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Sherry Glied, PhD; Daniel S. Pine, MD

Arch Pediatr Adolesc Med. 2002;156:1009-1014.

Objective  To examine the correlates and consequences of high levels of depressive symptoms among adolescents.

Design  Secondary analysis of the 1997 Commonwealth Fund Survey of the Health of Adolescent Girls, a survey of a nationally representative sample of 4648 adolescent boys and girls between the ages of 10 and 18 years, inclusive, conducted in school settings. The self-administered questionnaire contains a screening instrument for depression based on the Children's Depression Inventory.

Outcome  Days of school missed, performance at grade level, alcohol use, drug use, smoking, and bingeing.

Results  After controlling for sociodemographics, life events, sexual abuse, physical abuse, and exposure to violence, relative to other children, children and adolescents with high degrees of depressive symptoms missed about 1 day more of school in the month preceding the survey (P<.05) and had higher odds of smoking (odds ratio, 1.84; P<.001), bingeing (odds ratio, 2.02; P<.001), and suicidal ideation (odds ratio, 16.59; P<.001).

Conclusion  High levels of depressive symptoms are correlated with serious and significant consequences, even after controlling for life circumstances.

From the Department of Health Policy and Management, Mailman School of Public Health, Columbia University, New York, NY (Dr Glied); and Section on Development and Affective Neuroscience, Mood and Anxiety Disorders Program, National Institute of Mental Health–Intramural Research Program, Bethesda, Md (Dr Pine).

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