Kidsdata.org currently offers a measure of “depression-related feelings,” though this is not a measure of clinical depression. These data come from the California Healthy Kids Survey (CHKS) through a partnership with WestEd, which developed and administers the CHKS, and the California Department of Education. These data represent the percentage of students who reported that in the past 12 months, they had felt so sad or hopeless every day for two weeks or more that they stopped doing some usual activities. This indicator is available by gender and grade level (7th, 9th, and 11th); race/ethnicity; and level of connectedness to school. School connectedness is a summary measure that includes the following elements: being treated fairly, feeling close to people, feeling happy, feeling part of school, and feeling safe at school.
Depression can diminish the quality of a young person's life, resulting in fewer friends, less social support, greater stress, and lower academic achievement, and evidence suggests that in adolescence, depression and suicidal behavior are linked (1). Depression also is linked to exacerbation of chronic illnesses such as asthma and diabetes (2). Depression can be difficult to detect in children, as it can manifest differently in young people than in adults. In 2009, 26% of high school students nationally reported depression-related feelings, and about 8% of youth ages 12-17 in 2008 had a major depressive episode during the past year (3).
Sources for narrative:
1. American Academy of Child and Adolescent Psychiatry. (2004). The Depressed Child. http://www.aacap.org/publications/factsfam/depressd.htm
2. ChildStats.gov, Forum on Child and Family Statistics. (2009). America’s Children: Key National Indicators of Well-Being. http://www.childstats.gov/americaschildren/health4.asp
3. Child Trends Data Bank. (2009). Adolescents Who Feel Sad or Hopeless.
http://www.childtrendsdatabank.org/?q=node/126
Many primary care providers do not routinely screen youth for mental
health issues, and teachers often lack the training or the time to
identify emotional/mental health issues and refer students for
intervention (1, 5). Among youth who commit suicide, the vast
majority have a psychiatric disorder, and
most of those youths show symptoms that could be identified by screening
(1, 2). Some youth are particularly at risk. Lesbian, gay, and bisexual
adolescents attempt suicide at a rate three to six times that of
comparably aged heterosexual youth, and are frequently the target of
bullying when they do not conform to traditional gender roles (3, 4).
According to research and subject experts, policy options that could
promote emotional health and prevent depression and suicide
include:
- Supporting efforts in schools to provide a positive, supportive environment and to offer comprehensive K-12
education for social-emotional development, including interpersonal
communication, goal setting, anger management, and advocacy skills, as
supported by the National Association of State Boards of Education and
the California Education Code (9, 10, 11)
- Promoting efforts in communities to provide youth
with positive experiences, relationships, and opportunities, such as quality
after-school programs, which can help youth develop skills to make
healthy choices and become caring, responsible adults (8)
- Ensuring adequate funding and training for a range of school
professionals to recognize the signs of depression, self-injury, and
suicidal ideation, and to connect students with appropriate services (2,
3, 5, 6), including specific training for meeting the needs of gay,
lesbian, bisexual, and transgender youth (3, 4)
- Encouraging school districts to collaborate with communities and
the media to limit publicity and glamorization of youth suicide, to
prevent contagion among other vulnerable youth (6)
- Structuring public health systems and insurance reimbursement
policies to require depression screening and encourage regular
administration of psychosocial exams to youth (1, 2, 7)
- Eliminating discriminatory public policies that can contribute
to mental health issues among gay, lesbian, bisexual, and transgender
youth (3)
For more policy ideas and information on this topic, see kidsdata.org’s Research & Links section, or visit the Suicide Prevention Resource Center, or the Centers for Disease Control and Prevention.
Also see Policy Implications on kidsdata.org under School Safety; Bullying/Harassment at School; School Connectedness; Pupil Support
Service Personnel; Alcohol, Tobacco & Other Drugs; and Child Abuse
& Foster Care.
Sources for this narrative:
- TeenScreen National Center for Mental Health Checkups at
Columbia University. (2009). Adolescent Mental Health Checkups: Recommendations
to Realizations. http://www.teenscreen.org/images/stories/PDF/Event%20Report.pdf
- TeenScreen National Center for Mental Health Checkups at Columbia University. (n.d.) Youth Suicide and Prevention. http://www.teenscreen.org/images/stories/PDF/YouthSuicideandPrevention.pdf
- Haas et al. (2010). Suicide and Suicide Risk in Lesbian, Gay,
Bisexual, and Transgender Populations: Review and Recommendations,
Journal of Homosexuality. http://www.tandfonline.com/doi/abs/10.1080/00918369.2011.534038
- Centers for Disease Control and Prevention. (2011). Lesbian, Gay, Bisexual and Transgender Health: Youth. http://www.cdc.gov/lgbthealth/youth.htm
- Suicide Prevention Resource Center. (2010). The Role of Teachers in Preventing Suicide. http://www.sprc.org/featured_resources/customized/teachers.asp#role
- Mann et al. (2005). Suicide Prevention Strategies: A Systemic Review, JAMA. http://dhmh.maryland.gov/suicideprevention/Suicide%20prevention%20strategies-systematic%20review.pdf
- Goldenring, J. and Rosen, D. (2004). Getting into adolescent heads: An essential update, Contemporary Pediatrics. http://www.aap.org/pubserv/PSVpreview/pages/Files/HEADSS.pdf
- Search Institute. (n.d.) Developmental Assets Research. http://www.search-institute.org/research/assets
- California Education Code Section 51890, http://www.leginfo.ca.gov/cgi-bin/displaycode?section=edc&group=51001-52000&file=51890-51891
- National Association of State Boards of Education. (2010). National
Guidelines: Health, Mental Health and Safety Guidelines for Schools. http://www.nationalguidelines.org/guideline.cfm?guideNum=2-07
- Centers for Disease Control and Prevention. (2009). School Connectedness: Strategies for Increasing Protective Factors Among Youth. http://www.cdc.gov/HealthyYouth/adolescenthealth/pdf/connectedness.pdf
During 2006-08, California’s female students in grades 7, 9, and 11 were more likely than their male peers to say they had been so sad or hopeless every day for at least two weeks that they stopped doing some usual activities. Non-traditional students – that is, those enrolled in Community Day Schools or Continuation Education – were most likely to report these depression-related feelings (49% of girls and 31% of boys in these programs). From the 2003-05 period to 2006-08, the percentage of students reporting feelings of depression decreased among 11th-grade and non-traditional students and increased slightly for 7th graders; there was no clear trend among 9th graders.
Students who are highly connected to their schools are much less likely to report persistent sadness or hopelessness than students with low levels of connectedness to school (23% compared to 45% in 2006-08). Among racial/ethnic groups, Caucasian/White and Asian American students were least likely to report feelings of depression (29% and 30%, respectively), while Pacific Islander and Native American students were most likely to do so (37% and 36%, respectively).