suicide risk screening in a pediatric healthcare system
JO  - Journal of pediatrics
A1  - Crandal, Brent R.
A1  - Aguinaldo, Laika D.
A1  - Carter, Chelsea
A1  - Billman, Glenn F.
A1  - Sanderson, Kendall
A1  - Kuelbs, Cynthia
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - OBJECTIVES: 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. STUDY DESIGN: This retrospective study analyzes depression and suicide risk screening data for 95,613 patients ages 12 to 17 years. <br><br>RESULTS: 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. <br><br>CONCLUSIONS: 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.<p />  <p>Language: en</p>
LA  - en
SN  - 0022-3476
UR  - http://dx.doi.org/10.1016/j.jpeds.2021.10.031
ID  - ref1
ER  -