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Research > Physician Decision Making in Antidepressant...
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Physician Decision Making in Antidepressant Prescribing

The overall research aim was to better understand provider decision-making when selecting an antidepressant for a patient less than 18 years of age. This pilot study was designed to demonstrate the feasibility of achieving this aim by directly surveying providers at the point of care. With limited mental health resources, depression management for children and adolescents is often done by primary care practitioners such as pediatricians and family physicians. A component of depression management may include the initiation of an antidepressant. The selection of an antidepressant, among the many available classes and within-class medications, may be challenging given the limited data on comparative effectiveness and safety in this population. Yet, we have limited information on this decision-making process.

We asked providers at several sites to complete an electronic survey within 24-48 hours of prescribing a new antidepressant for a pediatric patient (age less than 18 years). The survey answers were linked to that particular patient's data but all survey and patient data were de-identified prior to release to the research team.

Dataset Description

Type of Patients Included N Data Elements
Pediatric patients (less than 18 years old) receiving new prescription for any antidepressant unknown
  • Gender
  • Age
  • Insurance
  • Diagnoses
  • History of psychotherapy
  • Index antidepressant prescribing data, including:
    • Name of antidepressant
    • Date initially prescribed
    • NDC
    • Drug Name
    • Strength
    • Quantity dispensed
    • Days supply
    • Number of Refills
    • Directions
  • Medication allergies
  • Hospitalizations