July 12, 2006

New Study Shows Depression Tied to Risky Teen Sex

What We Can Do to Help

The study out of the University of California shows that middle school and high school age kids with depressive symptoms engaged in riskier sexual behavior.

Like many studies it just lends more specifics and empirical evidence to something that is just plain common sense. When bummed out or depressed, many will seek comfort in sex as others do in drugs or alcohol. They may think that sex will provide the escape from the isolation that depression brings. Many who are depressed self-medicate and sex can be strong medicine.

Without these higher risks caused by depression the picture is already bleak on teens and irresponsible sex. Teens make up over half of new cases of STD's and have a higher risk of contracting HIV.

Not only should this be a reminder to talk to our kids about the dangers, risks, and responsibilities that come with being sexually active, it should also remind us to keep the lines of communication open not just with our only children, but those we might mentor or know. Parents and others should be on the lookout for signs of depression so that they can lend support and also seek professional help if needed. I won't weigh in on the whole Tom Cruise Lauer interview except to say that while I have often thought our children are far too medicated in this country (ADD? I thought all kids had that), it is true that depression can be debilitating both physical and emotionally and should not be taken lightly.

Warning signs for depression in kids and teens vary from those found in adults. Here are some warning signs I have read about over the years from various publications:

  • Isolating oneself and showing less interest in activities or in hanging out with family and friends.
  • Might not share thoughts a lot and will spend more time alone.
  • A lack of motivation, less energy, feeling like nothing is fun or exciting.
  • Less effort towards everything, even how they look.
  • A drop in grades, missing class, avoiding social contact, all are red flags if they persist.
  • Running away from home would be a huge cry for help in this category.
  • Feeling worthless, low self-esteem, taking rejection particularly hard.
  • Teens may also seem very gloomy, a constant malaise.
  • The opposite can be true as well - anger management issues, being irritable and mean to others, always on the attack and trying to tear others down. An attempt perhaps to bring them down to their level as they see it.
  • More on the opposing extremes. Sleeping far too much or far too little. Not eating or over-eating. I know this seems like everything, but I think you know what I am getting at. The extremes and existing over a sustained period.
  • Alcohol and dug abuse can be signs.

    I know adults can think that kids over-dramatize - "it's just puppy love," "a cry for attention," "everything seems like the end of the world to teens." Please take threats of suicide seriously and seek professional help and an evaluation immediately. I have more than one dear friend who lost a child to suicide and they are adamant on this point. There is also nothing wrong with broaching the subject before it comes up. Think your child seems depressed? Ask your child in a low key way and ask if they have had thoughts of suicide.

    There are physical signs to depression as well - nausea, recurring headaches, and extreme fatigue are a few.

    Be on the look out for vomiting (bulimia), anorexia, and something called "cutting". Cutting has become increasingly prevalent among teens, a way to "feel more" and take out feelings of unworthiness and self-hate. So watch out for cuts and ask your teen about them.

    If you notice any of these signs please get help immediately. 1-800-826-3632 is the number for a depression hotline and here you can find a support group in your area.

    If you notice any of these signs, contact your child's primary care doctor and ask for a recommendation If there are other parents you feel comfortable with ask them, or a counselor at school. Don't forget to check with your insurance company so you know what to expect.



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