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So how can the physician determine when a patient should be diagnosed as depressed or suicidal? Brown (1996) suggested the best way to diagnose is to "screen out the vulnerable groups of children and adolescents for the risk factors of suicide and then refer them for treatment." Some of these "risk factors" include verbal signs of suicide within the last three months, prior attempts at suicide, indication of severe mood problems, or excessive alcohol and substance abuse...

Many physicians tend to think of depression as an illness of adulthood. In fact, Brown (1996) stated that "it was only in the 1980's that mood disorders in children were included in the category of diagnosed psychiatric illnesses." In actuality, 7-14% of children will experience an episode of major depression before the age of 15...

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