子供と青年のうつ病と自殺リスクのスクリーニング:米国予防サービスタスクフォースの勧告声明
, Carol M Mangione1, Michael J Barry2
1University of California, Los Angeles.
JAMA
|October 11, 2022
まとめ
12歳から18歳の若者における 重度のうつ病 (MDD) のスクリーニングは適度な効果がある. 幼い子供や若者の自殺リスクのスクリーニングには十分な証拠がありません.
科学分野:
- 公衆衛生
- 予防 医療
- 児童・青少年精神科
背景:
- 鬱病は米国の若者の障害の大きな原因で 発達に影響を及ぼし 成人の精神的健康問題や自殺のリスクを高めています
- 自殺は10歳から19歳の人の2番目に多い死因であり,既存の精神疾患と以前の試みによりリスクが高まります.
研究 の 目的:
- 大うつ病 (MDD) と子供と青少年における自殺リスクのスクリーニングと治療の利点,害,および正確性を体系的に検討する.
- 青年のうつ病と自殺リスクのスクリーニングに関する初等保健施設の推奨事項を更新する.
主な方法:
- 米国予防サービスタスクフォース (USPSTF) が組織的な調査を依頼した.
- このレビューでは,スクリーニングの正確性,MDDのスクリーニングと治療と小児の自殺リスクに関する証拠を評価した.
主要な成果:
- 12歳から18歳の若者におけるMDDのスクリーニングは,中程度の純利益をもたらす.
- 11歳以下の子どものMDDスクリーニングの利益と害を決定するには,証拠は不十分です.
- 子供や青少年における自殺リスクのスクリーニングの利益と害に関する証拠は不十分である.
結論:
- USPSTFは12歳から18歳の若者にMDDのスクリーニングを推奨しています (B推奨).
- USPSTFは,MDDを11歳以下でスクリーニングし,若者の自殺リスクをスクリーニングするのに十分な証拠がないと結論付けました.
- 幼い子供と自殺リスクのスクリーニングのための証拠に基づいたガイドラインを確立するためにさらなる研究が必要です.
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