Early identification of anxiety, depression and borderline personality disorder in adolescents and young adults receiving outpatient and community mental health care Mental and Behavioural Disorders
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Clinical group: 1. Adolescents and young adults aged 12–20 years at the time of consent/assent. 2. Currently in outpatient or inpatient care at University Medical Centre Maribor or in a collaborating child and adolescent psychiatry service. 2. Presence of symptoms consistent with at least one target condition: anxiety disorder, depressive disorder or borderline personality disorder, as determined by the treating clinician and/or clinical records. 3. Sufficient cognitive abilities to understand questions and provide meaningful answers. 4. Fluent in Slovenian. 5. Able and willing to complete the full study visit (interview, recordings and questionnaires). 6. Provision of informed consent by the participant (from age 15) and/or parent/legal guardian with assent from younger participants. Control group: 1. Adolescents and young adults aged 12–20 years at the time of consent/assent. 2. Recruited from schools, universities, community settings or paediatric services where they are being seen for non-psychiatric reasons. 3. No history of formally diagnosed mental disorder and no clinically significant indication of mental disorder on screening questionnaires (borderline scores assessed case-by-case by the research psychiatrist). 4. Sufficient cognitive abilities to understand questions and provide meaningful answers. 5. Fluent in Slovenian. 6. Able and willing to complete the full study visit (interview, recordings and questionnaires). 7. Provision of informed consent by the participant (from age 15) and/or parent/legal guardian with assent from younger participants.
Exclusion criteria
Exclusion criteria: Clinical group: 1. Intellectual disability or developmental/behavioural disorder that prevents understanding or meaningful participation in the interview. 2. Acute, life-threatening psychiatric condition or need for emergency intervention (for example severe agitation, aggression, acute psychosis). 3. Severe sensory or motor impairment (for example profound visual, hearing or speech impairment) that prevents effective interaction with the tablet-based system and cannot be reasonably accommodated. 4. Severe unstable physical illness or acute/chronic pain that would interfere with participation or reliability of responses. 5. Acute intoxication with or withdrawal from psychoactive substances at the time of assessment. Control group 1. Any formally diagnosed mental disorder. 2. Clinically significant suspicion of mental disorder based on validated self-report screening instruments, confirmed by the study psychiatrist. 3. Intellectual disability or developmental/behavioural disorder that prevents understanding or meaningful participation. 4. Acute psychiatric crisis or high current suicide risk requiring urgent care. 5. Severe sensory or motor impairment, severe unstable physical illness or acute intoxication/withdrawal, as above.
Countries
Slovenia