HEALTH4.C Adolescent depression: Percentage of youth ages 12–17 who had at least one Major Depressive Episode (MDE) with severe impairmenta in the past year by age, gender, race and Hispanic origin, and poverty status 2004

HEALTH4.C Adolescent depression: Percentage of youth ages 12–17 who had at least one Major Depressive Episode (MDE) with severe impairmenta in the past year by age, gender, race and Hispanic origin, and poverty status 2004–2009

Characteristic	2004	2005	2006	2007	2008	2009
Total	6.2	6.0	5.5	5.5	6.0	5.8
Age
Ages 12–13	3.5	3.3	2.7	2.5	3.1	3.2
Ages 14–15	6.3	6.6	6.0	6.0	6.0	6.2
Ages 16–17	8.8	8.1	7.5	7.9	8.3	7.7
Gender
Male	3.3	2.9	2.6	3.0	2.9	3.2
Female	9.2	9.4	8.4	8.2	9.2	8.6
Race and Hispanic origin^b
White, non-Hispanic	6.5	6.3	5.8	5.9	6.5	6.0
Black, non-Hispanic	5.0	5.1	3.9	5.1	4.7	5.7
American Indian or Alaska Native	4.9	4.1	6.6	2.6	6.5	4.3
Asian	4.4	3.7	5.3	4.0	4.7	5.0
Two or more races	9.3	7.7	8.0	7.8	10.2	6.0
Hispanic	6.1	6.2	5.4	5.0	5.1	5.4
Poverty status
Below 100% poverty	—	5.2	5.4	5.1	5.7	5.5
100–199% poverty	—	6.7	6.3	6.0	6.8	6.2
200% poverty and above	—	6.0	5.2	5.5	5.7	5.8
— Not available.
^a Impairment is identified using the Sheehan Disability Scale (SDS)¹ items that measure the impact of MDE across four role domains: (1) chores at home, (2) school or work, (3) close relationships with family, and (4) social life. Ratings are made on a 0 to 10 scale with ratings greater than or equal to 7 considered severe impairment.
^b 1997 Office of Management and Budget (OMB) standards were used to collect race and ethnicity data. Persons could select one or more of five racial groups: White, Black or African American, American Indian or Alaska Native, Native Hawaiian or Other Pacific Islander, or Asian. Respondents could choose more than one race. Those reporting more than one race were classified as “Two or more races.” Data on Hispanic origin are collected separately. Persons of Hispanic origin may be of any race. Included in the total but not shown separately are persons of Native Hawaiian or Other Pacific Islander origin.
NOTE: Major Depressive Episode (MDE) is defined as a period of at least 2 weeks when a person experienced a depressed mood or loss of interest or pleasure in daily activities and had at least four additional symptoms (such as problems with sleep, eating, energy, concentration and feelings of worth) as described in the 4th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV).²
SOURCE: Substance Abuse and Mental Health Services Administration, National Survey on Drug Use and Health.
¹ Leon, A.C., Olfson, M., Portera, L., Farber, L., and Sheehan, D.V. (1997). Assessing psychiatric impairment in primary care with the Sheehan Disability Scale. International Journal of Methods in Psychiatric Research, 27(2): 93–105.
² American Psychiatric Association. (1994). Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) (4th ed.). Washington, DC: Author.