At what age should annual depression screening begin in pediatric patients?

• A. 8 years
• B. 11 years
• C. 13 years
• D. 16 years

Answer: (B)

Screening for depression in pediatric care is most appropriate when children begin to enter adolescence, a time when depressive symptoms often first appear and age-appropriate screening tools are validated. Conducting this screening annually during that period helps identify problems early and connect families with appropriate evaluation and care.

Choosing the option that sits in the early-adolescence range makes the most sense within this framework. Starting too young isn’t typically supported because the available tools are less validated for younger children, and the prevalence of major depressive disorder is lower in that group. Delaying screening into older adolescence can miss youths who develop symptoms earlier.

In practice, clinicians often use brief, adolescent-oriented screening tools and refer for further assessment if results are positive. Therefore, the middle option is the best answer.