It is estimated that only about half of teens with depression get diagnosed and then, only about half of them get treated.
We should do better.
And we can, if we start routinely screening all teens for depression.
Teen Depression Screening
The idea of having pediatricians screen for depression isn’t new.
And it hasn’t always been just about screening kids for depression.
In 2010, the American Academy of Pediatrics began to recommend that pediatricians screen new mothers for postpartum depression using the Edinburgh Postpartum Depression Scale or a simpler 2-question screen for depression.
“The primary care pediatrician, by virtue of having a longitudinal relationship with families, has a unique opportunity to identify maternal depression and help prevent untoward developmental and mental health outcomes for the infant and family.”
AAP on Incorporating Recognition and Management of Perinatal and Postpartum Depression Into Pediatric Practice
Next, in 2014, the AAP began to recommend that adolescent depression screening begin routinely at 11 years of age. This recommendation was added to the 2015 Recommendations for Preventive Pediatric Health Care, a policy statement that was published by the AAP Committee on Practice and Ambulatory Medicine and the Bright Futures Periodicity Schedule Workgroup.
They also continued to recommend screening for maternal depression at 1-, 2-, 4-, and 6-month visits.

The latest recommendation is that all “adolescent patients ages 12 years and older should be screened annually for depression (MDD or depressive disorders) with a formal self-report screening tool either on paper or electronically (universal screening).”
Other depression screening tools are also available, including the:
- PHQ-9 modified for Adolescents (PHQ-A)
- Mood and Feelings Questionnaire
- Columbia Depression Scale
- Pediatric Symptom Checklist
- Screen for Child and Anxiety Related Disorders (SCARED)
In addition to yearly depression screening, the latest guidelines also talk about the need to establish treatment plans and safety plans for teens who are depressed.
Signs and Symptoms of Teen Depression
Do you think your teen is depressed?
Have they been sad or angry on most days?
Does it seem like they don’t care about their usual activities anymore, aren’t sleeping well, are always tired, or have had a big change in their weight recently?
Are they doing poorly at school, seem extra sensitive to criticism, or have a lot of unexplained aches and pains?
Has your teen had thoughts of dying or suicide?
Call your pediatrician if you think that your teen is depression, or seek more immediate help if you think that your teen might hurt themselves.

Unfortunately, signs and symptoms of depression aren’t always easy to recognize in teens.
Hopefully, with universal depression screening, more teens will get diagnosed as early as possible.
What to Know About Depression Screening
It is recommended that pediatricians screen all teens for depression each and every year.
More on Depression Screening
- TXT 4 HELP
- National Suicide Prevention Lifeline
- Bright Futures
- Bright Futures Tool and Resource Kit for Teens
- Screening Teens for Depression
- AAP – Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part I. Practice Preparation, Identification, Assessment, and Initial Management
- AAP – Guidelines for Adolescent Depression in Primary Care (GLAD-PC): Part II. Treatment and Ongoing Management
- AAP – 2017 Recommendations for Preventive Pediatric Health Care
- AAP – 2015 Recommendations for Preventive Pediatric Health Care
- AAP – Incorporating Recognition and Management of Perinatal and Postpartum Depression Into Pediatric Practice
- AAP – The Future of Pediatrics: Mental Health Competencies for Pediatric Primary Care
- AAP – Screening for Depression in Children and Adolescents: US Preventive Services Task Force Recommendation Statement
- H.E.A.D.S.S. – A Pyschosocial Interview For Adolescents
- Clinical Rating Scales
- Bright Futures Developmental, Behavioral, Psychosocial, Screening, and Assessment Forms
- Tools Used for Screening Mental Health Needs
- Overview of the PHQ-2
- Instructions for using the PHQ-2
- PHQ-9 modified for Adolescents (PHQ-A)
- Pediatric Symptom Checklist
- Guidelines for Adolescent Depression in Primary Care (GLAD-PC) Toolkit
- Developmental Screening in Adolescence
- AAP – Mental Health Screening and Assessment Tools for Primary Care
- Child Mental Health: Fact vs. Fiction
- Screening for depression: recommendations and rationale
- Bright Futures in Practice: Mental Health—Volume II, Tool Kit
- Parent’s Guide to Teen Depression
- How to Help Your Depressed Teenager
- A Guide to Psychopharmacology for Pediatricians
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