Evidence map›Paper›PMID 24417955›Full record

ArticleGeneral hospital psychiatry

Determinants of mental health service use among depressed adolescents.

David J Breland, Carolyn A McCarty, Chuan Zhou, Elizabeth McCauley, Carol Rockhill, Wayne Katon, Laura P Richardson

Open access · greenAbstract read
In one paragraph

Article in General hospital psychiatry. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Research in the Integration of Behavioral Health for Adolescents and Young Adults in Primary Care Settings: A Systematic Review.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2017
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  12. Understanding Adolescents' Experiences with Depression and Behavioral Health Treatment.The journal of behavioral health services & research · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

David J BrelandDepartment of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA; Seattle Children's Hospital, Seattle, WA, USA. Electronic address: david.breland@seattlechildrens.org.
Carolyn A McCartyDepartment of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA; Seattle Children's Hospital, Seattle, WA, USA.
Chuan ZhouDepartment of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA; Seattle Children's Hospital, Seattle, WA, USA.
Elizabeth McCauleySeattle Children's Hospital, Seattle, WA, USA; Psychiatry and Behavioral Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Carol RockhillSeattle Children's Hospital, Seattle, WA, USA; Psychiatry and Behavioral Medicine, University of Washington School of Medicine, Seattle, WA, USA.
Wayne KatonDepartment of Psychiatry & Behavioral Sciences; UW School of Medicine, Seattle, WA, USA.
Laura P RichardsonDepartment of Pediatrics, University of Washington School of Medicine, Seattle, WA, USA; Seattle Children's Hospital, Seattle, WA, USA.
University of Washington · USSeattle Children's Hospital · US

Funding

Improve Primary Care Management of Adolescent DepressionK23MH069814 · NIMH · UNIVERSITY OF WASHINGTON · PI RICHARDSON, LAURA P · 2004 to 2008
$770k
NIMH NIH HHS 5K23 MH069814-01A1NIMH NIH HHS K23 MH069814
6 · The paper itself

Abstract

objectiveEvaluate determinants of mental health service use among depressed adolescents.

methodWe assessed mental health services use over the 12 months following screening among 113 adolescents (34 males, 79 females) from an integrated healthcare system who screened positive for depression (Patient Health Questionnaire-9 score ≥11). Youth characteristics (demographics, depression severity, and co-morbidity) and parent characteristics (parent history of depression, parent-report of youth externalizing and internalizing problems) were compared among youth who had received mental health services and those who had not. Multivariate regression was used to evaluate the strongest factors associated with mental health service use.

resultsOverall, 52% of adolescents who screened positive for depression received mental health service in the year following screening. Higher parent-reported youth internalizing problems (OR 5.37, CI 1.77-16.35), parental history of depression/anxiety (OR 4.12, CI 1.36-12.48) were significant factors associated with mental health service use. Suicidality and functional impairment were not associated with increased mental health services use.

conclusionParental factors including recognition of the adolescent's internalizing symptoms and parental experience with depression/anxiety are strongly associated with mental health service use for depressed adolescents. This highlights the importance of educating parents about depression and developing systems to actively screen and engage youth in treatment for depression.

Indexed as

AdolescentDepressionFemaleHumansMaleMental Health ServicesParentsAdolescentDepression

Identifiers

PMID24417955
PMCPMC4517666
OpenAlexW2047465895

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.