Research Article

Transition from Child and Adolescent to Adult Mental Health Services in Young People with Depression: On What Do Clinicians Base their Recommendation?

Table 1

Transition recommendations and descriptives of young people classified with unipolar depressive disorder () and young people with self-reported depressive problems ().

Classified with unipolar depressive
disorder by CAMHS clinician
Self-reported depressive
problems

Transition recommendation
Clinicians’ transition recommendation (% (n))
 Recommended to discontinue treatment (% (n))20.2 (41)17.8 (33)
 Recommended to continue treatment (% (n))58.6 (119)62.2 (115)
 Recommended to remain in CAMHS48.7 (58)46.9 (54)
 Recommended to transition to AMHS32.8 (39)35.7 (41)
 Recommended to be treated by other MHS18.5 (22)17.4 (20)
 Missing21.2 (43)20.0 (37)

Depression
Unipolar depressive disorder classification (% ())100 (203)49.7 (92)
Self-reported depressive problems (% ())
 Normal range ()26.6 (54)
 Subclinical range ()14.8 (30)
 Clinical range ()45.3 (92)100 (185)
 Missing13.3 (27)

Sociodemographic characteristics
Gender: female (% ())72.9 (148)76.8 (142)
Highest level PC education (% ())
 Primary/secondary/vocational40.9 (83)40.5 (75)
 University23.6 (48)24.9 (46)
 Missing35.5 (72)34.6 (64)
Psychopathology in biological parents (% ())
 No psychopathology33.5 (68)31.9 (59)
 Psychopathology in one or both biological parents28.1 (57)30.8 (57)
Missing38.4 (78)37.3 (69)

Severity and impairment
Clinician-rated severity of psychopathology (M (SD))3.74 (1.35)3.95 (1.33)
Suicidal thoughts and behaviours (% ())
 None47.3 (96)35.7 (66)
 Suicidal thoughts and behaviours44.8 (91)64.3 (119)
 Missing7.9 (16)
Lifetime suicide attempt (% ())
 No41.9 (85)43.8 (81)
 Yes46.8 (95)50.8 (94)
 Missing11.3 (23)5.4 (10)
Psychotropic medication use (% ())
 No26.6 (54)29.7 (55)
 Yes58.6 (119)65.9 (122)
 Missing14.8 (30)4.3 (8)

Need for continued treatment
Self-reported need for continued treatment (% ())
 No24.1 (49)16.8 (31)
 Yes68.0 (138)83.2 (154)
 Missing7.9 (16)
Parent-reported need for continued treatment (% ())
 No9.4 (19)6.5 (12)
 Yes57.1 (116)59.5 (110)
 Missing33.5 (68)34.1 (63)

Note. Based on orginial, nonimputed data. PC=parent/carer.