@article{ref1,
title="Correlates of depressive symptoms among at-risk youth presenting to the emergency department",
journal="General hospital psychiatry",
year="2013",
author="Ranney, Megan L. and Walton, Maureen A. L. and Whiteside, Lauren and Epstein-Ngo, Quyen and Patton, Rikki and Chermack, Stephen and Blow, Fred and Cunningham, Rebecca M.",
volume="35",
number="5",
pages="537-544",
abstract="OBJECTIVE: The study's objective was to identify correlates of depressive symptoms among at-risk youth in an urban emergency department (ED). METHOD: 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. RESULTS: 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. CONCLUSIONS: 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.<p /> <p>Language: en</p>",
language="en",
issn="0163-8343",
doi="10.1016/j.genhosppsych.2013.05.007",
url="http://dx.doi.org/10.1016/j.genhosppsych.2013.05.007"
}