ArticleLancet regional health. Americas2025
Trends in depressive symptoms among high school students with and without health-risk behaviors in the United States: A population-based study.
Article in Lancet regional health. Americas, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Evaluation of the effectiveness of Reframe-IT + to prevent suicidal ideation and other mental health outcomes among adolescents in Chile: 3-month, 6-month and 10-month follow-up.BMC psychology · 2026Trial
- Low Emotional Awareness and Altered Frontostriatal Functional Connectivity During Reward Processing Prospectively Predict Depressive Symptoms in At-Risk Youth.Journal of child and adolescent psychopharmacology · 2026Article
- Article
- Distress signal: Self-storage facilities as sentinel spaces for community stress and mental health.Wellbeing, space and society · 2026Article
- Addressing Access to Child Mental Health Services in Primary Care: Implementation and Feasibility of the Colorado Pediatric Psychiatry Consultation and Access Program.Children (Basel, Switzerland) · 2025Article
- Article
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Despite the recent rise in depressive symptoms among adolescents, trends in at-risk groups remain poorly understood. This study estimated national trends in depressive symptoms among high school students with and without health-risk behaviors. Methods: Data were analyzed from the 2007 to 2021 Youth Risk Behavior Survey (YRBS), a biennial cross-sectional survey of US high school students (n = 119,654). Depressive symptoms were defined as past-year feelings of sadness/hopelessness almost every day for ≥2 weeks impacting usual activities. 24 health-risk behaviors across five categories (violence, substance use, sexual, physical/sedentary, and weight-related) were considered. Multivariable-adjusted logistic regression identified health-risk behaviors independently associated with depressive symptoms. National trends in depressive symptoms among students with and without these health-risk behaviors were estimated. National trends in health-risk behaviors were also estimated among those with depressive symptoms. Findings: Among 119,654 students (mean age, 16.0 [SD = 1.2] years; 50.1% females; and 45.3% non-Hispanic White), depressive symptoms increased from 28.4% (2007) to 42.3% (2021) (biennial average percent change (BAPC), 3.0% [95% confidence interval (CI), 2.6-3.4%]). The largest increases occurred among females (BAPC, 3.3% [2.9-3.8%]) and non-Hispanic White students (BAPC, 3.6% [3.0-4.1%]). Depressive symptoms increased more among students engaging in ≤1 risk category (BAPC = 4.6% [3.6-5.7%]) than students engaging in 4-5 risk categories (BAPC = 2.9% [2.4-3.3%]) (interaction, Interpretation: Depressive symptoms increased faster among high school students without than with multiple behavioral risk factors. A broadening of the depression risk profile underscores the potential value of universal depression screening to identify students who may otherwise go undetected by targeted screening. Funding: The study was not funded.
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