how do adolescents define depression? - cIRcle - University of ...

PROTOCOL FOR REFERRALS TO A PARENT OR A GUARDIAN
Appendices
ADOLESCENTS' UNDERSTANDING OF DEPRESSION AND HELP-SEEKING
BEHAVIORS
Suicidal Ideation/Possible Suicidality
1. For Question #14 in the RADS-2: "I feel like hurting myself" (4) Most of the
time; (3) Sometimes; (2) Hardly ever; (1) Almost never
2. If a respondent responds with:
♦ Ql: You have reported that "you feel like hurting yourself (Sometimes or
Most of the time). Are you thinking now about hurting yourself?
4 If YES: and the respondent agrees to have an appointment booked for them
with the school counsellor:
Action- the school counsellor will be provided with JUST the name of the participant, set up a
time for the respondent to meet with the school counsellor, and have the school counsellor
contact the respondent with the booking. Also contact the parent (a sentence is included in the
Parental/Guardian Consent form stating that "You and the school counsellor will be contacted if
your child expresses that he or she 'feels like hurting themselves now". The communication to
the Parent/Gurdian will include stating that we have recommended their child to book in with the
school counsellor (see Parental letter). The Student Recruitment Letter and the Student Assent
form will include the sentence stating that "Your parent and the school counsellor will be notified
if you express that "you feel like hurting yourself now". The communication will involve stating
that we have recommended that your child make an appointment with the school counsellor.
If the respondent's answer is No to agreeing to setting up an appointment with the school
counsellor:
ACTION- the school counsellor will be provided the name of the participant and will be
informed that we have recommended this participant make contact with the school counsellor.
Also, the parent/guardian will be contacted that we are recommending that their child check in
with the school counsellor for further follow up and have passed on their child's name to the
school counsellor.
RADS-2 raw score range 76-120 or >61T on the Depression Total Scale, or a score of 4 on
Critical Items 3, 6, 19, 20, and 30 on the RADS-2, or a score of 3 or more on the Critical
Items that include Critical Item 14 (self-destructive behavior), or a combination of a raw
score range of 76-120 (or 61T) on the Depression Total Scale and a score of 4 on Critical
Items 3, 6, 19, 20, and 30 or 3 or more Critical Items that also include Item 14
Note: If a respondent answers 3 or 4 on the suicide question as well as experiencing potential
depression, the suicide ideation protocol supersedes the depression protocol if the respondent
answers Yes to Q 1, there is no need to do both.
Note: For Depression scores above the cut off rate or a score of 4 on Critical Items 3, 6, 19, 20,
and 30, or a score of 3 on all Critical Items including Item #14, the respondents are only referred
to the school counsellor for further evaluation of potential depression and a note is sent to the
parents.
1. A note will be sent to the parent/guardian if their child is referred to the school counsellor.
250