儿童和青少年抑郁症和自杀风险查:美国预防服务工作组建议声明
, Carol M Mangione1, Michael J Barry2
1University of California, Los Angeles.
JAMA
|October 11, 2022
概括
在12至18岁的青少年中,主要抑郁症的查提供了适度的益处. 对于较小的儿童或查青少年自杀风险的证据是不够的.
科学领域:
- 公共卫生
- 预防医学
- 儿童和青少年精神病学
背景情况:
- 抑郁症是美国年轻人残疾的重要原因, 影响发展,增加成人心理健康问题和自杀的风险.
- 自杀是10-19岁人群死亡的第二大原因,现有的心理健康状况和之前的尝试增加了风险.
研究的目的:
- 系统地审查儿童和青少年重大抑郁症 (MDD) 和自杀风险的查和治疗的益处,危害和准确性.
- 更新初级保健机构关于青少年抑郁症和自杀风险查的建议.
主要方法:
- 美国预防服务工作组 (USPSTF) 委托进行系统审查.
- 该审查评估了查准确性的证据,以及儿童群体中MDD和自杀风险的查和治疗的益处和危害.
主要成果:
- 对于12至18岁的青少年进行MDD查的净益是中等的.
- 没有足够的证据来确定11岁或以下儿童的MDD查的益处和危害.
- 关于儿童和青少年自杀风险查的益处和危害的证据不足.
结论:
- 在12至18岁的青少年中,USPSTF建议对MDD进行查 (B建议).
- USPSTF认为对11岁及以下儿童的MDD查和青少年自杀风险查的证据不足.
- 需要进一步的研究以建立针对年幼儿童和自杀风险查的基于证据的指南.
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