Introduction Depression is the leading cause of disability in the world and with the rates of suicides and violent acts portrayed against schools by other students there has to be a way to screen for depression and suicidal ideations. According to the National Institute of Mental Health, “In 2015, an estimated 3 million adolescents aged 12 to 17 in the United States had at least one major depressive episode in the past year. This number represented 12.5% of the US population aged 12 to 17” (NIMH, 2016). “Suicide is the second leading cause of adolescent death in Europe, third in the US and fourth globally. In Europe, the annual suicide rate for 15–19 year olds is 4.8 per 100,000. In a large epidemiological survey con- ducted in the US, 13.8 …show more content…
The three parts of this framework involve the structure, which is the factors, characteristics, or population that is involved with the research. The process is the interventions or plans that are introduced to influence the outcome. The outcome part of the model is the positive, neutral, or negative changes from the process. Donabedian used this framework to evaluate the research of quality assessment in healthcare standards (Ayanian and Markel, 2016). Donabedian in his framework “called for a broader approach to quality measurement that extended beyond the technical management of illness to incorporate assessments of prevention, rehabilitation, coordination, and continuity of care, the patient-physician relationship, economic efficiency, and societal values” (Ayanian and Markel, 2016). Using how Donabedian called for a broader approach than just looking at the technical treatment of illness but assessing preventive measures and societal values mental health among adolescents can be improved by looking at the structure which is adolescents aged 12-17 years; adding the process which is mental health screening and mental health promotion inside the school system will influence the outcome in positive changes in decreased mental health emergencies, decreased rates of suicide and violence, and increased results in …show more content…
The articles used are mixtures of qualitative and quantitative research studies. These studies have used questionnaires, focus groups, interviews, observations and documents. The questionnaires used are: Paykel Suicide Scale, Strengths and Difficulties Questionnaire, Beck Depression Inventory II, Zung Self Rated Anxiety Scale, Who Well Being Scale, Deliberate Self Harm Inventory, PHQ-A, Rapid Assessment for Adolescent Preventive Services, Short Mood and Feelings Questionnaire, Revised Child Anxiety and Depression Scale, Rosenberg Self-esteem Scale, Children’s Automatic Thought Scale, Social and Health Assessment, and Kiddie-Schedule for Affective Disorders and