scholarly journals Correction to: Targeted provider education and pre-visit planning increase rates of formal depression screening in childhood-onset SLE

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Evan Mulvihill ◽  
Rebecca Furru ◽  
Alana Goldstein-Leever ◽  
Kyla Driest ◽  
Stephanie Lemle ◽  
...  
2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Evan Mulvihill ◽  
Rebecca Furru ◽  
Alanna Goldstein-Leever ◽  
Kyla Driest ◽  
Stephanie Lemle ◽  
...  

Abstract Background Despite being at high risk for depression, patients with childhood-onset systemic lupus erythematosus (c-SLE) are infrequently and inconsistently screened for depression by their pediatric rheumatologists. We aimed to systematically increase rates of formal depression screening for c-SLE patients in an academic Pediatric Rheumatology clinic. Methods Our multi-disciplinary quality improvement (QI) team used electronic health record (EHR) documentation to retroactively calculate baseline rates of documented depression screening using the Patient Health Questionnaire-9 (PHQ-9). We then engaged key stakeholders to develop a clinical workflow for formal depression screening in the clinic. We also provided education to providers regarding mental health disorders in c-SLE, with an emphasis on prevalence, screening methods, and management of positive screens. We then used the Plan-Do-Study Act (PDSA) method of QI to systematically evaluate and adjust our process in real time. The primary outcome was the percentage of patients with c-SLE seen per month who had a documented PHQ-9 screening within the past year. Results The percentage of children with documented PHQ-9 results ranged from 0 to 4.5 % at baseline to 91.0 % within 12 months of project initiation. By the end of the project, monthly screening rates greater than 80 % has been sustained for 10 months. As a result of these efforts, twenty-seven (48.2 %) patients with at least mild depressive symptoms were identified while seven (12.5 %) with thoughts of self-harm were referred to appropriate mental health resources. Conclusions Routine formal depression screening is feasible in a busy subspecialty clinic. Using QI methods, rates of formal depression screening among children with c-SLE were increased from an average of 3.3 % per month to a sustained monthly rate of greater than 80 %. Individuals with depressive symptoms and/or thoughts of self-harm were identified and referred to appropriate mental health resources.


2005 ◽  
Vol 39 (8) ◽  
pp. 26
Author(s):  
CHRISTINE KILGORE
Keyword(s):  

2007 ◽  
Vol 41 (3) ◽  
pp. 28
Author(s):  
MICHAEL S. JELLINEK

Crisis ◽  
2010 ◽  
Vol 31 (2) ◽  
pp. 100-108 ◽  
Author(s):  
Hirofumi Oyama ◽  
Tomoe Sakashita ◽  
Kei Hojo ◽  
Naoki Watanabe ◽  
Tohru Takizawa ◽  
...  

Background: In addition to implementing a depression screening program, conducting a survey beforehand might contribute to suicide risk reduction for the elderly. Aims: This study evaluates outcomes of a community-based program to prevent suicide among individuals aged 60 and over, using a quasiexperimental design with an intervention region (41,337 residents, 35.1% aged 60 and over) and a neighboring reference region. Methods: Our 2-year intervention program included an anonymous survey by random sample in the entire intervention region and, in the second year, a depression screening with follow-up by a psychiatrist in the higher-risk districts. Changes in the risk of completed suicide were estimated by the incidence-rate ratio (IRR). Results: The risk for men in the intervention region was reduced by 61% (age-adjusted IRR = 0.39; 90% CI = 0.18–0.87), whereas there was a (statistically insignificant) 51% risk reduction for women in the intervention region, and no risk reduction for either men or women in the reference region. The ratio of the crude IRR for elderly men in the intervention region to that for all elderly men in Japan was estimated at 0.42 (90% CI = 0.18–0.92), showing that the risk reduction was greater than the national change. Conclusions: The management of depression through a combination of an initial survey and subsequent screening holds clear promise for prompt effectiveness in the prevention of suicide for elderly men, and potentially for women.


2006 ◽  
Author(s):  
Nathan Wray ◽  
Tamara Waymentq ◽  
Theresa Stueland Kay ◽  
Dianna Rangel

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