Key Terms
Authors
Brittany L. Parmentier, PharmD, MPH, BCPS, BCPP; Michelle L.
WHY SUICIDE OCCURS
Individuals may seek suicide as a solution to biological, psychological, social, cultural, spiritual, economic, and envi
Three interlocking barriers drive poor outcomes
1. Inadequate recognition and diagnosis by healthcare professionals 2.
USPSTF RECOMMENDATION
Screen for depression with adequate systems in place to ensure accurate diagnosis, effective treatment, and appropriate
EVIDENCE BASE
A systematic review by Miller et al. identified 10 published studies in which pharmacists screened for depression using
LIMITATION
Clinical outcomes of pharmacist-led depression screening have not yet been studied. Implementation and evaluation of the
ANTIDEPRESSANT EDUCATION
Pharmacists educate patients that:
CRITERIA STRUCTURE
5 or more of the following 9 symptoms must be present during the same 2-week period; represent a change from previous fu
RJ used
"hopeless," "no energy to deal with," "ashamed," "always letting others down," "not had the desire to leave my home," "n
Major Depressive Episode
A clinical syndrome defined by DSM-5 as 5 or more of 9 specific symptoms present for at least 2 weeks, including depress
Major Depressive Disorder (MDD)
A diagnosis characterized by one or more major depressive episodes in the absence of a history of manic or hypomanic epi
Anhedonia
Markedly diminished interest or pleasure in all or almost all activities; one of the two anchor symptoms required for a
Suicidal Ideation
Thoughts about, or an unusual preoccupation with, suicide; ranges from passive thoughts of death to active planning.
Safety Plan
An individualized, written intervention document developed collaboratively with a patient who has suicidal ideation; out
Comorbidity
The co-occurrence of two or more conditions in the same patient; depression frequently accompanies chronic medical condi