Pediatric Depression and Suicide

Question 1

HEADSS based interview questions

Answer 1

home, education, activities, drugs, sexuality, suicide

Question 2

DSM criteria for pediatric depression

Answer 2

at least 5 symptoms for 2 weeks and at least one symptom must be depressed mood or anhedonia

Question 3

series of unintentional and purposeless motions that stem from mental tension and anxiety of an individual

Answer 3

psychomotor agitiation

Question 4

What do the following have in common: somatic complaints, psychomotor agitation, hallucinations, school refusal, phobias

Answer 4

Depressive symptoms in children and pre-pubertal youth

Question 5

What do the following have in common: Low self esteem, apathy, boredom, Substance use, Change in weight, sleep or grades. Aggression. Social withdrawal

Answer 5

Depressive symptoms in adolescents and post-pubertal youth

Question 6

Used to carry out most suicides

Answer 6

firearms

Question 7

What must all treatment plans for depressed patients include?

Answer 7

safety plan

Question 8

Treatment options for pediatric patients

Answer 8

cognitive behavioral therapy, interpersonal psychotherapy, SSRIs

Question 9

Based on the principle that one’s thoughts, feelings and behaviors affect one another. Goal of treatment is to modify the negative thoughts and behaviors.

Answer 9

cognitive behavior therapy

Question 10

Based on the principle that depression occurs in an interpersonal context. Goal of treatment is to address the interpersonal problems that may be contributing to or resulting from the depression

Answer 10

Interpersonal Psychotherapy

Question 11

SSRIs approved for kids and the corresponding age groups

Answer 11

fluoxetine (Prozac) 8 yrs and up. excitalopram (Lexapro) 12 yrs and up

Question 12

First line SSRI treatment and it’s effective dose

Answer 12

Fluoxetine (Prozac) 20mg. Start at 10mg and taper up every 1-2 weeks.

Question 13

How long should you wait out mild SSRI side effects like HA and GI upset?

Answer 13

one week then decrease med

Question 14

Common SSRI side effects

Answer 14

HA, GI upset, insomnia, agitation, anxiety

Question 15

present with more somatic symptoms and more likely to have psychomotor agitation

Answer 15

younger children

Question 16

present with social withdrawal, substance use and psychomotor depression

Answer 16

teenagers

Question 17

Other disorders you need to rule out for depression

Answer 17

mono, medication SE, hypothyroidism, anemia

Question 18

3rd leading cause of death in adolescents

Answer 18

suicide

Question 19

When does risk for suicide increase?

Answer 19

as the patient recovers some from depression and has more energy and motivation

Question 20

Expressing self destructive thoughts, drawing morbid pictures, using death as a theme during play, listening to music that centers around death, or playing video games that have a self-destructive theme

Answer 20

Suicidal behaviors

Question 21

Teens at high risk for suicide

Answer 21

Those with a family history of a first degree relative who committed suicide and have an organized plan