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Faculty affiliate Dr. Elyce Biddle receives WVU ICRC Exploratory Research Program award to study the feasibility of implementing a computerized adaptive diagnostic screening tool for major depressive disorder (CAD-MDD) to identify patients at risk of depression and suicide in WV emergency departments.

Monday, February 23, 2015

 

The WVU ICRC’s Exploratory Research Program would like to announce the newly funded pilot project, Feasibility of implementing a computerized adaptive diagnostic screening tool for major depressive disorder (CAD-MDD) to identify patients at risk of suicide in WV emergency departments. PI: Elyce A. Biddle, PhD; Co-I’s: Stephen M. Davis, MSW, MPA; Patrick L. Kerr, PhD; Arnold H. Hassen, PhD

The risk of suicide related to unrecognized and untreated depression, is a serious public health problem throughout the US and of particular concern to West Virginia, where the rates of suicide are above the national average. A recently developed tool--the computerized adaptive diagnostic screening tool for depression (CAD-MDD), has remarkably high sensitivity (0.95) and specificity (0.87) rates for predicting a diagnosis of major depressive disorder (MDD) compared to other tools currently being used in the field. The CAD-MDD will be supplemented with screening questions from the Columbia-Suicide Severity Rating Scale; the combined tool (CAD-MDD-S) will identify those patients with suicidal thoughts, intent, plans, and behaviors. The project will explore the methods for WV Emergency Departments (EDs) to operationalize the computerized adaptive diagnostic screening tool for MDD combined with suicidal questions as a secondary suicide prevention strategy. Specifically, the project will identify and assess procedures to implement and operationalize the CAD-MDD in selected West Virginia Emergency Departments as well as determine the associated costs from the EDs’ perspective. The CAD-MDD will be administered to ambulatory patients, those without acute or critical injuries or illnesses, over the age of 17 presenting in each of the emergency facilities. The first round of the CAD-MDD will be administered at West Virginia University Ruby Memorial Hospital Emergency Department in Morgantown, WV. The research team will conduct process evaluations to determine the feasibility and acceptability of implementing the tool.

The long-term research goals are to build and sustain a secondary suicide prevention strategy by providing information on key diffusion variables for encouraging the adoption of an effective diagnostic screening tool into the West Virginia clinical health care environment.