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Depression Treatment After a Positive Depression Screen Result.

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|December 9, 2024
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Summary
This summary is machine-generated.

Primary care depression screening shows moderate treatment rates. Targeted interventions are needed for suicidal ideation (SI), Black, Asian, and older patients to address undertreatment and improve equitable care.

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Area of Science:

  • Health Services Research
  • Clinical Psychiatry
  • Health Equity

Background:

  • Primary care practices are increasingly screening for depression.
  • The association between depression screening and appropriate, equitable treatment remains unclear.

Purpose of the Study:

  • To investigate factors associated with initial treatment for patients screening positive for depression and/or suicidal ideation (SI).

Main Methods:

  • A cohort study analyzed electronic health record data from adult primary care patients with elevated depressive symptoms or SI.
  • Exclusion criteria included baseline depression, bipolar disorder, schizophrenia, schizoaffective disorder, or dementia.
  • Treatment was assessed as antidepressant or mental health referral ordered at screening and within 8 weeks.

Main Results:

  • Of 3980 patients with elevated symptoms or SI, 38% received initial antidepressant/referral.
  • Treatment rates were lower for Black (34.0%) and Asian (35.4%) patients compared to White patients (40.5%).
  • Treatment decreased with age, and patients with SI had higher, yet still low, treatment rates (43.5%).

Conclusions:

  • Moderate rates of initial treatment were observed for patients with depressive symptoms or SI.
  • Targeted interventions are necessary for high-risk groups, including those with SI, Black and Asian patients, and older adults, to improve equitable care.