TY - JOUR
AU - J. D. Jones
AU - M. Davis
AU - S. Reagan
AU - C. Hatkevich
AU - J. Leonard
AU - K. T. G. Schwartz
AU - J. Figueroa
AU - J. F. Young
A1 - 
AB - OBJECTIVE: To examine the degree to which a broadband behavioral health screener administered in preadolescence in primary care (PC) could serve as an early risk indicator for depression and suicide risk in adolescence. METHODS: Participants included 9329 patients who attended well visits at 9 and 12 years old in a large pediatric PC network. The sample was 49% female, 64% White, 18% Black, 4% Asian, 14% other races, and 6% Hispanic/Latinx. Caregivers completed the Pediatric Symptom Checklist (PSC-17) about their child at age 9; youth completed the Patient Health Questionnaire-9 Modified for Teens (PHQ-9-M) at age 12. RESULTS: After adjusting for demographic covariates, patients scoring above the risk cutoffs on the PSC-17 total scale and subscales (internalizing, externalizing, and attention) at age 9 had significantly greater odds of elevated depression and/or suicide risk on the PHQ-9-M at age 12 (odds ratios: 2.41-4.23, P < .001). Approximately one third of patients with depression (sensitivity: 37.1%) or suicide (sensitivity: 33.3%) risk at age 12 were identified as at risk on the PSC-17 at age 9. CONCLUSIONS: Results suggest that the PSC-17, a well-researched screener widely used in pediatrics, has moderate predictive value with respect to depression and suicide risk during adolescence. More research is needed on the feasibility and potential benefits of broadband behavioral health screening in preadolescence to promote early identification and prevention efforts.
AD - Department of Child and Adolescent Psychiatry and Behavioral Sciences (JD Jones, M Davis, S Reagan, C Hatkevich, KTG Schwartz, J Figueroa, and JF Young), Children's Hospital of Philadelphia, Philadelphia, Pa; Department of Psychiatry (JD Jones, M Davis, and JF Young), University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa. Electronic address: jonesjd@chop.edu.; Department of Child and Adolescent Psychiatry and Behavioral Sciences (JD Jones, M Davis, S Reagan, C Hatkevich, KTG Schwartz, J Figueroa, and JF Young), Children's Hospital of Philadelphia, Philadelphia, Pa; Department of Psychiatry (JD Jones, M Davis, and JF Young), University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa; Clinical Futures (M Davis), Children's Hospital of Philadelphia, Philadelphia, Pa; Leonard Davis Institute of Health Economics (M Davis), University of Pennsylvania, Philadelphia, Pa.; Department of Child and Adolescent Psychiatry and Behavioral Sciences (JD Jones, M Davis, S Reagan, C Hatkevich, KTG Schwartz, J Figueroa, and JF Young), Children's Hospital of Philadelphia, Philadelphia, Pa.; Department of Biomedical and Health Informatics (J Leonard), Children's Hospital of Philadelphia, Philadelphia, Pa.; Department of Child and Adolescent Psychiatry and Behavioral Sciences (JD Jones, M Davis, S Reagan, C Hatkevich, KTG Schwartz, J Figueroa, and JF Young), Children's Hospital of Philadelphia, Philadelphia, Pa; Department of Psychiatry (JD Jones, M Davis, and JF Young), University of Pennsylvania Perelman School of Medicine, Philadelphia, Pa.
AN - 40246021
BT - Acad Pediatr
C5 - Healthcare Disparities
CP - 6
DA - Aug
DO - 10.1016/j.acap.2025.102833
DP - NLM
ET - 20250415
IS - 6
JF - Acad Pediatr
LA - eng
N2 - OBJECTIVE: To examine the degree to which a broadband behavioral health screener administered in preadolescence in primary care (PC) could serve as an early risk indicator for depression and suicide risk in adolescence. METHODS: Participants included 9329 patients who attended well visits at 9 and 12 years old in a large pediatric PC network. The sample was 49% female, 64% White, 18% Black, 4% Asian, 14% other races, and 6% Hispanic/Latinx. Caregivers completed the Pediatric Symptom Checklist (PSC-17) about their child at age 9; youth completed the Patient Health Questionnaire-9 Modified for Teens (PHQ-9-M) at age 12. RESULTS: After adjusting for demographic covariates, patients scoring above the risk cutoffs on the PSC-17 total scale and subscales (internalizing, externalizing, and attention) at age 9 had significantly greater odds of elevated depression and/or suicide risk on the PHQ-9-M at age 12 (odds ratios: 2.41-4.23, P < .001). Approximately one third of patients with depression (sensitivity: 37.1%) or suicide (sensitivity: 33.3%) risk at age 12 were identified as at risk on the PSC-17 at age 9. CONCLUSIONS: Results suggest that the PSC-17, a well-researched screener widely used in pediatrics, has moderate predictive value with respect to depression and suicide risk during adolescence. More research is needed on the feasibility and potential benefits of broadband behavioral health screening in preadolescence to promote early identification and prevention efforts.
PY - 2025
SN - 1876-2859
SP - 102833
ST - Predicting Adolescent Depression and Suicide Risk Based on Preadolescent Behavioral Health Screening in Primary Care
T1 - Predicting Adolescent Depression and Suicide Risk Based on Preadolescent Behavioral Health Screening in Primary Care
T2 - Acad Pediatr
TI - Predicting Adolescent Depression and Suicide Risk Based on Preadolescent Behavioral Health Screening in Primary Care
U1 - Healthcare Disparities
U3 - 10.1016/j.acap.2025.102833
VL - 25
VO - 1876-2859
Y1 - 2025
ER -