全球儿童青少年抑郁筛查指南综述

Summary of global child and adolescent depression screening guidelines

研究旨在了解全球儿童青少年抑郁筛查指南的研究进展,为中国儿童青少年抑郁症筛查提供参考依据。通过收集全球多个国家或机构有关儿童青少年抑郁筛查指南或专家共识,对搜集到的文献证据进行梳理后发现,目前全球多个国家与机构建议在12~18岁青少年中,基于合适的筛查工具开展青少年抑郁症的普遍性筛查,确保青少年抑郁症的早期发现、治疗及干预;针对12岁以下儿童,目前尚没有充分证据支持普遍性筛查,但建议对高风险儿童开展抑郁症筛查以期早期干预。

The present review aims to summarize update information regarding screening guidelines for depression in children and adolescents across the world,and to provide reference for school-based adolescent depression screening in China.Globally,national guidelines or expert consensus on screening for depression in children and adolescents were collected and reviewed.Majority of these guidelines and expert consensus propose universal screening for depression among adolescents aged 12 to 18 years based on appropriate screening tools,which ensure the early detection,treatment and intervention of adolescent depression.However,there lacks sufficient evidence to support universal screening for children under 12 years of age,except for those with high-risk for depression.