Depression in Children and Adolescents Screening 
Routine inquiry about depression 
Maintain confidentiality Evaluation 
Assess for risk of harm to self or others 
AND 
Identify past or present negative events, environmental factors, current support systems and family history 
Frequent follow-up for 6-12 months Acute Treatment Brief or uncomplicated Comorbid conditions 
Education Support Family School 
Medication: SSRIs 
Continuation phase (for all subjects for 6-12 months) 
Non-response or more complicated AND 
Seek comorbid psychiatric 
and medical disorders 
Risk factors recommend early screening and intervention 
Be alert for side effects 
(for some subjects for ≥ 1 year) 
Maintenance phase