title: Effects associated with adolescent standardized patient simulation of depression and suicidal ideation.
abstract: BACKGROUND
  Because of common use of adolescent simulated patients (ASPs), clarification of the risk of negative effects associated with high-stress simulations is essential. This study evaluates the safety of suicidality simulations.
  
  
  METHODS
  ASPs participated in a suicidality role or pediatric role. Explicit measures of their impact included the Suicidal Ideation Questionnaire (SIQ) and Reynolds Adolescent Depression Scale-2 (RADS-2), both of which were completed pre-/poststudy. Implicit behavioral measures of impact were also collected during training, including the Implicit Association Test.
  
  
  RESULTS
  Three of the 24 participants had clinical RADS-2 and/or SIQ scores. None of these adolescents' mental status deteriorated with SP participation. ASPs in the suicidality role showed behavioral effects consistent with a negative reaction, and two reported brief depression.
  
  
  CONCLUSIONS
  ASPs participated in a suicidality simulation without evidence of suicide contagion. However, ASPs' behavioral reactions and self-reported depression suggested a transient depressive reaction.
authors: HSC 3G41, McMaster University, Hamilton, ON, L8N 3Z5, Canada. hansonm@mcmaster.ca
authors: Mark D
authors: MD
authors: Hanson
authors: Anne
authors: A
authors: Niec
authors: Anna Marie
authors: AM
authors: Pietrantonio
authors: Samantha
authors: S
authors: Johnson
authors: Meredith
authors: M
authors: Young
authors: Bradley
authors: B
authors: High
authors: Harriet
authors: H
authors: MacMillan
authors: Kevin W
authors: KW
authors: Eva
mesh_terms: D000293:Adolescent; D003863:Depression / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D016544:Patient Simulation; D010817:Physician-Patient Relations; D012307:Risk Factors; D013405:Suicide / Q000523:psychology*; D011795:Surveys and Questionnaires