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Text
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URL Address
<a href="http://doi.org/10.1197/j.aem.2005.11.085" target="_blank" rel="noreferrer noopener">http://doi.org/10.1197/j.aem.2005.11.085</a>
Pages
537–542
Issue
5
Volume
13
Dublin Core
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Title
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Screening for adolescent depression in a pediatric emergency department.
Publisher
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Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
Date
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2006
2006-05
Subject
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*Adolescent Behavior; Adolescent; Adult; Age Distribution; Comorbidity; Cross-Sectional Studies; Depression/classification/*diagnosis/*epidemiology; Emergency Service; Female; Hospital/*statistics & numerical data; Hospitalization/statistics & numerical data; Humans; Logistic Models; Male; Mass Screening/*instrumentation/*statistics & numerical data; Ohio/epidemiology; Patient Participation/statistics & numerical data; Pediatrics/*statistics & numerical data; Prevalence; Psychiatric Status Rating Scales; Transportation of Patients/statistics & numerical data; Wounds and Injuries/epidemiology
Creator
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Scott Emily Gale; Luxmore Brett; Alexander Heather; Fenn Robin L; Christopher Norman C
Description
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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.
Identifier
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<a href="http://doi.org/10.1197/j.aem.2005.11.085" target="_blank" rel="noreferrer noopener">10.1197/j.aem.2005.11.085</a>
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Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
*Adolescent Behavior
2006
Academic emergency medicine : official journal of the Society for Academic Emergency Medicine
Adolescent
Adult
Age Distribution
Akron Children's Hospital
Alexander Heather
Christopher Norman C
Comorbidity
Cross-Sectional Studies
Department of Emergency Medicine
Department of Pediatrics
Depression/classification/*diagnosis/*epidemiology
Emergency Service
Female
Fenn Robin L
Hospital/*statistics & numerical data
Hospitalization/statistics & numerical data
Humans
Logistic Models
Luxmore Brett
Male
Mass Screening/*instrumentation/*statistics & numerical data
NEOMED College of Medicine
Ohio/epidemiology
Patient Participation/statistics & numerical data
Pediatrics/*statistics & numerical data
Prevalence
Psychiatric Status Rating Scales
Scott Emily Gale
Transportation of Patients/statistics & numerical data
Wounds and Injuries/epidemiology