根据一项新的研究Penn State College of Medicine研究人员。
Deepa Sekhar博士那associate professor of pediatrics, who served as principal investigator, said the study provides important insights on how to tackle depression in youth. The next step will be to look for ways to break down barriers so that school districts interested in implementing depression screening can effectively do so.
“我们的研究是更adole出版的时候scents are reporting symptoms of depression,” said Sekhar, a pediatrician atPenn State Health Children’s Hospitaland executive director of宾州州Pro健康. “From 2008 to 2018, the numbers increased by over 70% from 8.3% to 14.4%. During the pandemic, concerns about increasing student depression have been widespread. Suicides, which are often associated with mental health conditions, are now the second-leading cause of adolescent death.”
宾夕法尼亚州立主持人，培养了研究努力，开展了各种社区从事教育计划和研究研究。Sekhar强调鉴于学校学生之间的未核心心理健康需求的发病率日益增长，筛选筛选的高需求。
“This research shows we do have better ways to reach students,” she said.
由于大多数儿童和青少年都在公共教育中，所以在学校的筛查可能是识别症状和治疗抑郁症的更有效的方法，Sekhar补充道。仅根据医生和其他医疗专业人员来发现抑郁症是不够的。虽然美国预防性服务工作队建议普遍抑郁症筛查12至18岁的初级保健，不到一半的美国青少年有常规医生检查，甚至更少筛选。学校目前正在开展愿景和听证筛查，以确定学生学术成功的障碍，但Sekhar指出，抑郁症也会影响学术成功。
The three-year study was unique from previous ones on student depression because of its large size. More than 12,000 students in 9th through 12th grade, from 14 Pennsylvania public high schools, were involved, Sekhar said. Another distinctive element was that students were predominantly minority, from urban and rural districts, and many were from low socioeconomic backgrounds.
在每个学校，通过建立的调查问卷随机分配了四个高中级别的两种高中级别水平的学生。除了基于关于行为的行为被标记的情况下，其他成绩的学生通过宾夕法尼亚州的国家任务援助计划，通过宾夕法尼亚州的国家任务援助计划进行了筛选和支持。
研究人员发现，令人抑制症状的普遍学校筛查增加了青少年抑郁症的鉴定和治疗开始。该研究还发现，虽然这些群体没有明显更大的治疗开始，但研究还会更好地鉴定女性和少数民族学生之间的抑郁症状。总体而言，接受普遍筛查的学生可能是发起治疗的两倍。研究人员发表了他们的发现在Jama网络开放。
“看看结果，”Sekhar说，“我们希望关注哪些学区，全国，需要实施通用筛查计划。我们知道从管理员的支持将是关键，以及明确的策略和程序，用于筛选和随访。向学校和家庭强调筛选的家庭也很重要，只是识别症状，并没有诊断抑郁或任何其他心理健康状况。“
研究人员与包括父母，学生，学校工作人员和学生援助计划的利益相关者合作。Sekhar表示，学区在研究中兴奋，非常有用。学校参与在2018年至19日和2019-20学年中交错了。
“我们参加学校的工作人员非常令人惊叹;他们愿意和我们一起飞跃，“她说。“那里有很多伟大的教育工作者令人难以置信的致力于他们的学生。”
James Waxmonsky那Jennifer Kraschnewski，Eric Schaefer，Krista Pattison和宾夕法尼亚州立医学院的Alissa Molinari;莱斯利沃克 - 哈特西雅图儿童;而Perri Rosen的Garrett Lee Smith青年自杀预防补助金也为这项研究做出了贡献。宾州国家研究人员披露了任何相关的利益冲突。
The research was supported by a Patient Centered Outcomes Research Institute (PCORI) Award (AD-2017C3-8752) totaling $2.03 million and also by the Health Resources and Services Administration of the U.S. Department of Health and Human Services as part of an award totaling $900,000 (R40MC31765). The use of Research Electronic Data Capture in this project was supported by the National Center for Advancing Translational Sciences of the National Institutes of Health through Penn State Clinical and Translational Science Institute (grant UL1 TR002014). The views presented in this publication are solely the responsibility of the authors and do not necessarily represent the views of the study sponsors.