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Screening for adolescent depression in a pediatric emergency department.
Acad Emerg Med. 2006 May; 13(5):537-42.AE

Abstract

OBJECTIVES

To describe the prevalence of depressive symptoms in adolescents presenting to the emergency department (ED) and to describe their demographics and outcomes compared with adolescents endorsing low levels of depressive symptoms.

METHODS

The Beck Depression Inventory-2nd edition (BDI-II) was used to screen all patients 13-19 years of age who presented to the ED during the period of study. The BDI-II is a 21-item self-report instrument used to measure the presence and severity of depressive symptoms in adolescents and adults. Demographics and clinical outcomes of screening-program participants were abstracted by chart review. Patients were categorized into one of four severity categories (minimal, mild, moderate, or severe) and one of three presenting complaint categories (medical, trauma, mental health).

RESULTS

Four hundred eighty-seven patients were approached, and 351(72%) completed the screening protocol. Participants endorsed minimal (n = 192, 55%), mild (n = 52, 15%), moderate (n = 41, 11%), or severe depressive symptoms (n = 66, 19%). Those with moderate or severe depressive symptoms were more likely to be hospitalized. Of patients completing the BDI-II, 72% with psychiatric, 12% with traumatic, and 19% with medical chief complaints endorsed either moderate or severe depressive symptoms.

CONCLUSIONS

Depressive symptoms are prevalent in this screening sample, regardless of presenting complaint. A substantial proportion of patients with nonpsychiatric chief complaints endorsed moderate or severe depressive symptoms. A screening program might allow earlier identification and referral of patients at risk for depression.

Authors+Show Affiliations

Department of Pediatrics, Akron Children's Hospital, Akron, OH 44308, USA. eg@neoucom.eduNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16551776

Citation

Scott, Emily Gale, et al. "Screening for Adolescent Depression in a Pediatric Emergency Department." Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine, vol. 13, no. 5, 2006, pp. 537-42.
Scott EG, Luxmore B, Alexander H, et al. Screening for adolescent depression in a pediatric emergency department. Acad Emerg Med. 2006;13(5):537-42.
Scott, E. G., Luxmore, B., Alexander, H., Fenn, R. L., & Christopher, N. C. (2006). Screening for adolescent depression in a pediatric emergency department. Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine, 13(5), 537-42.
Scott EG, et al. Screening for Adolescent Depression in a Pediatric Emergency Department. Acad Emerg Med. 2006;13(5):537-42. PubMed PMID: 16551776.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Screening for adolescent depression in a pediatric emergency department. AU - Scott,Emily Gale, AU - Luxmore,Brett, AU - Alexander,Heather, AU - Fenn,Robin L, AU - Christopher,Norman C, Y1 - 2006/03/21/ PY - 2006/3/23/pubmed PY - 2006/7/29/medline PY - 2006/3/23/entrez SP - 537 EP - 42 JF - Academic emergency medicine : official journal of the Society for Academic Emergency Medicine JO - Acad Emerg Med VL - 13 IS - 5 N2 - OBJECTIVES: To describe the prevalence of depressive symptoms in adolescents presenting to the emergency department (ED) and to describe their demographics and outcomes compared with adolescents endorsing low levels of depressive symptoms. METHODS: The Beck Depression Inventory-2nd edition (BDI-II) was used to screen all patients 13-19 years of age who presented to the ED during the period of study. The BDI-II is a 21-item self-report instrument used to measure the presence and severity of depressive symptoms in adolescents and adults. Demographics and clinical outcomes of screening-program participants were abstracted by chart review. Patients were categorized into one of four severity categories (minimal, mild, moderate, or severe) and one of three presenting complaint categories (medical, trauma, mental health). RESULTS: Four hundred eighty-seven patients were approached, and 351(72%) completed the screening protocol. Participants endorsed minimal (n = 192, 55%), mild (n = 52, 15%), moderate (n = 41, 11%), or severe depressive symptoms (n = 66, 19%). Those with moderate or severe depressive symptoms were more likely to be hospitalized. Of patients completing the BDI-II, 72% with psychiatric, 12% with traumatic, and 19% with medical chief complaints endorsed either moderate or severe depressive symptoms. CONCLUSIONS: Depressive symptoms are prevalent in this screening sample, regardless of presenting complaint. A substantial proportion of patients with nonpsychiatric chief complaints endorsed moderate or severe depressive symptoms. A screening program might allow earlier identification and referral of patients at risk for depression. SN - 1553-2712 UR - https://www.unboundmedicine.com/medline/citation/16551776/Screening_for_adolescent_depression_in_a_pediatric_emergency_department_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&sid=nlm:pubmed&issn=1069-6563&date=2006&volume=13&issue=5&spage=537 DB - PRIME DP - Unbound Medicine ER -