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Correlates of depressive symptoms among at-risk youth presenting to the emergency department
Journal article   Open access   Peer reviewed

Correlates of depressive symptoms among at-risk youth presenting to the emergency department

Megan L. Ranney, Maureen Walton, Lauren Whiteside, Quyen Epstein-Ngo, Rikki Patton, Stephen Chermack, Fred Blow and Rebecca M. Cunningham
General hospital psychiatry, v 35(5), pp 537-544
01 Sep 2013
PMID: 23810465
url
https://europepmc.org/articles/pmc3775848?pdf=renderView
Accepted (AM)Open Access (License Unspecified) Open

Abstract

Adolescent Dating violence Depression Substance use Violence
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 for depressive symptoms. In logistic regression, depressive symptoms were positively associated with female gender [odds ratio (OR): 2.84, 95% confidence interval (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 nonmarijuana illicit drug use.

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Collaboration types
Domestic collaboration
Web of Science research areas
Psychiatry
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