ArticleBMC health services research2012
Is there a gap between recommended and 'real world' practice in the management of depression in young people? A medical file audit of practice.
Article in BMC health services research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
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Who cites it
12 citing papers in PubMed, 23 citations in OpenAlex.
- Clinical behavior toward outpatients with major depressive disorder based on guideline education for psychiatrists.PCN reports : psychiatry and clinical neurosciences · 2025Article
- Multilevel barriers to guideline implementation: a nationwide multi-professional cross-sectional study within child and adolescent psychiatry.Child and adolescent psychiatry and mental health · 2024Article
- A collaborative realist review of remote measurement technologies for depression in young people.Nature human behaviour · 2024Review
- Understanding and preventing nonadherence and treatment dropout in adolescents and young adults with anxiety and depressive disorders.Frontiers in psychiatry · 2023Article
- The implementation of a FIP guidance for COVID-19: insights from a nationwide survey.Annals of translational medicine · 2021Article
- Antidepressant Prescribing and Suicide/Self-Harm by Young Australians: Regulatory Warnings, Contradictory Advice, and Long-Term Trends.Frontiers in psychiatry · 2020Review
- Youth Codesign of a Mobile Phone App to Facilitate Self-Monitoring and Management of Mood Symptoms in Young People With Major Depression, Suicidal Ideation, and Self-Harm.JMIR mental health · 2018Article
- A comparison of recommendations and received treatment for mood and anxiety disorders in a representative national sample.BMC psychiatry · 2017Article
- Temporal trends in antidepressant prescribing to children in UK primary care, 2000-2015.Journal of affective disorders · 2017Article
- Development of a Mobile Phone App to Support Self-Monitoring of Emotional Well-Being: A Mental Health Digital Innovation.JMIR mental health · 2016Article
- The multidisciplinary depression guideline for children and adolescents: an implementation study.European child & adolescent psychiatry · 2015Article
- Particular difficulties faced by GPs with young adults who will attempt suicide: a cross-sectional study.BMC family practice · 2013Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLiterature has shown that dissemination of guidelines alone is insufficient to ensure that guideline recommendations are incorporated into every day clinical practice.
methodsWe aimed to investigate the gaps between guideline recommendations and clinical practice in the management of young people with depression by undertaking an audit of medical files in a catchment area public mental health service for 15 to 25 year olds in Melbourne, Australia.
resultsThe results showed that the assessment and recording of depression severity to ensure appropriate treatment planning was not systematic nor consistent; that the majority of young people (74.5%) were prescribed an antidepressant before an adequate trial of psychotherapy was undertaken and that less than 50% were monitored for depression symptom improvement and antidepressant treatment emergent suicide related behaviours (35% and 30% respectively). Encouragingly 92% of first line prescriptions for those aged 18 years or under who were previously antidepressant-naïve was for fluoxetine as recommended.
conclusionsThis research has highlighted the need for targeted strategies to ensure effective implementation. These strategies might include practice system tools that allow for systematic monitoring of depression symptoms and adverse side effects, particularly suicide related behaviours. Additionally, youth specific psychotherapy that incorporates the most effective components for this age group, delivered in a youth friendly way would likely aid effective implementation of guideline recommendations for engagement in an adequate trial of psychotherapy before medication is initiated.
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