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Predicting Adolescent Depression and Suicide Risk Based on Preadolescent Behavioral Health Screening in Primary Care.

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A pediatric behavioral health screener administered at age 9 can help identify adolescents at risk for depression and suicide. This early identification using the Pediatric Symptom Checklist (PSC-17) shows moderate predictive value.

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Area of Science:

  • Pediatric behavioral health
  • Adolescent mental health
  • Primary care screening

Background:

  • Early identification of mental health issues in children is crucial.
  • Broadband screeners in primary care can detect potential risks.
  • Preadolescent screening may predict adolescent depression and suicide risk.

Purpose of the Study:

  • To assess the predictive value of a preadolescent behavioral health screener for adolescent depression and suicide risk.
  • To determine if the Pediatric Symptom Checklist (PSC-17) administered at age 9 can identify youth at risk at age 12.

Main Methods:

  • A cohort of 9329 pediatric patients was followed.
  • Caregivers completed the PSC-17 at age 9.
  • Youth completed the Patient Health Questionnaire-9 Modified for Teens (PHQ-9-M) at age 12.

Main Results:

  • Higher PSC-17 scores at age 9 significantly increased the odds of depression and suicide risk at age 12 (ORs: 2.41-4.23, P < .001).
  • The PSC-17 identified approximately one-third of adolescents with depression (37.1%) or suicide risk (33.3%).

Conclusions:

  • The PSC-17 demonstrates moderate predictive accuracy for adolescent depression and suicide risk.
  • Further research is needed to explore the benefits of broadband behavioral health screening in preadolescence for early intervention.