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Brief Depression Screening Tool for Elderly Patient in Emergency Department (ED-DSI)

Purpose: To screen an elderly patient in the Emergency Department for depression using the brief screening instrument (ED-DSI) of Fabacher et al.

Description

Fabacher et al developed a brief screening instrument (ED Depression Screening Instrument, or ED-DSI) for screening elderly patients in the Emergency Department for depression. A positive screen can be followed by a more targeted interview as permitted by the patient's condition. The authors are from Albany Medical College in Albany, New York.


 

Questions:

(1) Do you often feel sad or depressed?

(2) Do you often feel helpless?

(3) Do you often feel downhearted and blue?

Responses

Points

No

0

Yes

1

 

Interpretation:

• minimum score: 0

• maximum score: 3

• One or more positive responses (score >= 1) is a positive screen and a more in-depth evaluation for depression is warranted depending on the patient's clinical status.

 

Performance:

• sensitivity 79% with specificity 66%

• The negative predictive value was 87%.

 


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Specialty

Objective

ICD-10