Depression

Guidelines for preventive activities in general practice

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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

Table 10.1.1

Depression: Identifying risk

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Table 10.1.2

Test to detect depression

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Depression

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