Pediatric Oncall

Five or more of the following A Criteria (at least one includes A1 or A2)

A1 Depressed mood—indicated by subjective report or observation by others (in children and adolescents, can be irritable mood)

A2 Loss of interest or pleasure in almost all activities—indicated by subjective report or observation by others.

A3 Significant (more than 5 percent in a month) unintentional weight loss/gain or decrease/increase in appetite (in children, failure to make expected weight gains).

A4 Sleep disturbance (insomnia or hypersomnia).

A5 Psychomotor changes (agitation or retardation) severe enough to be observable by others.

A6 Tiredness, fatigue, or low energy, or decreased efficiency with which routine tasks are completed.

A7 A sense of worthlessness or excessive, inappropriate, or delusional guilt (not merely self-reproach or guilt about being sick).

A8 Impaired ability to think, concentrate, or make decisions—indicated by subjective report or observation by others.

A9 Recurrent thoughts of death (not just fear of dying), suicidal ideation, or suicide attempts.

Major Depressive Episode/Disorder - DSM-5 Criteria

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