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特刊引言:青少年抑郁症和自杀倾向的基于测量的护理

Introduction to the Special Issue: Measurement Based Care in Youth Depression and Suicidality.

作者信息

Slater Holli, Guzick Andrew G

机构信息

Center for Depression Research and Clinical Care, Peter O'Donnell Jr. Brain Institute, Department of Psychiatry, University of Texas Southwestern Medical Center, Dallas, TX, USA.

Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA.

出版信息

Child Psychiatry Hum Dev. 2025 Aug 9. doi: 10.1007/s10578-025-01890-8.

Abstract

Herein we introduce the Collection "Measurement Based Care in Youth Depression and Suicidality." Measurement-based care (MBC), or the systematic use of measurement tools to inform treatment decisions, has been identified as a key component of providing evidence-based psychiatric care. However, the implementation of MBC at the clinic or health system level is not trivial; barriers to successful implementation are widespread but can be overcome. This Collection presents five manuscripts that cover a range of topics related to the implementation of MBC. The first two articles provide guidance to clinicians and researchers in careful selection of validated measurement tools for depression and suicidality. Next, our authors describe an effort to assess the fidelity of MBC use across the Texas Youth Depression and Suicide Research Network registry study, a statewide longitudinal cohort of depressed and suicidal youth. The following article outlines the benefits, barriers, and implementations strategies to implementing MBC at the health system level. Our final article details the implementation of MBC into a health system and provides data on screening outcomes and related clinical associations.

摘要

在此,我们介绍《青少年抑郁与自杀倾向的基于测量的照护》这一合集。基于测量的照护(MBC),即系统使用测量工具来为治疗决策提供依据,已被确定为提供循证精神科照护的关键组成部分。然而,在诊所或卫生系统层面实施MBC并非易事;成功实施的障碍普遍存在,但可以克服。本合集呈现了五篇手稿,涵盖了与MBC实施相关的一系列主题。前两篇文章为临床医生和研究人员在精心选择用于抑郁和自杀倾向的经过验证的测量工具方面提供了指导。接下来,我们的作者描述了一项在德克萨斯青少年抑郁与自杀研究网络登记研究中评估MBC使用保真度的工作,该研究是一个全州范围内针对抑郁和有自杀倾向青少年的纵向队列研究。下一篇文章概述了在卫生系统层面实施MBC的益处、障碍和实施策略。我们的最后一篇文章详细介绍了MBC在一个卫生系统中的实施情况,并提供了筛查结果及相关临床关联的数据。

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