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Previous Volume 347:667-671 August 29, 2002 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the authors' clinical recommendations.

A 16-year-old boy is brought by his parents to his primary care physician because of a decline in school performance, which began at least three years earlier and has become more severe in the past year. He reports boredom, a lack of enjoyment and motivation, poor self-esteem, a feeling of hopelessness, difficulty sleeping, poor concentration, and passive thoughts of suicide without a . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Evaluation

Treatment

Pharmacotherapy

Psychotherapy

Treatment-Resistant Depression

Treatment of Coexisting Conditions

Treatment of Bipolar Depression

Psychotic Depression

Limiting Access to Lethal Agents

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Western Psychiatric Institute and Clinic, Division of Child and Adolescent Psychiatry, University of Pittsburgh Medical Center, Pittsburgh.

Related Letters:

Adolescent Depression
McGettigan P., Isbister G. K., Whyte I. M., Rappaport N., Brent D. A., Birmaher B.
Extract | Full Text | PDF  
N Engl J Med 2003; 348:473-474, Jan 30, 2003. Correspondence

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