The Early Detection and Treatments of Adolescent Depression and Suicide
Only in the past two decades has depression in adolescents been taken
seriously. Depression is an illness that involves the body, mood and thoughts.
It affects the way a person eats and sleeps, the way one feels about oneself,
and the way one thinks about things. Therefore it comes to no surprise to
discover that adolescent depression is strongly linked to teen suicide.
Adolescent suicide is now responsible for more deaths in youth’s aged 15 to 19
than cardiovascular disease or cancer (Blackman, 1995). Despite this alarming
increased suicide rate, depression in this age group is greatly under diagnosed
and can lead to serious difficulties in school, work, and personal adjustment,
which may continue into adulthood. How prevalent are mood disorders and when
should an adolescent with changes in mood be considered clinically depressed?
Brown (1996) has said the reason why depression is often overlooked in
adolescents is because it is a time of emotional turmoil, mood swings, gloomy
thoughts, and heightened sensitivity.
Therefore, the adolescent’s first line of defense is his or hers parents. It is
up to those individuals who interact with the adolescent on a daily basis
(parents, teachers, etc.) to be sensitive to the changes in the adolescent.
Unlike adult depression, symptoms of youth depression are often masked. Instead
of expressing sadness, teenagers may express boredom and irritability, or may
choose to engage in risky behaviors (Oster & Montgomery, 1996). Key
indicators of adolescent depression include a drastic change in eating and
sleeping patterns, significant loss of interest in previous activity interests,
constant boredom, disruptive behavior, peer problems, increased irritability
and aggression (Brown, 1996).
What causes a teen to become depressed? For many teens, symptoms of depression
are directly related to low self-esteem stemming from increased emphasis on
peer popularity. For other teens, depression arises from poor family relations,
which could include decreased family support and perceived rejection by
parents. Oster and Montgomery (1996), stated that “when parents are struggling
over marital or career problems, or are ill themselves, teens may feel the
tension and try to distract their parents.” This distraction could include
increased disruptive behavior, self-inflicted isolation and even verbal threats
of suicide. Many times parents are so wrapped up with their own conflicts and
busy lives that they fail to see the changes in their teens, or they simply
refuse to admit their teen has a problem. In today’s society the family unit
can be quite different from the stereotypical one of the 1950’s, where the
father went to work and the mom was the homemaker. Today, with single parent
families and families where both parents have corporate jobs, the teen may feel
he or she is playing “second fiddle” in importance in the lives of their
parents. Also, great stress is placed upon teens today starting in early
childhood. Most enter daycare at an early age and continue into preschool. Then
when public school starts they are either in the early-morning program,
after-school program or just latch key kids. They are left to their own devices
at an early age. Many go home to an empty house with no one to talk to about
their day at school. Once the parent’s arrive home it may be time for soccer
practice, baseball practice, or gymnastics class. Again no time for talking
about the day’s events and with everyone going in different directions a family
dinner around the kitchen table just does not happen. At one end of the
spectrum, teens maybe pushed by their parent’s to excel in sports and
scholastics, and at the other end there are teens that are never given
direction or aspirations by their parent’s. Those pressured to excel maybe come
overwhelmed by what is expected of them and can fall into using drugs and
alcohol as a form of escape and may feel the only way out is that of suicide.
On the other hand those teens without direction and lack of interest on the
part of their parent’s, may also turn to drugs and alcohol as a means of
escape. They may contemplate and even attempt suicide as a way of either
drawing attention to themselves or to just end their lives because no cares
about them anyway. Dr. William Beardslee of Boston, working with children and
teens exhibiting depression and suicidal tendencies feels these disorders are
likely based on a complex interplay of biological/genetic forces and
developmental transactions between teens, family members and the outside world.
Some teens manage to survive and even flourish under the most difficult
circumstances, while others flounder under the same conditions.
An estimated 2,000 teenagers per year commit suicide in the United States,
making it the leading cause of death after accidents and homicide. Blackman
(1995) stated that it is not uncommon for young people to be preoccupied with
issues of mortality and contemplate the effect their death would have on close
family and friends. Once it has been determined that the adolescent has the
disease of the depression, what can be done about it? Blackman has suggested
two main avenues to treatment: “psychotherapy and medication.” The majority of
cases of depression is mild and can be dealt with through psychotherapy
sessions with intense listening, advice and encouragement. For the more severe
cases of depression, especially those with constant symptoms, medication may be
necessary and without pharmaceutical treatment, depressive conditions could escalate
and become fatal. Regardless of the type of treatment chosen, “it is important
for children and teens suffering from depression to receive prompt treatment
because early onset places children and teens at a greater risk for multiple
episodes of depression throughout their life span.” (Brown, 1996).
Until recently, adolescent depression has been largely ignored. But now several
means of diagnosis and treatment exist. Although most teenagers can
successfully climb the mountain of emotional and psychological obstacles that
lie in their paths, there are some that find themselves overwhelmed and full of
stress. With the help of parents, teachers, mental health professionals and
other caring adults, the severity of a teen’s depression can not only be accurately
evaluated, but plans made to improve his or her well-being and ability to fully
live life.
Works Cited
Blackman, M., “You asked about…adolescent depression.” The Canadian Journal of
CME. http://www.mentalhealth.com/mag1/p51-dp01.html.
Beardslee, W.R. (1998), Prevention and the clinical encounter. American Journal
of Orthopsychiatry http://www.mhsource.com/pt/p990957.hmtl.
Brown, A. (1996 Winter). Mood disorders in children and adolescents. NARSAD
Research Newsletter http://www.mhsource.com/advovacy/narsad/childhood.html.
Lasko, D.S., et al. (1996), Adolescent depressed mood and parental unhappiness.
Adolescence, 31 (121), 49-57.
Oster, G.D, Montgomery, S. S. (1996),. Moody or depressed: The masks of teenage
depression. Self-Help & Psychology
http://www.cybertowers.com/selhelp/articles/cf/moodepre.html.