Are adolescents being screened for emotional distress in primary care?
Abstract
Purpose To assess primary care providers' rates of screening for emotional distress among adolescent patients.Methods Secondary data analysis utilizing data from: (1) well visits in pediatric clinics within a managed care plan in California, and (2) the 2003 California Health Interview Survey (CHIS), a state population sample. The Pediatric clinic sample included 1089 adolescent patients, ages 13 to 17, who completed a survey about provider screening immediately upon exiting a well visit. The CHIS sample included 899 adolescents, ages 13 to 17, who had a routine physical exam within the past 3 months. As part of the survey, adolescents answered a question about whether they had talked with their provider about their emotions at the time of the exam. Logistic regressions, controlling for age, gender, race/ethnicity, and adolescent depressive symptoms were performed.Results About one-third of adolescents reported a discussion of emotional health. Females were significantly more likely to be screened than males (36% vs. 30% in clinic; 37% vs. 26% in CHIS); as were older and Latino adolescents in the clinic sample. Although 27% of teens endorsed emotional distress, distress was not a significant predictor of talking to a provider about emotions.Conclusions Primary care clinicians/systems need to better utilize the primary care visit to screen adolescents for emotional health.
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Within primary care, 20%-40% of adolescents have high levels of distress or suicidal ideation, yet PCPs identify less than half.
“Within primary care, 20%-40% of adolescents have high levels of distress or suicidal ideation, yet PCPs identify less than half.94-96”
From Evidence-based youth suicide prevention and intervention in pediatric primary care settings. (2024) · cites this paper as [94]
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- Authors
- Ozer, E. M., Zahnd, E. G., Adams, S. H., Husting, S. R., Wibbelsman, C. J., Norman, K. P., & Smiga, S. M.
- Affiliations
- University of California, San Francisco (US)
- Public Health Institute (US)
- Kaiser Permanente Northern California (US)
- Corresponding author
- Ozer, Elizabeth M.
- Venue
- Journal of Adolescent Health
- Publisher
- Elsevier BV
- Published
- 2009-06
- Volume
- 44
- Issue
- 6
- Pages
- 520-527
- ISSN
- 1054-139X (ISSN-L)
- OpenAlex
- W2121447666
- Cited by
- 64
- References
- 33
- Citations by year
- 2024: 2 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 2 · 2019: 4 · 2018: 1 · 2017: 3 · 2016: 7 · 2015: 5 · 2014: 4 · 2013: 5 · 2012: 11
- FWCI
- 8.14
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Adolescent Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Agency for Healthcare Research and Quality (U18 HS11095)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- depression screening, primary care, adolescent mental health, provider-patient communication, sex differences, Latino adolescents, managed care
- MeSH terms
- Adolescent, California, Depression, Female, Humans, Interviews as Topic, Male, Mass Screening, Practice Patterns, Physicians', Primary Health Care, Stress, Psychological
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