不错
指南
初级保健
鉴定(生物学)
表(数据库)
二级护理
萧条(经济学)
医学
心理学
家庭医学
计算机科学
数据挖掘
病理
程序设计语言
经济
宏观经济学
生物
植物
作者
Andrew Lawton,Omer S Moghraby
出处
期刊:Archives of Disease in Childhood-education and Practice Edition
[BMJ]
日期:2015-10-12
卷期号:101 (4): 206-209
被引量:32
标识
DOI:10.1136/archdischild-2015-308680
摘要
The National Institute for Health and Care Excellence (NICE) guideline CG28 ‘Depression in children and young people: Identification and management in primary, community and secondary care’ was recently updated and was published in March 2015.1
This covers depression as defined by the International Classification of Diseases (ICD-10) in children (5–11 years) and young people (12–18 years). It provides specific recommendations on assessment and treatment stratified by severity and includes risk profiling, the role of specialist Child and Adolescent Mental Health Services (CAMHS) and the use of psychological and pharmacological interventions. Table 1 outlines some important definitions.
View this table:
Table 1
Important definitions
The original NICE guideline CG28 was published in 2005. This revision includes updated recommendations for some interventions and for future research. See box 1 for a link to this guidance and further resources. Box 1
### Resources
### Risk profiling
A child/young person exposed to a single recent undesirable life event should be assessed for symptoms and risk factors for depression with a risk profile documented in their records. The assessment should ALWAYS consider possible child maltreatment (abuse may coexist with depression), self-harm or any suicidal thoughts and, in young people, directly address alcohol and drug use.
Children and young people referred to CAMHS without a diagnosis of depression should be screened with a self-report questionnaire such as Mood and Feelings Questionnaire (MFQ). The MFQ can also be used as an adjunct to clinical judgement when monitoring response to treatment.
### Referral guidance
Mild depression …
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