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https://hdl.handle.net/2440/7674
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Type: | Journal article |
Title: | Depression among Australian adolescents |
Author: | Rey, J. Sawyer, M. Clark, J. Baghurst, P. |
Citation: | Medical Journal of Australia, 2001; 175(1):19-23 |
Publisher: | Australasian Med Publ Co Ltd |
Issue Date: | 2001 |
ISSN: | 0025-729X 1326-5377 |
Statement of Responsibility: | J.M. Rey, M.G. Sawyer, J.J. Clark and P.A. Baghurst |
Abstract: | OBJECTIVES: To examine the prevalence and factors associated with depression in Australian adolescents. DESIGN: A representative, multistage probability sample of Australian households conducted in 1998 (part of the National Survey of Mental Health and Well-being). Adolescents completed self-report questionnaires and parents were interviewed using a lay-administered, structured psychiatric interview and several questionnaires. PARTICIPANTS: 1,490 adolescents aged 13-17 years and their parent or main caregiver. MAIN OUTCOME MEASURES: Prevalence of depression in adolescents, as reported by parents and by adolescents themselves; demographic factors; health-risk behaviours; and rate of use of support services. RESULTS: Of the 1,490 adolescents originally sampled, 150 (10%) did not complete responses to questions on depression and were excluded from the analysis. Seventy of the remaining 1340 adolescents (5.2%; 95% CI, 4.0%-6.4%) met criteria for self-reported depression. Agreement between parent- and adolescent-reported depression was poor (kappa=0.27). Adolescent-reported depression was associated with increased suicide plans (odds ratio [OR], 2.83; 95% CI, 1.19-6.70) and attempts (OR, 9.05; 95% CI, 3.49-23.50) in the previous year, use of marijuana 10 or more times in the previous month (OR, 2.88; 95% CI, 1.25-6.64), having conduct disorder (OR, 4.09; 95% CI, 1.23-13.63) and use of school support services (OR, 4.71; 95% CI, 1.82-12.22). Those who used any kind of support service (24/70; 34%) used a mean of 2.9 services (mode, 2; range, 1-5). Three per cent (2/70) of depressed adolescents had been treated with antidepressants. CONCLUSIONS: Depressed adolescents exhibit higher rates of health-risk behaviours and psychosocial impairment than non-depressed adolescents, but only a small number receive appropriate treatment. Staff working in school-based services should be trained to identify adolescents with depression and facilitate referral for treatment |
Keywords: | Humans Prevalence Depression Health Behavior Psychosocial Deprivation Comorbidity Social Support Socioeconomic Factors Adolescent Australia Female Male Surveys and Questionnaires |
Description: | Copyright © 2001 Australasian Medical Publishing |
DOI: | 10.5694/j.1326-5377.2001.tb143505.x |
Description (link): | http://www.mja.com.au/public/issues/contents175.html#2jul |
Published version: | http://dx.doi.org/10.5694/j.1326-5377.2001.tb143505.x |
Appears in Collections: | Aurora harvest 4 Paediatrics publications |
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