title: Primary care screening of depression and treatment engagement in a university health center: a retrospective analysis.
abstract: OBJECTIVE
  This retrospective study analyzed a primary care depression screening initiative in a large urban university health center. Depression detection, treatment status, and engagement data are presented.
  
  
  METHODS
  Participants were 3,713 graduate and undergraduate students who presented consecutively for primary care services between January and April 2006.
  
  
  METHODS
  A standardized 2-tiered screening approach for an inception cohort of students utilizing primary services. Primary care providers were trained to triage students with depressive symptoms.
  
  
  RESULTS
  Six percent of participants had clinically significant depressive symptoms (CSD). Severe depressive symptoms were found in less than 1.0% of participants. Male rates of severe depressive symptoms were more than double that of females. Only 35.7% of untreated depressed participants started treatment within 30 days following identification.
  
  
  CONCLUSIONS
  Systematic primary care depression screening in a college health center is a promising approach to identify untreated students with depression. More study is needed to improve rates of treatment engagement.
authors.affiliation: Student Health Center, New York University, New York, New York, USA. michael.klein@nyu.edu
authors.forename: Michael C
authors.initials: MC
authors.lastname: Klein
authors.forename: Carlo
authors.initials: C
authors.lastname: Ciotoli
authors.forename: Henry
authors.initials: H
authors.lastname: Chung
mesh_terms: D000328:Adult; D000928:Antidepressive Agents / Q000627:therapeutic use; D003153:Community Health Services; D003863:Depression / Q000175:diagnosis* / Q000188:drug therapy / Q000453:epidemiology; D037001:Directive Counseling; D005240:Feasibility Studies; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D009518:New York / Q000453:epidemiology; D015995:Prevalence; D011320:Primary Health Care / Q000379:methods* / Q000706:statistics & numerical data; D011594:Psychometrics; D012189:Retrospective Studies; D057566:Self Report; D012720:Severity of Illness Index; D012737:Sex Factors; D013333:Student Health Services / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires; D055815:Young Adult
chemical_list: D000928:Antidepressive Agents