> Surgeon Generals Mental Health Report Chapter Three: Overview of Mental Disorders in Children: Depression and Suicide in Children and Adolescents: Treatment: Treatment: Community-Based Suicide Prevention

Mental Health: A Report by the Surgeon General


Provided by David Satcher, M.D., Ph.D.
Surgeon General of the United States of America

Chapter 3: Children and Mental Health

Overview of Mental Disorders in Children

Depression and Suicide in Children and Adolescents

Treatment

Suicide

Community-Based Suicide Prevention

The principal public health approaches to suicide prevention have been (1) crisis hotlines8; (2) restrictions covering access to suicide methods; (3) media counseling to minimize imitative suicide; (4) indirect case-finding by educating potential gatekeepers, teachers, parents, and peers to identify the warning signs of an impending suicide; (5) direct case-finding among high school or college students or among the patients of primary practitioners by screening for conditions that place teens at risk for suicide; and (6) training professionals to improve recognition and treatment of mood disorders. As discussed below, the level of evidence for these strategies varies. There is more support for direct case-finding and improved recognition and treatment of mood disorders than for the other strategies.

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