Does USPSTF include adolescent depression screening?

• A. No
• B. Yes, includes depression screening for adolescents and adults with appropriate follow-up
• C. Yes, but only for adults
• D. Yes, but only with no follow-up

Answer: (B)

The main idea is that depression screening in primary care is recommended only when there is a solid plan for what happens after a positive screen. The USPSTF includes both adolescents and adults in its depression screening recommendations, but the benefit is contingent on having appropriate follow-up. This means using validated, age-appropriate screening tools and ensuring a diagnostic evaluation, referral or treatment, and ongoing monitoring after a positive screen, with attention to safety planning if there’s suicide risk. Because the guideline explicitly covers adolescents as well as adults and links screening to the availability of follow-up care, this choice best reflects the recommendation.