Screening for Depression and Suicide Risk in Adults: 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.6305

##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, 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; Department of Health Policy and Management, UCLA Fielding School of Public Health, Los Angeles, CA, USA

DOI:

https://doi.org/10.51094/jxiv.6305

キーワード:

Depression、 Suicide Risk、 Screening、 Adults、 Japan

抄録

The US Preventive Services Task Force (USPSTF) recommends screening for major depressive disorder (MDD) in adults, including pregnant and postpartum persons, and concludes with moderate certainty that such screening has a moderate net benefit. The USPSTF also concludes that the evidence is insufficient to assess the balance of benefits and harms of screening for suicide risk in adults, including pregnant and postpartum persons. However, it remains unclear whether screening for MDD and suicide risk in adults, including pregnant and postpartum persons, provides a net benefit for the Japanese population, where depression and suicide represent substantial public health burdens.

The Japan Preventive Services Task Force (JPPSTF) commissioned an independent literature review of screening for MDD and suicide risk in adults, including pregnant and postpartum persons.

The JPPSTF concludes with moderate certainty that screening for MDD in adults, including pregnant and postpartum persons, has a moderate net benefit. The JPPSTF concludes that the evidence is insufficient and that the balance of benefits and harms of screening for suicide risk in adults, including pregnant and postpartum persons, cannot be determined.

The JPPSTF recommends screening for MDD in adults, including pregnant and postpartum persons, in Japan, when implemented with adequate systems in place to ensure diagnostic confirmation, effective treatment, and appropriate follow-up (B recommendation; see Pathway to Benefit). The JPPSTF concludes that the evidence is insufficient to assess the balance of benefits and harms of screening for suicide risk in adults, including pregnant and postpartum persons, in Japan (I statement).

利益相反に関する開示

Dr. Sakata is employed by an endowed department at Nagoya City University Graduate School of Medicine supported by the City of Nagoya and has received personal fees from Daiichi Sankyo outside the submitted work. Dr. Tsugawa receives funding from the NIH and Gregory Annenberg Weingarten, GRoW @ Annenberg for unrelated work and serves on the board of directors of M3, Inc. The other authors declare no conflicts of interest.

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