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Depression among Australian adolescents.

J M Rey1, M G Sawyer, J J Clark

  • 1Department of Psychological Medicine, University of Sydney, NSW, Australia. jrey@mail.usyd.edu.au

The Medical Journal of Australia
|July 31, 2001
PubMed
Summary

Australian adolescents show significant rates of depression, linked to increased health risks and poor treatment access. Early identification and intervention in schools are crucial for supporting adolescent mental health.

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Area of Science:

  • Psychiatry
  • Adolescent Health
  • Epidemiology

Background:

  • Depression is a significant mental health concern in adolescents.
  • Understanding its prevalence and associated factors is vital for effective intervention.

Purpose of the Study:

  • To determine the prevalence of depression among Australian adolescents.
  • To identify factors associated with depression in this population.
  • To examine the utilization of support services by depressed adolescents.

Main Methods:

  • Utilized a representative multistage probability sample from the 1998 National Survey of Mental Health and Well-being.
  • Collected data through adolescent self-report questionnaires and parent interviews.
  • Included 1,490 adolescents aged 13-17 years and their caregivers.

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Main Results:

  • The prevalence of self-reported depression was 5.2% (95% CI, 4.0%-6.4%).
  • Adolescent-reported depression correlated with increased suicide plans/attempts, marijuana use, conduct disorder, and school support service use.
  • Only 3% of depressed adolescents received antidepressant treatment, with 34% utilizing support services.

Conclusions:

  • Depressed adolescents exhibit higher rates of health-risk behaviors and psychosocial impairment.
  • A significant gap exists in appropriate treatment for depressed adolescents.
  • Enhanced training for school-based service staff is recommended for identifying and referring depressed adolescents for treatment.