![]() ![]() Ideal screening instruments are brief, easy to understand for patients, simple to score, available without cost, and have strong performance characteristics. The four instruments identified each have potential limitations for application in primary care including cost to administer a patented instrument, 3 length of the screening instrument, 4, 5 algorithm based scoring rather than symptom scoring, 6 and the ability to be a stand alone screener for depression. 2 Two of the studies evaluated the same instrument, thus four screening instruments were tested. 1 However, a recent systematic review identified only five studies with adequate psychometric data on sensitivity and specificity of depression screening instruments in primary care. In response to the growing evidence for effective treatments for depression among adolescents, the US Preventive Services Task Force now recommends screening for depression among adolescents in primary care settings. ![]()
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