A Narrative Review of Depression and Suicide in Adolescent Females to Guide Assessment and Treatment Recommendations.

STUDY OBJECTIVE: Suicide is a leading cause of death for adolescents. Medical professionals are increasingly being asked to screen for depressive symptoms and suicidal ideation with little training. The purpose of this paper is to review factors related to suicidal thoughts and actions, assessment of symptoms, and initial suggestions for treatment for medical providers. METHODS: A literature review of risk and resilience factors, assessment measures, and treatment options for depression and suicidal ideation and behavior in adolescent females was conducted. RESULTS: Given the higher risk of suicidal thoughts and depressive symptoms in adolescent females, accurate and thorough assessment of symptoms is recommended. CONCLUSION: Medical providers should be aware of symptoms related to depression and suicidal ideation in order to provide more effective assessments. Recommendations for brief assessment measures that can be used in the clinic and possible first line treatments are provided.

Role of Psychologists in Pediatric Endocrinology.

The care of youth managed within pediatric endocrine clinics is complex and requires a multi- or interdisciplinary approach. Psychosocial aspects of chronic health conditions are well-documented. Clinical practice guidelines outline the importance of routine psychosocial screening and support for youth with diabetes and obesity. This article outlines the diverse role of psychologists in pediatric endocrinology, including screening, in-clinic intervention, outpatient psychological services, and inpatient consultation. Although research exists documenting the effectiveness of behavioral interventions to improve adherence and health-related quality of life, cost analysis research is emerging.

Pediatric obesity epidemic: problem and solutions.

Over the past few decades, pediatric obesity has become a national epidemic. Up to one third of American children and adolescents currently meet criteria as overweight or obese, placing them at risk for obesity into adulthood. Multiple acute and chronic medical conditions are increasing in prevalence among youth due to their overweight status. In addition, obesity can result in serious problems related to psychosocial functioning. Efforts at prevention and treatment must address the multifactorial causes and consequences of pediatric obesity. Though many programs have been proposed, more work is needed in this area to successfully combat the problem of pediatric obesity.