ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2009
The identification of young people's emotional distress: a study in primary care.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 3 of them syntheses that pooled it.
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Who cites it
34 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Raising Suicide in Medical Appointments-Barriers and Facilitators Experienced by Young Adults and GPs: A Mixed-Methods Systematic Review.International journal of environmental research and public health · 2023Pooled it
- Smartphone-Based Interventions and Internalizing Disorders in Youth: Systematic Review and Meta-analysis.Journal of medical Internet research · 2021Pooled it
- Does screening for and intervening with multiple health compromising behaviours and mental health disorders amongst young people attending primary care improve health outcomes? A systematic review.BMC family practice · 2016Pooled it
- Facilitating mental health help-seeking by young adults with a dedicated online program: a feasibility study of Link.BMJ open · 2017Trial
- A mobile phone application for the assessment and management of youth mental health problems in primary care: health service outcomes from a randomised controlled trial of mobiletype.BMC family practice · 2013Trial
- Self-monitoring using mobile phones in the early stages of adolescent depression: randomized controlled trial.Journal of medical Internet research · 2012Trial
- Trial
- A mobile phone application for the assessment and management of youth mental health problems in primary care: a randomised controlled trial.BMC family practice · 2011Trial
- Effectiveness of a Mental Health Service Navigation Website (Link) for Young Adults: Randomized Controlled Trial.JMIR mental health · 2019Article
- Article
- An Online Intervention to Promote Mental Health and Wellbeing for Young Adults Whose Parents Have Mental Illness and/or Substance Use Problems: Theoretical Basis and Intervention Description.Frontiers in psychiatry · 2019Review
- What is known about pathways to mental health care for Australian Aboriginal young people?: a narrative review.International journal for equity in health · 2018Review
- Recognition of depression, anxiety, and alcohol abuse in a Chinese rural sample: a cross-sectional study.BMC psychiatry · 2016Article
- Gender differences in suicide prevention responses: implications for adolescents based on an illustrative review of the literature.International journal of environmental research and public health · 2015Review
- Is the use of accurate psychiatric labels associated with intentions and beliefs about responses to mental illness in a friend? Findings from two national surveys of Australian youth.Epidemiology and psychiatric sciences · 2015Article
- User-generated quality standards for youth mental health in primary care: a participatory research design using mixed methods.BMJ quality & safety · 2014Article
- Risk-behaviour screening for identifying adolescents with mental health problems in Europe.European child & adolescent psychiatry · 2014Article
- Clinical use of the Kessler psychological distress scales with culturally diverse groups.International journal of methods in psychiatric research · 2014Article
- Patterns of engagement between GPs and adolescents presenting with psychological difficulties: a qualitative study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
- GPs' responses to adolescents presenting with psychological difficulties: a conceptual model of fixers, future planners, and collaborators.The British journal of general practice : the journal of the Royal College of General Practitioners · 2014Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundPrimary care is a key step in young people's pathway to mental health care. Despite the high prevalence of mental disorder in this age group, little is known about the factors that determine the identification of young people's mental disorder in primary care.
aimTo provide a detailed description of the factors associated with both 'correct' and 'excessive' identification of youth mental disorder in primary care. DESIGN OF THE STUDY: Cross-sectional study.
settingTwenty-six randomly selected general practices in Victoria, Australia.
methodConsecutive young people (16-24 years) were interviewed before their consultation, using a semi-structured interview. They completed Kessler's scale of emotional distress (K10). GPs completed a questionnaire after the consultation. Multinomial logistic regression was used to examine the factors associated with GP identification of mental disorder in those with high and low probability of disorder on the K10.
resultsAltogether, 450/501 (90%) of approached young people participated; 36.1% (95% confidence interval [CI] = 32.3 to 40.2%) had high probability of mental disorder on the K10. Young people's perception that they had a mental illness was highly associated with GP identification (odds ratio [OR] = 62.6, 95% CI = 22.8 to 172.0). Other significantly associated factors were: patient fears (OR = 2.4, 95% CI = 1.1 to 5.1), frequent consultations (OR = 3.0, 95% CI = 1.0 to 8.4), days out of role (OR = 2.7, 95% CI = 1.2 to 5.7), and continuity of care (OR = 3.4, 95% CI = 1.6 to 6.9). The latter two were also associated with 'over-identification' of young people who had low probability of mental disorder. GP characteristics were not associated with identification.
conclusionThese findings provide guidance for GPs in their clinical work and training. They should also inform the further development of mental health literacy programmes in the community.
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