|Adolescent Depression Time Tool for Clinicians Launch Page|
ADOLESCENT DEPRESSION -
Adolescents aged 10-19 years make up approximately 14% of the US population. Two million adolescents suffer from an episode of depression annually, with estimates indicating 1 in 5 adolescents experience depression before they reach adulthood. Depression during adolescence often leads to poorer academic achievement, greater absenteeism, strained relationships with family and friends, and risk-taking behaviors like substance abuse or increased number of sexual partners. In addition to functional impairment at home and school, depression increases the risk for suicide, the third leading cause of death in this age group.
Adolescent depression is defined by the Diagnostic and Statistical Manual of Mental Disorders 4th edition-Text Revision™ (DSM-IV-TR™). DSM-IV-TR™ outlines 9 depression symptoms with four specific criteria excluding other potential causes of depression. Depression is very likely when five or more of the symptoms occur during the same two-week period, represent a change from previous functioning, and at least one of the symptoms is depressed mood or loss of interest or pleasure. Severity of depression is indicated by the number of symptoms present, severity of each symptom, and degree of functional impairment. To address depression, early recognition of risk factors for depression and depression symptoms will aide in instituting effective treatment. Effective treatment involves education and active participation of both patient and parents/caregivers when deciding upon a treatment option. Treatment options are determined by the severity of depression, can include psychotherapy or medications alone, or a combination of both. The primary goals of treatment are education, prevention of future episodes, and removing the risk of suicide ideation, suicide attempts, or completed suicide.
The Adolescent Depression Time Tool developed by the American College of Preventive Medicine is an innovative educational tool designed to assist the provider in recognizing and diagnosing adolescent depression. It will increase awareness, provide education, and offer the guidance from the best current evidence and guidelines in the delivery of adolescent health services on depression. The tool includes an executive summary of the evidence and a practical approach to delivering the needed services to patients in the context of a clinical visit. It is complemented by a robust clinical reference document delineating the epidemiology, clinical evidence, guidelines and recommendations from professional societies and governmental agencies, and additional resources for recommended tools.
 United States Census Bureau. Population Estimates: National Characteristics: Annual Estimates of the White Alone or in Combination Resident Population by Sex and Age for the United States: April 1, 2000 to July 1, 2008 (NC-EST2008-04-WAC). Available: http://www.census.gov/popest/national/asrh/NC-EST2008-asrh.html. Accessed: May 12, 2011.
This educational activity is intended for primary care providers. It is intended to improve physician performance, competence and patient outcomes.
After completing this program, participants should be able to:
To earn CME credit for this educational activity:
TERM OF APPROVAL
August 2011 through August 2013. Original release date: August 2011.
These materials have been reviewed by the members of the American College of Preventive Medicine and partners to ensure the continued scientific accuracy and medical relevance of information presented and its independence from commercial bias.
ACKNOWLEDGMENT OF SUPPORT
This program is supported by a cooperative agreement from the Department of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau (Title V, Social Security Act), Office of Adolescent Health.
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Copyright 2011. American College of Preventive Medicine. All Rights Reserved.