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Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment

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Compare Versions of: "Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment"

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Table Options
Measure Information 2025 Performance Period
Title Child and Adolescent Major Depressive Disorder (MDD): Suicide Risk Assessment
CMS eCQM ID CMS177v13
CBE ID* Not Applicable
MIPS Quality ID 382
Measure Steward Mathematica
Description

Percentage of patient visits for those patients aged 6 through 16 at the start of the measurement period with a diagnosis of major depressive disorder (MDD) with an assessment for suicide risk

Measure Scoring Proportion
Measure Type Process
Stratification

None

Risk Adjustment

None

Rationale

Research has shown that youth with major depressive disorder (MDD) are at a high risk for suicide attempts and completion - among the most significant and devastating sequelae of the disease (Fontanella et al., 2020). Suicide risk is a critical consideration in children and adolescents...

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Clinical Recommendation Statement

The evaluation must include assessment for the presence of harm to self or others (Birmaher et al., 2007).

Suicidal behavior exists along a continuum from passive thoughts of death to a clearly developed plan and intent to carry out that plan. Because depression is closely associated with...

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Improvement Notation

Higher score indicates better quality

Definition

Numerator Definition: The specific type and magnitude of the suicide risk assessment is intended to be at the discretion of the individual clinician and should be specific to the needs of the patient. At a minimum, suicide risk assessment should evaluate:

1. Risk (e.g., age, sex,...

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Guidance

This electronic clinical quality measure (eCQM) is an episode-based measure. An episode is defined as each eligible encounter for major depressive disorder (MDD) during the measurement period. A suicide risk assessment should be performed at every visit for MDD during the measurement...

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Initial Population

All patient visits for those patients aged 6 through 16 at the start of the measurement period with a diagnosis of major depressive disorder

Denominator

Equals Initial Population

Denominator Exclusions

None

Numerator

Patient visits with an assessment for suicide risk

Numerator Exclusions

Not Applicable

Denominator Exceptions

None

Telehealth Eligible Yes
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Last Updated: May 06, 2025