INTRODUCTION Primary care is a common access point for children and adolescents with depression and suicidality concerns. In this setting, pediatricians typically function as front-line providers given barriers that patients face in accessing mental health clinicians. METHOD This study surveyed chief residents from all pediatric residency programs in the United States (N = 214) to evaluate (a) their attitudes, knowledge, practices, and comfort in managing depression and suicidality concerns in primary care, and (b) the relationship between residency training processes and pediatric residents' practices, knowledge, and comfort related to identifying and managing depression and suicidality. RESULTS The usable response rate was 37.6%. The large majority of respondents are involved in evaluation and management of depression and suicidality; yet many respondents reported a lack of knowledge and comfort in these roles. CONCLUSIONS Recommendations for pediatric residency program training processes are discussed, including the potential added value of colocating mental health clinicians into the primary care continuity training clinic. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

中文翻译：

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抑郁症和自杀倾向的评估和管理：小儿住院医师对培训和实践的看法。

简介初级保健是患有抑郁症和自杀倾向的儿童和青少年的常见访问点。在这种情况下，儿科医师通常会作为一线提供者，因为患者在获得心理健康临床医师方面面临障碍。方法本研究调查了美国所有儿科住院医师计划（N = 214）的主要居民，以评估（a）他们在处理初级保健中的抑郁和自杀倾向方面的态度，知识，做法和舒适度，以及（b）关系住院医师培训过程与小儿住院医师在识别和管理抑郁和自杀方面的实践，知识和舒适度之间的关系。结果可用反应率为37.6％。绝大多数受访者参与了抑郁和自杀的评估和管理；然而，许多受访者表示缺乏对这些角色的知识和舒适度。结论讨论了有关儿科住院医师培训计划的建议，包括将心理健康医生安排到初级保健连续性培训诊所中的潜在附加价值。（PsycInfo数据库记录（c）2020 APA，保留所有权利）。