Depression in children

What will happen to my child?
Lots of children and teenagers recover from a bout of depression on their own, without treatment. But sometimes this can take several months.
Depression can badly affect your child's development, both in their social life and in their school life.
1 The depression can also damage your family relationships, especially if your family doesn't understand your child's problems.
Source:
Hazell P.
Depression.
In: David T (editor). Recent advances in paediatrics. 21st edition. Royal Society of Medicine, London, UK; 2004.
Hazell P.
Depression.
In: David T (editor). Recent advances in paediatrics. 21st edition. Royal Society of Medicine, London, UK; 2004.
That's why it's important not to wait for a child or teenager to just grow out of it.
2 Getting the right treatment can help your child cope with this illness and get better faster. Treatment may also stop the depression fr
om getting worse.
Source:
Robbins DR.
The outcomes of juvenile-onset depression.
Rhode Island Medicine. 1993; 76: 387-389.
Robbins DR.
The outcomes of juvenile-onset depression.
Rhode Island Medicine. 1993; 76: 387-389.
In rare cases, children may need to stay in the hospital if they are at risk of hurting themselves or if they need a special
treatment.
Most children who have had depression are at risk for more bouts, either a few years later or many years later as adults.
Doctors call this a relapse. Unfortunately, even though we know that treatment can help with one bout, we don't know much about whether it can stop depression
from coming back again later. There hasn't been much research on this.
What will happen to your child depends partly on how bad the depression is. But here's what the research shows.
3
Source:
National Institute of Mental Health.
Depression in Children and Adolescents.
June 2008. Available at http://www.nimh.nih.gov/HealthInformation/depchildmenu.cfm (accessed on 29 January 2009).
National Institute of Mental Health.
Depression in Children and Adolescents.
June 2008. Available at http://www.nimh.nih.gov/HealthInformation/depchildmenu.cfm (accessed on 29 January 2009).
- A bout of depression in children or teenagers lasts on average about seven months to nine months.
Source:
Hazell P.
Depression.
In: David T (editor). Recent advances in paediatrics. 21st edition. Royal Society of Medicine, London, UK; 2004.
1Source:
American Academy of Child and Adolescent Psychiatry.
Summary of the practice parameters for the assessment and treatment of children and adolescents with depressive disorders.
Journal of the American Academy of Child & Adolescent Psychiatry. 1998; 37:1234-1238.
4 - Roughly 1 in 10 children get better without treatment within three months.
- A further 4 in 10 children get better within a year.
- But that means half of all depressed children still have the illness after a year.
- And up to 3 in 10 children are still depressed two years later.
- Treatment lowers the chance of depression lasting more than a year.
- Among children who have had one bout of depression, 2 out of 5 get it again (have a relapse) within two years.
Source:
Birmaher B, Williamson DE, Dahl RE, et al.
Clinical presentation and course of depression in youth: does onset in childhood differ from onset in adolescence?
Journal of the American Academy of Child and Adolescent Psychiatry. 2004; 43: 63-70.
5 - About two-thirds of depressed children will also get depressed as adults.
Source:
Birmaher B, Williamson DE, Dahl RE, et al.
Clinical presentation and course of depression in youth: does onset in childhood differ from onset in adolescence?
Journal of the American Academy of Child and Adolescent Psychiatry. 2004; 43: 63-70.
5 - A third of depressed children and teenagers try suicide at some point.
Source:
Harrington R, Bredenkamp D, Groothues C, et al.
Adult outcomes of childhood and adolescent depression III. Links with suicidal behaviours.
Journal of Child Psychology and Psychiatry, and Allied Disciplines. 1994; 35: 1309-1319.
6 - Because young people with depression may also get depression as adults, they may also be more likely to try to kill themselves
as adults. One study found that between 3 and 4 out of 100 people who'd had depression as a child or teenager ended up killing
themselves.
Source:
Harrington R, Bredenkamp D, Groothues C, et al.
Adult outcomes of childhood and adolescent depression III. Links with suicidal behaviours.
Journal of Child Psychology and Psychiatry, and Allied Disciplines. 1994; 35: 1309-1319.
6 - Girls stay depressed for longer and have more relapses (they get depressed again).
Source:
Birmaher B, Williamson DE, Dahl RE, et al.
Clinical presentation and course of depression in youth: does onset in childhood differ from onset in adolescence?
Journal of the American Academy of Child and Adolescent Psychiatry. 2004; 43: 63-70.
5 - And a few children go on to get another type of depression, called manic depression, as they get older. (Doctors also call this bipolar disorder.) These are often children who have this condition in their family.
Source:
Smith DJ, Blackwood DHR.
Depression in young adults.
Advances in Psychiatric Treatment. 2004; 10: 4-12.
7 - Relapses in depression and manic depression can be treated.
But thinking about suicide and trying it are common for children and teenagers who are depressed. A third of depressed young
people try to kill themselves at some point.
8
Source:
Birmaher B, Ryan ND, Williamson DE, et al.
Childhood and adolescent depression: a review of the past 10 years.
Journal of the American Academy of Child and Adolescent Psychiatry. 1996; 35: 1575-1583.
Birmaher B, Ryan ND, Williamson DE, et al.
Childhood and adolescent depression: a review of the past 10 years.
Journal of the American Academy of Child and Adolescent Psychiatry. 1996; 35: 1575-1583.
Depressed teenagers are at special risk. Younger children think about death, but they rarely act on it. Suicide in general is six times more
common for young people ages 15 to 19 than for those ages 10 to 14.
9
Source:
U.S. Department of Health and Human Services.
Mental health: Culture, race and ethnicity. A supplement to Mental Health: a report of the Surgeon General.
2001. Available at http://www.surgeongeneral.gov/ (accessed on 29 January 2009).
U.S. Department of Health and Human Services.
Mental health: Culture, race and ethnicity. A supplement to Mental Health: a report of the Surgeon General.
2001. Available at http://www.surgeongeneral.gov/ (accessed on 29 January 2009).
Girls are more likely to try suicide. In fact, they try it twice as often as boys. But among children who try it, boys are
four times more likely than girls to actually die.
9
Source:
U.S. Department of Health and Human Services.
Mental health: Culture, race and ethnicity. A supplement to Mental Health: a report of the Surgeon General.
2001. Available at http://www.surgeongeneral.gov/ (accessed on 29 January 2009).
U.S. Department of Health and Human Services.
Mental health: Culture, race and ethnicity. A supplement to Mental Health: a report of the Surgeon General.
2001. Available at http://www.surgeongeneral.gov/ (accessed on 29 January 2009).
If children say they are thinking about suicide, it's a clear sign that they need help. Their parents or caregivers need to
take it very seriously.
For more, see Would my child try suicide?
Sources for the information on this page:
- Hazell P.Depression.In: David T (editor). Recent advances in paediatrics. 21st edition. Royal Society of Medicine, London, UK; 2004.
- Robbins DR.The outcomes of juvenile-onset depression.Rhode Island Medicine. 1993; 76: 387-389.
- National Institute of Mental Health.Depression in Children and Adolescents.June 2008. Available at http://www.nimh.nih.gov/HealthInformation/depchildmenu.cfm (accessed on 29 January 2009).
- American Academy of Child and Adolescent Psychiatry. Summary of the practice parameters for the assessment and treatment of children and adolescents with depressive disorders.Journal of the American Academy of Child & Adolescent Psychiatry. 1998; 37:1234-1238.
- Birmaher B, Williamson DE, Dahl RE, et al.Clinical presentation and course of depression in youth: does onset in childhood differ from onset in adolescence?Journal of the American Academy of Child and Adolescent Psychiatry. 2004; 43: 63-70.
- Harrington R, Bredenkamp D, Groothues C, et al.Adult outcomes of childhood and adolescent depression III. Links with suicidal behaviours.Journal of Child Psychology and Psychiatry, and Allied Disciplines. 1994; 35: 1309-1319.
- Smith DJ, Blackwood DHR.Depression in young adults.Advances in Psychiatric Treatment. 2004; 10: 4-12.
- Birmaher B, Ryan ND, Williamson DE, et al.Childhood and adolescent depression: a review of the past 10 years.Journal of the American Academy of Child and Adolescent Psychiatry. 1996; 35: 1575-1583.
- U.S. Department of Health and Human Services. Mental health: Culture, race and ethnicity. A supplement to Mental Health: a report of the Surgeon General.2001. Available at http://www.surgeongeneral.gov/ (accessed on 29 January 2009).
This information was last updated on Feb 05, 2009
This information is for educational use only, and is not a substitute for prompt professional medical advice. Readers should always consult a physician or other professional for advice and treatment.
© BMJ Publishing Group Limited 2009. All rights reserved.
© BMJ Publishing Group Limited 2009. All rights reserved.
The information on ConsumerReportsHealth.org should not be viewed as a substitute for a consultation with a medical or health professional.
The information is meant to enhance communication with your doctor, not replace it. Consumers Union can not be liable for any loss, injury, or other damages related to your use of this information.
Your use of this information is subject to our User Agreement available at www.ConsumerReportsHealth.org.
Your use of this information is subject to our User Agreement available at www.ConsumerReportsHealth.org.
Source: ConsumerReportsHealth.org Copyright © 2005-2008 Consumers Union of U.S., Inc.













