Age 0-9 10-14 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-79+
While there is evidence that depression screening instruments have reasonable sensitivity and specificity, the evidence for improved health outcomes and cost-effectiveness of screening for depression in primary care remains unclear. There is evidence for routine screening for depression in the general adult population in the context of staff-assisted support to the GP in providing depression care, case management and coordination (eg via practice nurses; B).31 There is insufficient evidence to recommend routine screening in adults or adolescents where case management and coordination is not available (C).31 There is insufficient evidence to recommend screening in children.32 Clinicians should maintain a high level of awareness for depressive symptoms in patients at high risk of depression and make appropriate clinical assessments wherever the risk is high.33
- Siu AL, US Preventive Services Task Force. Screening for depression in adults, US Preventive Services Task Force recommendation statement. JAMA 2016;315(4):380–87.
- Siu AL, US Preventive Services Task Force. Screening for depression in children and adolescents: US Preventive Services Task Force recommendation statement. Ann Int Med 2016;164(5):360–66.
- National Collaborating Centre for Mental Health. National Institute for Health and Clinical Excellence: Guidance. Depression: The treatment and management of depression in adults (updated edition). Leicester (UK): British Psychological Society and Royal College of Psychiatrists, 2010.
- Health Quality Ontario. Screening and management of depression for adults with chronic diseases: An evidence-based analysis. Ont Health Technol Assess Ser 2013;13(8):1–45.
- King M, Semlyen J, Tai SS, et al. A systematic review of mental disorder, suicide, and deliberate self harm in lesbian, gay and bisexual people. BMC Psychiatry 2008;8:70.
- Canadian Task Force on Preventive Health Care, Joffres M, Jaramillo A, et al. Recommendations on screening for depression in adults. CMAJ 2013 Jun 11;185(9):775–82.
- Lereya ST, Copeland WE, Zammit S, Wolke D. Bully/victims: A longitudinal, population-based cohort study of their mental health. Eur Child Adolesc Psychiatry 2015;24(12):1461–71.
- Sanci L, Lewis D, Patton G. Detecting emotional disorder in young people in primary care. Curr Opin Psychiatry 2010;23(4):318–23.
- Thapar A, Collishaw S, Pine DS, Thapar AK. Depression in adolescence. Lancet 2012;379(9820):1056–67.
- Chown P, Kang M, Sanci L, Newnham V, Bennett DL. Adolescent health: Enhancing the skills of general practitioners in caring for young people from culturally diverse backgrounds – GP resource kit; 2nd edn. Sydney: NSW Centre for the Advancement of Adolescent Health and Transcultural Mental Health Centre, 2008.
- McDermott B, Baigent M, Chanen A, et al. Clinical practice guidelines: Depression in adolescents and young adults. Hawthorn, Vic: beyondblue, 2010.
- Arroll B, Goodyear-Smith F, Kerse N, Fishman T. Effect of the addition of a ‘help’ question to two screening questions on specificity for diagnosis of depression in general practice: Diagnostic validity study. BMJ 2005;331(7521):884.
- Austin MP, Highet N, the Guidelines Expert Advisory Committee. Clinical practice guidelines for depression and related disorders – anxiety, bipolar disorder and puerperal psychosis – in the perinatal period. A guideline for primary care health professionals. Hawthorn, Vic: beyondblue, 2011.