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Depression

Definition

  • Feeling depressed or very sad
  • Less joy from life. Less interest in normal activities.
  • Normal grief responses are also covered.

Symptoms

People with depression have many of these symptoms:

  • Feeling sad all the time
  • Not able to find joy or happiness
  • Loss of interest in daily activities that used to bring them pleasure
  • Loss of energy (tired all the time)
  • Loss of drive, doesn't complete school work
  • Feeling hopeless
  • Feeling worthless or guilty
  • Not able to focus or make choices
  • Trouble sleeping or sleeping a lot
  • Easily upset or angry
  • Makes less eye contact than usual
  • Talks less than usual
  • Spends more time alone
  • Withdrawal from social contacts
  • Neglects personal grooming
  • Severe depression: thoughts of death or about hurting oneself

Causes

Stresses in life can trigger a bout of depression or make it worse. Causes can include:

  • Death of a loved one
  • Loss of a close friend or romance
  • Bullying
  • Failure in a class at school
  • Loss of a job
  • Major life changes, such as moving to a new town or starting college
  • Long term, severe illness that is not getting better
  • Genetics: depression can run in some families

Suicide in the US

  • Depression is a risk factor for suicide. It's a small risk, but a real one.
  • Suicide attempts, threats or plans must always be taken very seriously. Thoughts or talk about killing or hurting oneself also need evaluation on a timely basis. So do comments about "no reason to live." Emergency rooms are often your best resource.
  • Suicide is the second most common cause of death in teens. Motor vehicle accidents are number one.
  • About 7% of teens attempt suicide.
  • Suicide deaths in the 15 to 24 age group are about 5,000 per year.
  • Suicide risk starts at age 10, upon starting middle school.
  • These rates have gone up during the COVID-19 pandemic.
  • Depression and suicide are a mental health crisis in the US.

Self-Harm or Cutting Behavior

  • Self-harm is hurting the body on purpose, such as cutting or burning the skin. It is usually superficial, only injuring the skin.
  • It occurs in up to 20% of teens.
  • Self-harm is a way to relieve emotional pain or stress.
  • Self-harm is not meant to be a suicide attempt.
  • Therapy can help your teen find better ways to cope with painful feelings.

Barton Schmitt MD, FAAP
Disclaimer: this health information is for educational purposes only. You, the reader, assume full responsibility for how you choose to use it.
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