Evidence map›Paper›PMID 40372532›Full record

ArticleArchives of women's mental health2025

Improving inpatient postpartum depression screening: results from a quality improvement initiative.

Rebecca Woofter, Gwendolyn Hill, Emily Wong, Tiffani J Bright, Catherine Bresee, Sarah J Kilpatrick, Eynav E Accortt

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Archives of women's mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Article
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.

Rebecca WoofterDepartment of Community Health Sciences, Fielding School of Public Health, University of California Los Angeles, Los Angeles, CA, USA. rwoofter@ucla.edu.ORCID 0000-0002-7850-8141
Gwendolyn HillReproductive Psychology Program, Department of Obstetrics and Gynecology, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Emily WongDepartment of Computational Biomedicine, Center for Artificial Intelligence Research, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Tiffani J BrightDepartment of Computational Biomedicine, Center for Artificial Intelligence Research, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Catherine BreseeBiostatistics Shared Resources, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Sarah J KilpatrickReproductive Psychology Program, Department of Obstetrics and Gynecology, Cedars Sinai Medical Center, Los Angeles, CA, USA.
Eynav E AccorttReproductive Psychology Program, Department of Obstetrics and Gynecology, Cedars Sinai Medical Center, Los Angeles, CA, USA. eynav.accortt@cshs.org.

Funding

Scientific and Technical CoreP2CHD041022 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI Martha Jane Bailey · 2016 to 2026
$6.9M
CALIFORNIA CENTER FOR POPULATION TRAINING PROGRAMT32HD007545 · NICHD · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI HIRAM BELTRAN-SANCHEZ, Megan M Sweeney · 2001 to 2026
$4.1M
Cedars-Sinai Helping Hand Cedars-Sinai Helping HandNICHD NIH HHS P2C HD041022NICHD NIH HHS T32 HD007545
6 · The paper itself

Abstract

purposeScreening is necessary to identify patients with postpartum depression or anxiety and facilitate access to mental healthcare. This study evaluated a quality improvement initiative for inpatient postpartum depression screening, which was implemented to better identify patients in need of mental healthcare. This initiative replaced the Patient Health Questionnaire (PHQ-9) administered verbally by nurses with the Edinburgh Postnatal Depression Scale (EPDS-10) self-administered by patients via iPads.

methodsElectronic medical records for patients who delivered June 2020-October 2023 at Cedars-Sinai were analyzed (N = 17,403). Differences in completed screenings, positive depression screenings, suicidal ideation, and social work referrals before and after the initiative were examined with chi-square tests and multiple logistic regression models. Factors associated with positive anxiety screenings on the EPDS-10 were also identified.

resultsOverall, 98.6% of patients completed depression screenings. Among those who completed screenings, positive depression screenings increased from 4.0 to 11.4%, identified suicidal ideation increased from 0.2 to 1.1%, and social work referrals increased from 64.1 to 84.0%, before and after the initiative. Post-initiative, patients had higher odds of positive depression screenings, indicating suicidal ideation, and receiving social work referrals compared to pre-initiative. Among those who completed EPDS-10 screenings, 31% were positive for anxiety.

conclusionsCompared to the PHQ-9 administered verbally by nurses, the EPDS-10 self-administered by patients via iPads resulted in higher rates of positive depression screenings, identified suicidal ideation, and social work referrals. It is imperative to accurately screen patients for postpartum depression and anxiety to facilitate access to mental healthcare and address morbidity and mortality. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

Depression, PostpartumInpatientsMass ScreeningQuality ImprovementAdultAnxietyFemaleHumansPsychiatric Status Rating ScalesReferral and ConsultationSuicidal IdeationSurveys and QuestionnairesEdinburgh postnatal depression scaleMental health screeningPatient health questionnairePostpartum anxietyPostpartum depression

Identifiers

PMID40372532
PMCPMC12436480

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LicenceCC BY
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Registered trials

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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.