Skip Nav Destination
Depression and Suicide
By
American Academy of Pediatrics
American Academy of Pediatrics
Search for other works by this author on:
American Academy of Pediatrics
ISBN electronic:
978-1-61002-291-0
ISBN print:
978-1-61002-289-7
Publication date:
September 2019
This collection provides evidence-based guidelines for identification, assessment, treatment and ongoing management of adolescent depression and outlines the importance of screening teens for depressive symptoms and suicide risk.
https://shop.aap.org/pediatric-collections-mental-health-depression-and-suicide-paperback/
Depression and Suicide
By: American Academy of Pediatrics
https://doi.org/10.1542/9781610022910
ISBN (print): 978-1-61002-289-7
ISBN (electronic): 978-1-61002-291-0
Publisher: American Academy of Pediatrics
Published: 2019
Download citation file:
Table of Contents
-
Introductionp1-2ByJeanne Van Cleave, MD,FAAPJeanne Van Cleave, MD,FAAPPediatrics Editorial Board Member, Associate Professor, Pediatrics, University of Colorado School of MedicineSearch for other works by this author on:
-
p3-3
-
Introduction | Depression: What a Primary Care Clinician Can Dop5-6ByCori Meredith Green, MD,MS,FAAPCori Meredith Green, MD,MS,FAAPDirector of Behavioral Health Education and Integration in Pediatrics, Associate Professor of Clinical Pediatrics, Weil Cornell MedicineSearch for other works by this author on:
-
Some Depressing News About Adolescent Depression That Requires Our Time and Attentionp7-7ByLewis First, MD,MSLewis First, MD,MSEditor in Chief, PediatricsSearch for other works by this author on:
-
Depression Is a Deadly Growing Threat to Our Youth: Time to Rallyp8-9ByAnne L. Glowinski, MD, MPE;Anne L. Glowinski, MD, MPEaDivision of Child and Adolescent Psychiatry, Department of Psychiatry, Washington University in St LouisSearch for other works by this author on:Giuseppe D’Amelio, BSGiuseppe D’Amelio, BSbWashington University School of Medicine, St Louis, MissouriSearch for other works by this author on:
-
National Trends in the Prevalence and Treatment of Depression in Adolescents and Young Adultsp10-22ByRamin Mojtabai, MD, PhD, MPH;Ramin Mojtabai, MD, PhD, MPHaDepartment of Mental Health, Bloomberg School of Public HealthbDepartments of Psychiatry and Behavioral Sciences, School of Medicine, Johns Hopkins University, Baltimore, MarylandSearch for other works by this author on:Ramin Mojtabai, MD, PhD, MPH;Ramin Mojtabai, MD, PhD, MPHaDepartment of Mental Health, Bloomberg School of Public HealthbDepartments of Psychiatry and Behavioral Sciences, School of Medicine, Johns Hopkins University, Baltimore, MarylandSearch for other works by this author on:Mark Olfson, MD, MPH;Mark Olfson, MD, MPHcDepartment of Psychiatry, College of Physicians and Surgeons, Columbia UniversitydNew York State Psychiatric Institute, New York, New YorkSearch for other works by this author on:Beth Han, MD, PhD, MPHBeth Han, MD, PhD, MPHeSubstance Abuse and Mental Health Services Administration, Rockville, MarylandSearch for other works by this author on:
-
Treating Depression in Youths: AAP Endorses Updated GLAD-PC Guidelinesp23-24ByRachel A. Zuckerbrot, MD, FAAP;Rachel A. Zuckerbrot, MD, FAAPMembers of the GLAD-PC project teamSearch for other works by this author on:Amy H. Cheung, MDAmy H. Cheung, MDMembers of the GLAD-PC project teamSearch for other works by this author on:
-
Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Managementp25-47ByRachel A. Zuckerbrot, MD;Rachel A. Zuckerbrot, MDaDivision of Child and Adolescent Psychiatry, Department of Psychiatry, Columbia University Medical Center, and New York State Psychiatric Institute, New York, New YorkSearch for other works by this author on:Amy Cheung, MD;Amy Cheung, MDbUniversity of Toronto, Toronto, CanadaSearch for other works by this author on:Peter S. Jensen, MD;Peter S. Jensen, MDcUniversity of Arkansas for Medical Science, Little Rock, ArkansasSearch for other works by this author on:Ruth E.K. Stein, MD;Ruth E.K. Stein, MDdAlbert Einstein College of Medicine, Bronx, New York, New YorkSearch for other works by this author on:Danielle Laraque, MDDanielle Laraque, MDeState University of New York Upstate Medical University, Syracuse, New YorkSearch for other works by this author on:
-
Guidelines for Adolescent Depression in Primary Care (GLAD-PC): II. Treatment and Ongoing Managementp48-63ByAmy A. Cheung, MD;Amy A. Cheung, MDaUniversity of Toronto, Toronto, Ontario, CanadaSearch for other works by this author on:Rachel A. Zuckerbrot, MD;Rachel A. Zuckerbrot, MDbDivision of Child and Adolescent Psychiatry, Department of Psychiatry, Columbia University; Medical Center and New York State Psychiatric Institute, New York, New YorkSearch for other works by this author on:Peter S. Jensen, MD;Peter S. Jensen, MDcUniversity of Arkansas for Medical Sciences, Little Rock, ArkansasSearch for other works by this author on:Danielle Laraque, MD;Danielle Laraque, MDdState University of New York Upstate Medical University, Syracuse, New YorkSearch for other works by this author on:Ruth E.K. Stein, MDRuth E.K. Stein, MDeAlbert Einstein College of Medicine, Bronx, New YorkSearch for other works by this author on:
-
Toxicity of Bupropion Overdose Compared With Selective Serotonin Reuptake Inhibitorsp64-74ByAdam Overberg, PharmD;Adam Overberg, PharmDaIndiana Poison Center, Indianapolis, IndianaSearch for other works by this author on:Shannon Morton, MPH;Shannon Morton, MPHaIndiana Poison Center, Indianapolis, IndianaSearch for other works by this author on:Emily Wagner, MD;Emily Wagner, MDbDepartment of Emergency Medicine, School of Medicine, Indiana University, Indianapolis, IndianaSearch for other works by this author on:Blake Froberg, MDBlake Froberg, MDaIndiana Poison Center, Indianapolis, IndianacDepartment of Pediatrics, School of Medicine, Indiana University, Indianapolis, IndianaSearch for other works by this author on:
-
Defining “Treatment as Usual” for Adolescent Depressionp75-75ByLydia Furman, MDLydia Furman, MDAssistant Editor, PediatricsSearch for other works by this author on:
-
Cognitive Behavioral Therapy in Primary Care for Youth Declining Antidepressants: A Randomized Trialp76-88ByGregory Clarke, PhD;Gregory Clarke, PhDDr Clarke conceptualized and designed the study, obtained funding, directed the conduct of the study, and drafted the initial manuscript; Drs DeBar and Pearson assisted with the conduct of the study, and reviewed and revised the initial manuscript; Dr Lynch assisted with conceptualizing and designing the study, obtaining funding, and reviewed and revised the initial manuscript; Dr Gullion conceptualized the initial analysis plan, and reviewed and revised the manuscript; Drs Leo and Dickerson updated and carried out the analyses, conducted data management and quality audits, and reviewed and revised the manuscript.Search for other works by this author on:Lynn L. DeBar, PhD;Lynn L. DeBar, PhDDr Clarke conceptualized and designed the study, obtained funding, directed the conduct of the study, and drafted the initial manuscript; Drs DeBar and Pearson assisted with the conduct of the study, and reviewed and revised the initial manuscript; Dr Lynch assisted with conceptualizing and designing the study, obtaining funding, and reviewed and revised the initial manuscript; Dr Gullion conceptualized the initial analysis plan, and reviewed and revised the manuscript; Drs Leo and Dickerson updated and carried out the analyses, conducted data management and quality audits, and reviewed and revised the manuscript.Search for other works by this author on:John A. Pearson, MD;John A. Pearson, MDDr Clarke conceptualized and designed the study, obtained funding, directed the conduct of the study, and drafted the initial manuscript; Drs DeBar and Pearson assisted with the conduct of the study, and reviewed and revised the initial manuscript; Dr Lynch assisted with conceptualizing and designing the study, obtaining funding, and reviewed and revised the initial manuscript; Dr Gullion conceptualized the initial analysis plan, and reviewed and revised the manuscript; Drs Leo and Dickerson updated and carried out the analyses, conducted data management and quality audits, and reviewed and revised the manuscript.Search for other works by this author on:John F. Dickerson, PhD;John F. Dickerson, PhDDr Clarke conceptualized and designed the study, obtained funding, directed the conduct of the study, and drafted the initial manuscript; Drs DeBar and Pearson assisted with the conduct of the study, and reviewed and revised the initial manuscript; Dr Lynch assisted with conceptualizing and designing the study, obtaining funding, and reviewed and revised the initial manuscript; Dr Gullion conceptualized the initial analysis plan, and reviewed and revised the manuscript; Drs Leo and Dickerson updated and carried out the analyses, conducted data management and quality audits, and reviewed and revised the manuscript.Search for other works by this author on:Frances L. Lynch, PhD;Frances L. Lynch, PhDDr Clarke conceptualized and designed the study, obtained funding, directed the conduct of the study, and drafted the initial manuscript; Drs DeBar and Pearson assisted with the conduct of the study, and reviewed and revised the initial manuscript; Dr Lynch assisted with conceptualizing and designing the study, obtaining funding, and reviewed and revised the initial manuscript; Dr Gullion conceptualized the initial analysis plan, and reviewed and revised the manuscript; Drs Leo and Dickerson updated and carried out the analyses, conducted data management and quality audits, and reviewed and revised the manuscript.Search for other works by this author on:Christina M. Gullion, PhD;Christina M. Gullion, PhDDr Clarke conceptualized and designed the study, obtained funding, directed the conduct of the study, and drafted the initial manuscript; Drs DeBar and Pearson assisted with the conduct of the study, and reviewed and revised the initial manuscript; Dr Lynch assisted with conceptualizing and designing the study, obtaining funding, and reviewed and revised the initial manuscript; Dr Gullion conceptualized the initial analysis plan, and reviewed and revised the manuscript; Drs Leo and Dickerson updated and carried out the analyses, conducted data management and quality audits, and reviewed and revised the manuscript.Search for other works by this author on:Michael C. Leo, PhDMichael C. Leo, PhDDr Clarke conceptualized and designed the study, obtained funding, directed the conduct of the study, and drafted the initial manuscript; Drs DeBar and Pearson assisted with the conduct of the study, and reviewed and revised the initial manuscript; Dr Lynch assisted with conceptualizing and designing the study, obtaining funding, and reviewed and revised the initial manuscript; Dr Gullion conceptualized the initial analysis plan, and reviewed and revised the manuscript; Drs Leo and Dickerson updated and carried out the analyses, conducted data management and quality audits, and reviewed and revised the manuscript.Search for other works by this author on:
-
Physical Activity, Sedentary Behavior, and Symptoms of Major Depression in Middle Childhoodp89-98ByTonje Zahl, MSC;Tonje Zahl, MSCaNTNU Social Reseach, Trondheim, NorwaybDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, NorwaySearch for other works by this author on:Silje Steinsbekk, PhD;Silje Steinsbekk, PhDbDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, NorwaySearch for other works by this author on:Lars Wichstrøm, PhDLars Wichstrøm, PhDaNTNU Social Reseach, Trondheim, NorwaybDepartment of Psychology, Norwegian University of Science and Technology, Trondheim, NorwaySearch for other works by this author on:
-
Children’s Physical Activity and Depression: A Meta-analysisp99-112ByDaphne J. Korczak, MD, MSc;Daphne J. Korczak, MD, MScaDepartment of Psychiatry, Hospital for Sick Children, Toronto, Ontario, CanadabDepartment of Psychiatry, Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadacDepartment of Psychology, Aberta Children's Research Institute, Calgary, Alberta, CanadaSearch for other works by this author on:Sheri Madigan, PhD;Sheri Madigan, PhDaDepartment of Psychiatry, Hospital for Sick Children, Toronto, Ontario, CanadacDepartment of Psychology, Aberta Children's Research Institute, Calgary, Alberta, CanadaSearch for other works by this author on:Marlena Colasanto, MScMarlena Colasanto, MScaDepartment of Psychiatry, Hospital for Sick Children, Toronto, Ontario, CanadacDepartment of Psychology, Aberta Children's Research Institute, Calgary, Alberta, CanadaSearch for other works by this author on:
-
-
p113-113
-
Introduction | Suicide Screening and Prevention: It CAN Be Donep115-118ByGregory S. Blaschke, MD,MPH,FAAPGregory S. Blaschke, MD,MPH,FAAPAmerican Academy of Pediatrics District Vice Chair, District VIII, Shirley R. Kuse Professor of Pediatrics, Doernbecher Children’s Hospital, Oregon’s Health & Science UniversitySearch for other works by this author on:
-
Study: Suicide Attempts, Thoughts on the Rise Among Children, Teensp132-132ByMelissa JencoMelissa JencoNews Content EditorSearch for other works by this author on:
-
Trends in Suicide Ideation or Attempts Suggest Worsening Mental Health Problemsp133-133ByLewis First, MD, MSLewis First, MD, MSEditor in Chief, PediatricsSearch for other works by this author on:
-
Hospitalization for Suicide Ideation or Attempt: 2008–2015p134-148ByGregory Plemmons, MD;Gregory Plemmons, MDaMonroe Carell Jr. Children’s Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, TennesseeSearch for other works by this author on:Matthew Hall, PhD;Matthew Hall, PhDbChildren’s Hospital Association, Lenexa, KansasSearch for other works by this author on:Stephanie Doupnik, MD;Stephanie Doupnik, MDcChildren’s Hospital of Philadelphia, Philadelphia, PennsylvaniaSearch for other works by this author on:James Gay, MD, MMHC;James Gay, MD, MMHCaMonroe Carell Jr. Children’s Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, TennesseeSearch for other works by this author on:Charlotte Brown, MD;Charlotte Brown, MDaMonroe Carell Jr. Children’s Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, TennesseeSearch for other works by this author on:Whitney Browning, MD;Whitney Browning, MDaMonroe Carell Jr. Children’s Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, TennesseeSearch for other works by this author on:Robert Casey, MD;Robert Casey, MDaMonroe Carell Jr. Children’s Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, TennesseeSearch for other works by this author on:Katherine Freundlich, MD;Katherine Freundlich, MDaMonroe Carell Jr. Children’s Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, TennesseeSearch for other works by this author on:David P. Johnson, MD;David P. Johnson, MDaMonroe Carell Jr. Children’s Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, TennesseeSearch for other works by this author on:Carrie Lind, MD;Carrie Lind, MDaMonroe Carell Jr. Children’s Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, TennesseeSearch for other works by this author on:Kris Rehm, MD;Kris Rehm, MDaMonroe Carell Jr. Children’s Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, TennesseeSearch for other works by this author on:Susan Thomas, MD;Susan Thomas, MDaMonroe Carell Jr. Children’s Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, TennesseeSearch for other works by this author on:Derek Williams, MD, MPHDerek Williams, MD, MPHaMonroe Carell Jr. Children’s Hospital at Vanderbilt, Vanderbilt University Medical Center, Nashville, TennesseeSearch for other works by this author on:
-
Study: Parents Often Unaware of Adolescents’ Suicidal Thoughtsp149-149ByMelissa JencoMelissa JencoNews Content EditorSearch for other works by this author on:
-
Adolescent Suicidal Thoughts: A Mismatch Between Parent Unawareness and Teen Denialp150-150ByLewis First, MD, MSLewis First, MD, MSEditor in Chief, PediatricsSearch for other works by this author on:
-
Parent-Adolescent Agreement About Adolescent’s Suicidal Thoughts: A Divergencep151-153ByKhyati Brahmbhatt, MD;Khyati Brahmbhatt, MDUniversity of California, San Francisco Benioff Children’s Hospitals, San Francisco, CaliforniaSearch for other works by this author on:Jacqueline Grupp-Phelan, MPH, MDJacqueline Grupp-Phelan, MPH, MDUniversity of California, San Francisco Benioff Children’s Hospitals, San Francisco, CaliforniaSearch for other works by this author on:
-
Parent-Adolescent Agreement About Adolescents’ Suicidal Thoughtsp154-163ByJason D. Jones, PhD;Jason D. Jones, PhDaDepartment of Child and Adolescent Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, Philadelphia, PennsylvaniaSearch for other works by this author on:Rhonda C. Boyd, PhD;Rhonda C. Boyd, PhDaDepartment of Child and Adolescent Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, Philadelphia, PennsylvaniabDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PennsylvaniaSearch for other works by this author on:Monica E. Calkins, PhD;Monica E. Calkins, PhDbDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PennsylvaniaSearch for other works by this author on:Annisa Ahmed, BA;Annisa Ahmed, BAaDepartment of Child and Adolescent Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, Philadelphia, PennsylvaniaSearch for other works by this author on:Tyler M. Moore, PhD;Tyler M. Moore, PhDbDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PennsylvaniaSearch for other works by this author on:Ran Barzilay, MD, PhD;Ran Barzilay, MD, PhDaDepartment of Child and Adolescent Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, Philadelphia, PennsylvaniabDepartment of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PennsylvaniaSearch for other works by this author on:Tami D. Benton, MD;Tami D. Benton, MDaDepartment of Child and Adolescent Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, Philadelphia, PennsylvaniaSearch for other works by this author on:Raquel E. Gur, MD, PhDRaquel E. Gur, MD, PhDaDepartment of Child and Adolescent Psychiatry and Behavioral Sciences, Children’s Hospital of Philadelphia, Philadelphia, PennsylvaniaSearch for other works by this author on:
-
Depression and Suicide in Children and Adolescentsp164-173ByGary R. Maslow, MD, MPH;Gary R. Maslow, MD, MPH*Department of Psychiatry and Behavioral Sciences, Department of Pediatrics, Duke University School of Medicine, Durham, NC.Search for other works by this author on:Kathleen Dunlap, MD, MPH;Kathleen Dunlap, MD, MPH†Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Durham, NC.Search for other works by this author on:Richard J. Chung, MDRichard J. Chung, MD‡Adolescent Medicine, Duke University Medical Center, Departments of Pediatrics and Medicine, Duke University School of Medicine, Durham, NC.Search for other works by this author on:
-
The Importance of Screening Preteens for Suicide Risk in the Emergency Departmentp174-181ByElizabeth C. Lanzillo, BA;Elizabeth C. Lanzillo, BAaOffice of the Clinical, Director, National Institute of Mental Health, Bethesda, MarylandSearch for other works by this author on:Lisa M. Horowitz, PhD,MPH;Lisa M. Horowitz, PhD,MPHaOffice of the Clinical, Director, National Institute of Mental Health, Bethesda, MarylandSearch for other works by this author on:Elizabeth A. Wharff, PhD;Elizabeth A. Wharff, PhDbBoston Children‗s Hospital, Harvard Medical School, Boston, MassachusettsSearch for other works by this author on:Arielle H. Sheftall, PhD;Arielle H. Sheftall, PhDcThe Research Institute at Nationwide Children‗s Hospital, Columbus, OhioeDepartment of Pediatrics, Ohio State, University College of Medicine, Columbus, OhioSearch for other works by this author on:Maryland Pao, MD;Maryland Pao, MDaOffice of the Clinical, Director, National Institute of Mental Health, Bethesda, MarylandSearch for other works by this author on:Jeffrey A. Bridge, PhDJeffrey A. Bridge, PhDcThe Research Institute at Nationwide Children‗s Hospital, Columbus, OhiodDepartments of Psychiatry and Behavioral Health, Ohio State, University College of Medicine, Columbus, OhioeDepartment of Pediatrics, Ohio State, University College of Medicine, Columbus, OhioSearch for other works by this author on:
-
A Quality Improvement Initiative to Reduce Safety Events Among Adolescents Hospitalized After a Suicide Attemptp182-189ByMichelle Noelck, MD;Michelle Noelck, MDaOregon Health and Science University, Portland, OregonSearch for other works by this author on:Maria Velazquez-Campbell, MD;Maria Velazquez-Campbell, MDbThe University of New Mexico, Albuquerque, New MexicoSearch for other works by this author on:Jared P. Austin, MDJared P. Austin, MDaOregon Health and Science University, Portland, OregonSearch for other works by this author on:
-
-
p190-190
