Integration of Measurement-Based Care for Youth Depression and Suicidality Using VitalSign.
Depression and suicidality are prevalent in youth and are associated with a range of negative outcomes. The current study aimed to evaluate a measurement-based care (MBC) software (VitalSign) tool to improve the screening and treatment of depression and suicidality in youth aged 8–17 years within a...
| Publicado en: | Child Psychiatry & Human Development Vol. 56; no. 5; pp. 1206 - 1214 |
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| Autores principales: | , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Oct2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=188500521&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 188500521 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 0009398X CPH jtl: Child Psychiatry & Human Development issn: 0009398X maglogo: N pubinfo: dt: Oct2025 vid: 56 iid: 5 pid: 237 pub: Springer Nature artinfo: ui: 188500521 10.1007/s10578-024-01680-8 ppf: 1206 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P size: 794KB tig: atl: Integration of Measurement-Based Care for Youth Depression and Suicidality Using VitalSign. aug: au: Mitchell, Tarrah B. Wakefield, Sarah M. Rezaeizadeh, Afsaneh Minhajuddin, Abu Pipes, Ronny Mayes, Taryn L. Elmore, Joshua S. Trivedi, Madhukar H. affil: https://ror.org/033ztpr93 Department of Psychiatry, Texas Tech University Health Sciences Center, Lubbock, TX, USA https://ror.org/05byvp690 Center for Depression Research and Clinical Care, Peter O'Donnell Jr. Brain Institute, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA https://ror.org/05byvp690 Peter O'Donnell Jr. School of Public Health, University of Texas Southwestern Medical Center, Dallas, TX, USA su: Mental depression Suicidal ideation Medical screening Therapeutics Teenagers Disease remission Evidence-based medicine sug: subj: Mental depression Suicidal ideation Medical screening Therapeutics Teenagers All Other Miscellaneous Ambulatory Health Care Services Disease remission Evidence-based medicine keyword: Adolescent Child Depression Measurement-based care Medical and Health Sciences Public Health and Health Services Suicide Adolescent Child Depression Measurement-based care Medical and Health Sciences Public Health and Health Services Suicide ab: Depression and suicidality are prevalent in youth and are associated with a range of negative outcomes. The current study aimed to evaluate a measurement-based care (MBC) software (VitalSign) tool to improve the screening and treatment of depression and suicidality in youth aged 8–17 years within a rural, underserved population. To assess for depression and suicidality, the Patient Health Questionnaire-2 was administered as an initial screen, and the Patient Health Questionnaire-9 Modified for Adolescents (PHQ-9-A) was administered if the initial screen was positive. Data were collected at medical clinics over one year, and descriptive statistics and t-tests or Wilcoxon-Mann-Whitney tests were conducted. A total of 1,984 youth were initially screened (mean age of 13 years; 51.6% female); 24.2% screened positive for depression, and 14.9% endorsed suicidality. Of those who screened positive, the mean PHQ-9-A score was 12.8; 66.9% had PHQ-9-A scores in the moderate to severe range, and 44.2% endorsed suicidality. Almost half of the youth who screened positive for depression had at least one follow-up assessment, and about one quarter achieved remission 4 months after initial screening. Adolescents (12–17 years) had higher PHQ-9-A scores, higher suicidality, and more follow-up assessments than younger youth (8–11 years). Younger youth had higher rates of remission. The widespread use of MBC was feasible in this setting. It is important to utilize MBC to identify and treat youth with depression and suicidality and to do so in younger populations to improve their trajectory over time; VitalSign is one tool to help achieve these goals. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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