Screening for Depression and Suicide Risk in Children and Adolescents: A Draft Recommendation Statement from the Japan Preventive Services Task Force

Mukohara, Kei; Kei Miyazaki; Hideki Mori; Kazuya Honda; Ayako Shibata; Masatsugu Sakata; Masaki Futamura; Yusuke Tsugawa

doi:10.51094/jxiv.5350

##article.authors##

Mukohara, Kei Kurume University
Kei Miyazaki Department of General Medicine & General Internal Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
Hideki Mori Department of General Internal Medicine, NHO Nagasaki Medical Center, Omura, Nagasaki, Japan
Kazuya Honda Department of Nursing, Graduate School of Health and Medical Sciences, Junshin Gakuen University (Nurse Practitioner [NP] Course), Fukuoka, Japan
Ayako Shibata Department of Obstetrics & Gynecology, Yodogawa Christian Hospital, Osaka, Japan
Masatsugu Sakata Department of Neurodevelopmental Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan
Masaki Futamura Department of Pediatrics, NHO Nagoya Medical Center, Nagoya, Japan
Yusuke Tsugawa Division of General Internal Medicine and Health Services Research, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA

DOI:

https://doi.org/10.51094/jxiv.5350

キーワード:

Depression、 Suicide 、 Screening、 Children、 Adolescents、 Japan

抄録

The US Preventive Services Task Force (USPSTF) recommends screening for major depressive disorder (MDD) in adolescents aged 12 to 18 years and concludes with moderate certainty that such screening has moderate net benefit. The USPSTF also concludes that the evidence is insufficient to assess the balance of benefits and harms of screening for MDD in children 11 years or younger and for screening for suicide risk in children and adolescents. However, whether screening for MDD and suicide risk in children and adolescents has net benefit in the Japanese population, where youth mental health and suicide are major public health concerns, remains unclear.

The Japan Preventive Services Task Force (JPPSTF) commissioned an independent literature review of screening for MDD and suicide risk in children and adolescents and developed these recommendations.

The JPPSTF concludes with moderate certainty that screening for MDD in adolescents aged 12 to 18 years has at least a small net benefit. The JPPSTF concludes that the evidence is insufficient and the balance of benefits and harms of screening for MDD in children 11 years or younger cannot be determined. The JPPSTF concludes that the evidence is insufficient and the balance of benefits and harms of screening for suicide risk in children and adolescent cannot be determined.

The JPPSTF recommends selectively screening for MDD in adolescents aged 12 to 18 years in Japan (C recommendation). The JPPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for MDD in children 11 years or younger in Japan (I statement). The JPPSTF concludes that the current evidence is insufficient to assess the balance of benefits and harms of screening for suicide risk in children and adolescents in Japan (I statement).

利益相反に関する開示

Dr. Sakata is employed in the Department of Neurodevelopmental Medicine , Nagoya City University Graduate School of Medicine, which is an endowment department supported by the City of Nagoya. He has received a personal fee from Daiichi-Sankyo outside the

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