{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T20:35:37Z","timestamp":1793824537528,"version":"4.6.1"},"reference-count":22,"publisher":"American Academy of Pediatrics (AAP)","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,7,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>BACKGROUND AND OBJECTIVES<\/jats:title>\n                    <jats:p>Depression is common, and suicide rates are increasing. Adolescent depression screening might miss those with unidentified suicide risk. Our primary objective in this study was to compare the magnitude of positive screen results across different approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>From June 2019 to October 2020, 803 mostly Medicaid-enrolled adolescents aged \u226512 years with no recent history of depression or self-harm were screened with the Patient Health Questionnaire-9 Modified for Adolescents (PHQ-9A) and the Ask Suicide-Screening Questions (ASQ) across 12 primary care practices. Two PHQ-9A screening strategies were evaluated: screening for any type of depression or other mental illness (positive on any item) or screening for major depressive disorder (MDD) (total score \u226510).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Overall, 56.4% of patients screened positive for any type of depression, 24.7% screened positive for MDD, and 21.1% screened positive for suicide risk. Regardless of PHQ-9A screening strategy, the ASQ identified additional subjects (eg, 2.2% additional cases compared with screening for any type of depression or other mental illness and 8.3% additional cases compared with screening positive for MDD). Of those with \u22656 month follow-up, 22.9% screened positive for any type of depression (n = 205), 35.6% screened positive for MDD (n = 90), and 42.7% with a positive ASQ result (n = 75) had a depression or self-harm diagnosis or an antidepressant prescription.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Suicide risk screening identifies cases not identified by depression screening. In this study, we underscore opportunities and challenges in primary care related to the high prevalence of depression and suicide risk. Research is needed regarding optimal screening strategies and to help clinicians manage the expected number of screening-identified adolescents.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2021-049999","type":"journal-article","created":{"date-parts":[[2021,6,7]],"date-time":"2021-06-07T04:25:21Z","timestamp":1623039921000},"source":"Crossref","is-referenced-by-count":67,"title":["Depression and Suicide-Risk Screening Results in Pediatric Primary Care"],"prefix":"10.1542","volume":"148","author":[{"given":"Alex R.","family":"Kemper","sequence":"first","affiliation":[{"name":"aDivision of Primary Care Pediatrics"},{"name":"bDepartment of Pediatrics, College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cody A.","family":"Hostutler","sequence":"additional","affiliation":[{"name":"bDepartment of Pediatrics, College of Medicine"},{"name":"cDepartment of Pediatric Psychology and Neuropsychology, Nationwide Children\u2019s Hospital, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"Beck","sequence":"additional","affiliation":[{"name":"aDivision of Primary Care Pediatrics"},{"name":"bDepartment of Pediatrics, College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia A.","family":"Fontanella","sequence":"additional","affiliation":[{"name":"dDepartment of Psychiatry and Behavioral Health, Wexner Medical Center, The Ohio State University, Columbus, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey A.","family":"Bridge","sequence":"additional","affiliation":[{"name":"bDepartment of Pediatrics, College of Medicine"},{"name":"dDepartment of Psychiatry and Behavioral Health, Wexner Medical Center, The Ohio State University, Columbus, Ohio"},{"name":"eCenter for Suicide Prevention and Research, Abigail Wexner Research Institute"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2021,7,1]]},"reference":[{"issue":"3","key":"2023110312543684200_B1","doi-asserted-by":"crossref","first-page":"e20154467","DOI":"10.1542\/peds.2015-4467","article-title":"Screening for depression in children and adolescents: US Preventive Services Task Force recommendation statement","volume":"137","author":"Siu","year":"2016","journal-title":"Pediatrics"},{"issue":"8","key":"2023110312543684200_B2","doi-asserted-by":"crossref","first-page":"987","DOI":"10.1007\/s00127-019-01697-8","article-title":"Recent increases in depressive symptoms among US adolescents: trends from 1991 to 2018","volume":"54","author":"Keyes","year":"2019","journal-title":"Soc Psychiatry Psychiatr Epidemiol"},{"issue":"pt A","key":"2023110312543684200_B3","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1016\/j.jad.2020.11.023","article-title":"Optimal approaches for preventing depressive symptoms in children and adolescents based on the psychosocial interventions: a Bayesian Network Meta-Analysis","volume":"280","author":"Li","year":"2021","journal-title":"J Affect Disord"},{"issue":"3","key":"2023110312543684200_B4","doi-asserted-by":"crossref","first-page":"e20174081","DOI":"10.1542\/peds.2017-4081","article-title":"Guidelines for adolescent depression in primary care (GLAD-PC): part I. 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