Kristie McNealy, MD

Most people probably realize that children as well as adults can suffer from depression. What many don’t know, is that the most common signs and symptoms of depression are different in kids than they are in adults. It’s critically important to recognize the symptoms of childhood depression because suicide is the third leading cause of death in 15- to 24-year-olds, and the sixth leading cause of death in 5- to 14-year-olds. Attempted suicides are much more common. This is extremely sad, because childhood depression is a treatable condition, if you recognize it.

Signs and Symptoms of Childhood Depression

Like depression in adults, childhood depression can present in a variety of ways. Here are just a few of the possible signs and symptoms that a child or adolescent is depressed.

• Expressing feelings of sadness, guilt or worthlessness.
• Difficulty with concentration.
• New problems in school or with completing assignments.
• Physical complaints like headaches, stomachaches, loss of appetite, or other pain.
• Displays of anger or aggression.
• Problems sleeping, nightmares or bedwetting.
• Irritability and/or restlessness.
• Engaging in risk taking behaviors and frequent injuries.
• Quitting extracurricular activities or skipping school.
• Drug or alcohol use.
• Discussing death, suicide or other morbid topics.

Suicide

Suicide is very real problem among depressed children and adolescents. Warning signs that a child in your life might be considering or planning suicide can include:

• Threats of suicide or statements that you might be “better off without them.”
• Saying they won’t “be around much longer” or that a situation is “hopeless”.
• Giving or throwing away treasured possessions.
• Showing a lot of interest in a friend or someone else who has committed suicide, or the attention brought by their death.
• Sudden cheerfulness of contentment after a period of depression.

If you’re concerned that a child in your life might be depressed or considering suicide, most importantly, don’t wait or worry about being wrong or breaking a confidence. Seek professional help from someone who has experience with childhood depression and suicide. Talk to the child, and ask them if they are feeling sad or depressed, or have thought about killing themselves. Let them know that you are there for them, and encourage them to talk. Help them find other helpful resources in their school or community, and alert other adults in the child’s life about your concerns. Your action and concern could save a life.

If you’re looking for more information about childhood depression, suicide or other mental health issues, check out the Mental Health America website.

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