title: [Integral Care Guide for Early Detection and Diagnosis of Depressive Episodes and Recurrent Depressive Disorder in Adults. Integral Attention of Adults with a Diagnosis of Depressive Episodes and Recurrent Depressive Disorder: Part I: Risk Factors, Screening, Suicide Risk Diagnosis and Assessment in Patients with a Depression Diagnosis].
abstract: BACKGROUND
  Depression is an important cause of morbidity and disability in the world; however, it is under-diagnosed at all care levels.
  
  
  OBJECTIVE
  The purpose here is to present recommendations based on the evidence gathered to answer a series of clinical questions concerning risk factors, screening, suicide risk diagnosis and evaluation in patients undergoing a depressive episode and recurrent depressive disorder. Emphasis has been made upon the approach used at the primary care level so as to grant adult diagnosed patients the health care guidelines based on the best and more updated evidence available thus achieving minimum quality standards.
  
  
  METHODS
  A practical clinical guide was elaborated according to standards of the Methodological Guide of the Ministry of Social Protection. Recommendation from guides NICE90 and CANMAT were adopted and updated so as to answer the questions posed while de novo questions were developed.
  
  
  RESULTS
  Recommendations 1-22 corresponding to screening, suicide risk and depression diagnosis were presented. The corresponding degree of recommendation is included.
authors.affiliation: Médico psiquiatra, MSc Epidemiología Clínica, Psiquiatra de Enlace, Psicoanalista, profesor titular Departamento de Psiquiatría y Salud Mental, director Departamento de Psiquiatría y Salud Mental, director Departamento de Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Director GAI Depresión, codirector CINETS, Bogotá, Colombia. Electronic address: cgomez@javeriana.edu.co.
authors.forename: Carlos
authors.initials: C
authors.lastname: Gómez-Restrepo
authors.affiliation: Médica psiquiatra, Maestría Epidemiología Clínica, profesora Departamento de Psiquiatría y Salud Mental, Pontificia Universidad Javeriana, Coordinadora GAI Depresión, Bogotá, Colombia.
authors.forename: Adriana Patricia Bohórquez
authors.initials: AP
authors.lastname: Peñaranda
authors.affiliation: Médica psiquiatra, MSc, PhD Epidemiología, profesora Departamento de Psiquiatría, Universidad de Antioquia, Medellín, Colombia.
authors.forename: Jenny García
authors.initials: JG
authors.lastname: Valencia
authors.affiliation: Médica psiquiatra, MSc Epidemiología Clínica, profesora Departamento de Psiquiatría y Salud Mental Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Maritza Rodríguez
authors.initials: MR
authors.lastname: Guarín
authors.affiliation: Médica, residente de tercer año, asistente de investigación, Departamento de Psiquiatría y Salud Mental, Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Eliana Bravo
authors.initials: EB
authors.lastname: Narváez
authors.affiliation: Médico psiquiatra, MSc Farmacología, profesor titular Departamento de Psiquiatría, Universidad Nacional de Colombia, delegado Asociación Colombiana de Psiquiatría, Bogotá, Colombia.
authors.forename: Luis Eduardo
authors.initials: LE
authors.lastname: Jaramillo
authors.affiliation: Médico psiquiatra, MSc Epidemiología Clínica, profesor titular Departamento de Psiquiatría, Universidad de Antioquia, Medellín, Colombia.
authors.forename: Carlos Alberto Palacio
authors.initials: CA
authors.lastname: Acosta
authors.affiliation: Médico psiquiatra, MSc Epidemiología Clínica, profesor titular Departamento de Psiquiatría, Universidad Nacional de Colombia, Bogotá, Colombia.
authors.forename: Ricardo Sánchez
authors.initials: RS
authors.lastname: Pedraza
authors.affiliation: Médico residente Psiquiatría, asistente de investigación, Departamento de Psiquiatría y Salud Mental, Epidemiología Clínica y Bioestadística, Pontificia Universidad Javeriana, Bogotá, Colombia.
authors.forename: Sergio Mario Castro
authors.initials: SM
authors.lastname: Díaz
keywords: Guía de práctica clínica; Practice guideline; depressive disorder; factores de riesgo; risk factors; screening; suicide; suicidio; tamizaje; trastorno depresivo