Correlates of depressive symptoms among at-risk youth presenting to the emergency department
Published Date:2013 Sep-Oct
Source:Gen Hosp Psychiatry. 2013; 35(5):537-544.
Pubmed Central ID:PMC3775848
Funding:1R49CD002099-01/CD/ODCDC CDC HHS/United States
1U01 CE001957-01/CE/NCIPC CDC HHS/United States
K23 MH095866/MH/NIMH NIH HHS/United States
K23 MH095866-01A1/MH/NIMH NIH HHS/United States
R01 AA014889-01A1/AA/NIAAA NIH HHS/United States
T32 DA007267/DA/NIDA NIH HHS/United States
The study's objective was to identify correlates of depressive symptoms among at-risk youth in an urban emergency department (ED).
A systematic sample of adolescents (ages 14–18) in the ED were recruited as part of a larger study. Participants reporting past-year alcohol use and peer aggression self-administered a survey assessing: demographics, depressive symptoms, and risk/protective factors. Logistic regression identified factors associated with depressive symptoms.
Among 624 adolescents (88% response rate) meeting eligibility criteria, 22.8% (n=142) screened positive fordepressive symptoms. In logistic regression, depressive symptoms were positively associated with female gender (OR 2.84, 95% CI 1.78–4.51), poor academic performance (OR 1.57, 95% CI 1.01–2.44), binge drinking (OR 1.88, 95% CI 1.21–2.91), community violence exposure (OR 2.25, 95% CI 1.59–3.18), and dating violence (OR 2.14, 95% CI 1.36–3.38), and were negatively associated with same sex mentorship (OR 0.52, 95% CI 0.29–0.91) and older age (OR 0.55, 95% CI 0.34–0.89). Including gender interaction terms did not significantly change findings.
Screening and intervention approaches for youth in the urban ED should address the co-occurrence of depressive symptoms with peer and dating violence, alcohol, and non-marijuana illicit drug use.
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