alexa Why are we Afraid to Screen Adolescents for Depression? | OMICS International
ISSN: 2375-4494
Journal of Child and Adolescent Behavior
Make the best use of Scientific Research and information from our 700+ peer reviewed, Open Access Journals that operates with the help of 50,000+ Editorial Board Members and esteemed reviewers and 1000+ Scientific associations in Medical, Clinical, Pharmaceutical, Engineering, Technology and Management Fields.
Meet Inspiring Speakers and Experts at our 3000+ Global Conferenceseries Events with over 600+ Conferences, 1200+ Symposiums and 1200+ Workshops on
Medical, Pharma, Engineering, Science, Technology and Business

Why are we Afraid to Screen Adolescents for Depression?

Roger A Boothroyd* and Mary I Armstrong

Department of Mental Health Law and Policy, University of South Florida, USA

*Corresponding Author:
Roger A Boothroyd
Chair and Professor, Department of Mental Health Law and Policy
Louis de la Parte Florida Mental Health Institute
MHC 2719, University of South Florida, FL 33612-3807, USA
Tel: 813-974-1915
Fax: 813-974-9327
E-mail: [email protected]

Received Date: March 25, 2013; Accepted Date: March 25, 2013; Published Date: March 27, 2013

Citation: Boothroyd RA, Armstrong MI (2013) Why are we Afraid to Screen Adolescents for Depression? J Child Adolesc Behav 1:e103. doi: 10.4172/2375-4494.1000e103

Copyright: © 2013 Boothroyd RA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Visit for more related articles at Journal of Child and Adolescent Behavior

Depression is the fourth leading cause of global burden of disease [1]. Depression is present in all regions of the world, significantly affecting the younger and older age groups (World Health Organization [WHO], 2000; Institute for Health Metrics and Evaluation [IHME], 2013) [2]. It is estimated that upwards of 8% of adolescents meet criteria for depression [3]. Depression during adolescence is a disabling condition that is associated with serious long-term morbidities and an increased risk of suicide [3-6]. It has been reported that among adolescents with major depression, as many as 7% commit suicide in their early adult years [7]. Yet despite these alarming statistics, adolescent depression often goes undiagnosed despite the availability of screening tools that have been demonstrated to be effective (National Institute for Health Care Management [NIHCM], 2010).

In the United States, the Affordable Care Act of 2010, recent federal legislation, places a strong emphasis on access to clinical preventive services including screening for depression [4]. New private health plans and insurance policies are required to offer depression screening for adolescents as well as adults at no cost to the consumer. This mandate is a step in the right direction but it leaves open issues such as: if adolescents are screened as at risk, will physicians and other health care professionals know where to refer these youth; will these youth have immediate access to comprehensive assessments and services; what services and supports will be in place for their families, peers, and teachers?

Critics of adolescent depression screening initiatives raise questions about whether the costs of these programs will outweigh the benefits. They raise concerns regarding whether schools are appropriate settings in which to conduct depression screenings. They argue that depression screening programs infringe on the rights and privacy of adolescents and parents. Critics question the effectiveness of depression screening measures. They cite the lack of available service options to treat adolescents who have identified needs. Critics worry that the prescribing of antidepressants to adolescents will increase dramatically and cite evidence of the harmful effects of SSRIs (e.gCritics of adolescent depression screening initiatives raise questions about whether the costs of these programs will outweigh the benefits. They raise concerns regarding whether schools are appropriate settings in which to conduct depression screenings. They argue that depression screening programs infringe on the rights and privacy of adolescents and parents. Critics question the effectiveness of depression screening measures. They cite the lack of available service options to treat adolescents who have identified needs. Critics worry that the prescribing of antidepressants to adolescents will increase dramatically and cite evidence of the harmful effects of SSRIs (e.g. increased suicide ideation, preparatory acts) in adolescents. Finally, critics cite the negative impact on adolescents that positive screenings will have in terms of stigmatization.

No matter what side of the debate one is on, the idea that doing nothing is somehow better than doing something just doesn’t make any sense. In 2009, the United States Preventive Service Task Force recommended screening of adolescents [8]. The task force found adequate scientific evidence that the treatment of depression in adolescents decreases in major depressive symptoms. So what are we afraid of? We have the ability to effectively screen adolescents for depression. We have effective interventions foe adolescent that improve the long-term course of the depression. As far as stigma goes, it will only decrease if we openly deal with the issue of depression as opposed ignoring it.

References

Select your language of interest to view the total content in your interested language
Post your comment

Share This Article

Relevant Topics

Recommended Conferences

Article Usage

  • Total views: 12361
  • [From(publication date):
    September-2013 - Jul 18, 2018]
  • Breakdown by view type
  • HTML page views : 8547
  • PDF downloads : 3814
 

Post your comment

captcha   Reload  Can't read the image? click here to refresh

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

+1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version
Leave Your Message 24x7