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With the increased prevalence of reported cases of depression and suicidal ideation
among adolescents, their assessment is crucial due to the associated potential severity. The
process entails the evaluation of depressive signs, exploring suicidal thoughts, and
comprehending coping strategies. Some of the most important tools include the Patient Health
Questionnaire-9 (PHQ-9) and the Screen for Child Anxiety-Related Emotional Disorders
(SCARED), which help in the identification of depression and anxiety in adolescents (Jeffrey et
al., 2020). The PHQ-9 is a self-administered screening tool for patients 13 years and older for the
presence and severity of depressive symptoms. At the same time, SCARED is a self-report and
caregiver-report tool for anxiety in adolescents. The two tools promote the comprehension of the
mental health status of adolescents (Jeffrey et al., 2020).
The involvement of adolescents in psychotherapy is essential to help them deal with
mental health problems. Play therapy, which involves using toys and art, enables the child to
express himself or herself nonverbally. This is particularly useful for children who may have
difficulties expressing themselves through words (AACAP, 2019). Similarly, another evidence-
based treatment is Parent-Child Interaction Therapy (PCIT), which is based on the enhancement
of parent-child relationships through the process of guided interactions. This can help to decrease
the child’s problematic behavior and increase communication (AACAP, 2019).
Additionally, parents should be involved in the assessment process since they can give
information about the changes in the adolescent’s behavior and mood in different contexts
(AACAP, 2019). According to Shat et al. (2023), with increased rates of high suicide rates
among minors, early identification and management are crucial in preventing them. A
comprehensive assessment of the patient, along with the right kind of interventions, is crucial in
the treatment of depression and preventing the patient from engaging in self-harm.
References
Jeffrey, J., Klomhaus, A., Enenbach, M., Lester, P., & Krishna, R. (2020). Self-Report Rating
Scales to Guide Measurement-Based Care in Child and Adolescent Psychiatry. Child and
Adolescent Psychiatric Clinics of North America, 29(4), 601–
629. [Link] to an external site.
The American Academy of Child and Adolescent Psychiatry. (2019, April). Psychotherapy for
Children and Adolescents: Different Types.
[Link]
[Link]
Shah, H., Somaiya, M., Chauhan, N., & Gautam, A. (2023). Clinical Practice Guidelines for
Assessment and Management of Children and Adolescents Presenting with Psychiatric
Emergencies. Indian journal of psychiatry, 65(2), 159–174.
[Link]