Diagnosis and assessment of depression and suicidality using the NIMH Diagnostic Interview Schedule for Children (DISC-2.3)

J Abnorm Child Psychol. 1997 Jun;25(3):173-81. doi: 10.1023/a:1025739730823.

Abstract

The diagnostic Interview Schedule for Children (DISC-2.3) was studied in a sample of 265 adolescent inpatients to determine type and concurrent validity of depressive symptoms and depressive disorder diagnoses for different DISC-2.3 informants (parent, adolescent, both). The Children's Depression Rating Scale--Revised, Reynolds Adolescent Depression Scale (RADS), Suicide Ideation Questionnaire--Junior, Spectrum of Suicide Behavior Scale, and clinical consensus diagnoses were used to assess concurrent validity. Results indicated that (1) parents, compared to adolescents, reported a higher prevalence of all depressive symptoms with the exception of weight change; (2) DISC-2.3 depressive and suicidality symptoms were related positively to independent validating criteria for all informant conditions, suggesting good concurrent validity; (3) the DISC-2.3 both informant condition correctly identified the most depressive disorders; and (4) the parent, but not the adolescent, DISC-2.3 Informant condition contributed to the prediction of clinical consensus diagnoses of depression after taking into account RADS scores.

MeSH terms

  • Adolescent
  • Adolescent Psychiatry / methods*
  • Adolescent, Hospitalized / psychology*
  • Adolescent, Hospitalized / statistics & numerical data
  • Chi-Square Distribution
  • Child
  • Cross-Sectional Studies
  • Depression / diagnosis*
  • Depressive Disorder / diagnosis
  • Female
  • Humans
  • Likelihood Functions
  • Logistic Models
  • Male
  • Matched-Pair Analysis
  • Parents / psychology
  • Prospective Studies
  • Psychiatric Status Rating Scales / standards*
  • Psychometrics / standards*
  • Reference Values
  • Reproducibility of Results
  • Self-Assessment
  • Sensitivity and Specificity
  • Suicide / psychology