title: Training general practitioners in the identification and management of adolescent depression within the consultation: a feasibility study.
abstract: BACKGROUND
  Depressive disorders are common in adolescent general practice attenders.
  
  
  METHODS
  Adolescent attenders were screened/interviewed for depressive disorders, general practitioners (GPs) completed a checklist indicating recognition of psychopathology prior to and following GP training in the identification/management of adolescent depression.
  
  
  RESULTS
  One hundred and thirty consecutive adolescent attenders were screened before and 184 after training. Ten GPs completed the training. Psychiatric interviews with 38 adolescents with high depressive scores prior to and 44 following training identified 10 (26%) and 21 (48%), respectively, as clinically depressed. Sensitivity of GP identification improved from 2/10 (20%) to 9/21 (43%) without loss of specificity; predictive validity from 2/6 (33%) to 9/12 (75%). Adolescents interviewed appreciated the intervention.
  
  
  CONCLUSIONS
  Training GPs is feasible and may improve recognition of adolescent depression.
authors.affiliation: The Academic Unit of Child and Adolescent Psychiatry, Faculty of Medicine, Imperial College of Science, Technology and Medicine, London, UK. j.gledhill@ic.ac.uk
authors.forename: Julia
authors.initials: J
authors.lastname: Gledhill
authors.forename: Tami
authors.initials: T
authors.lastname: Kramer
authors.forename: Steven
authors.initials: S
authors.lastname: Iliffe
authors.forename: M Elena
authors.initials: ME
authors.lastname: Garralda
mesh_terms: D000293:Adolescent; D003863:Depression / Q000175:diagnosis* / Q000628:therapy; D005194:Family Practice; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D011613:Psychotherapy; D012680:Sensitivity and Specificity