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Cited by 43Suicide and Self-Harm StudiesMental Health Treatment and AccessChild and Adolescent Psychosocial and Emotional Development

Psychological distress and suicidal ideation among 15-24-year-olds presenting to general practice: A pilot study

McKelvey, Robert S., Davies, Lisa C., Pfaff, Jon J., Acres, John, Edwards, Stephen·1998·Australian & New Zealand Journal of Psychiatry
DOI 10.3109/00048679809065526
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Abstract

OBJECTIVES: The study sought to determine: (i) the prevalence rates of psychological distress and suicidal ideation among 15-24-year-old patients presenting to general practice; and (ii) the relationship between patients' presenting complaints and their levels of psychological distress and suicidal ideation. METHOD: This was a pilot study designed to sample patients aged 15-24 years presenting consecutively to general practitioners during a 4-week period. The study was set among five general practices in the western suburbs of Perth, Western Australia. Participants included five general practitioners and 69 patients aged 15-24 years. Main outcome measures were the General Health Questionnaire (GHQ-12), the Centre for Epidemiological Studies Depression Scale (CES-D) and the Depressive Symptom Inventory-Suicidality Subscale (DSI-SS). RESULTS: One-third of patients scored above the cut-off of the GHQ-12, 31.9% above the cut-off of the CES-D and 20.3% above the cut-off of the DSI-SS. The majority of patients (87.5%) presented with medical complaints. Of these, 26.8%, 23.2% and 21.4% scored above the cut-offs of the GHQ-12, CES-D and DSI-SS, respectively. Patients presenting with psychological complaints (12.5%) were significantly more likely to score above the cut-off of the CES-D. CONCLUSIONS: In this pilot study, patients aged 15-24 presenting to five general practices had relatively high levels of psychological distress and suicidal ideation. Of most concern were those presenting with medical complaints and who also had high levels of unreported psychological distress.

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Authors
McKelvey, R. S., Davies, L. C., Pfaff, J. J., Acres, J., & Edwards, S.
Affiliations
  • The University of Western Australia (AU)
  • Princess Margaret Hospital for Children (AU)
  • Perth Central Coastal Division of General Practice Ltd, Perth, Australia
  • National General Practice Youth Suicide Prevention Project, Perth, Australia
  • Perth Division of General Practice Ltd, Perth, Australia
Corresponding author
McKelvey, Robert S.
ORCID
McKelvey, Robert S.
Venue
Australian & New Zealand Journal of Psychiatry
Publisher
SAGE Publications
Published
1998-06
Volume
32
Issue
3
Pages
344-348
ISSN
  • 0004-8674 (ISSN-L)
  • 1440-1614
DOI
10.3109/00048679809065526
OpenAlex
W2116560111
Cited by
43
References
19
Citations by year
2024: 1 · 2023: 1 · 2022: 1 · 2021: 1 · 2020: 2 · 2019: 2 · 2018: 1 · 2017: 2 · 2014: 1 · 2012: 3
FWCI
4.10
Type
journal article
Language
en
Open access
closed
Licence
journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations
  • Australian & New Zealand Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • UWA Profiles and Research Repository (UWA) (submittedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
psychological distress, suicidal ideation, young adults, adolescents, general practice, prevalence, presenting symptoms, medical complaints, depression, suicide risk
MeSH terms
Suicide Prevention, Adolescent, Adult, Cross-Sectional Studies, Family Practice, Female, Humans, Male, Patient Care Team, Personality Inventory, Pilot Projects, Psychophysiologic Disorders, Somatoform Disorders, Stress, Psychological, Suicide, Suicide, Attempted, Western Australia, Comorbidity

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