Data were collected on the point and lifetime prevalences, 1-year incidence, and comorbidity of depression with other disorders (Diagnostic and Statistical Manual of Mental Disorders [3rd ed., rev.]) in a randomly selected sample (n = 1,710) of high school students at point of entry and at 1-year follow-up (n = 1,508). The Schedule for Affective Disorders and Schizophrenia for School-Age Children was used to collect diagnostic information; 9.6% met criteria for a current disorder, more than 33% had experienced a disorder over their lifetimes, and 31.7% of the latter had experienced a second disorder. High relapse rates were found for all disorders, especially for unipolar depression (18.4%) and substance use (15.0%). Female subjects had significantly higher rates at all age levels for unipolar depression, anxiety disorders, eating disorders, and adjustment disorders; male subjects had higher rates of disruptive behavior disorders.

Below is a list of some of the ways you may have felt or behaved. Please indicate how often you have felt this way during the past week: (circle one number on each line) Rarely or Some or a Occasionally or All of none of little of a moderate the time During the past week... the time the time amount of time (less than 1 day) (1-2 days) (3-4 days) (5-7days)

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in this article we summadze findings from our progrun of research (the Oregon Adolescent Depression Project) as they peftdn to the suiddal behavior of older (14-18-yealcoid) adolescents. Specifically, we (a) present information regarding the epidomioiogy of suicidal ideation and suicide attempts (e.g., prevalence, Incidence, onset age, methods, severity); (b) describe tho psychorochi chuacteristics associated with past and future suicide attempts, in comparison to depression; (c) discuss issues relevant to assessment and screening, including our development of a new assessment instrument, the Life Attitudes Schoduie; (d) s h w recommondations gained from our experience in providing tmatment for depmsed adokconts, approdmato~ 4096 of whom had made a suicide attempt; and (e) identify gaps in current knowledge for which more meuch is neodod.

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In a prospective study of adolescent depression, adolescents (N = 1,508) were assessed at Time 1 and after 1 year (Time 2) on psychosocial variables hypothesized to be associated with depression. Most psychosocial variables were associated with current (n = 45) depression. Formerly depressed adolescents (n = 217) continued to differ from never depressed controls on many of the psychosocial variables. Many of the depression-related measures also acted as risk factors for future depression (n = 112), especially past depression, current other mental disorders, past suicide attempt, internalizing behavior problems, and physical symptoms. Young women were more likely to be, to become, and to have been depressed. Controlling for the psychosocial variables eliminated the gender difference for current and future but not for past depression.

An array of psychosocial risk factors for making a suicide attempt were examined in a representative sample of 1,508 older (14- to 18-year-old) high school students, 26 of whom made a suicide attempt during the year following entry into the study. Strongest predictors of future suicide attempt were history of past attempt, current suicidal ideation and depression, recent attempt by a friend, low self-esteem, and having been born to a teenage mother. The results suggest that adolescents who are depressed and those who attempt suicide share many psychosocial risk factors. The efficacy of two screeners (one consisting of 4 items and the other of 6 variables) is reported. Potential usefulness for research and communitywide prevention is discussed.