2. Signs & Symptoms Sadness or hopelessness Irritability, anger, or hostility Tearfulness or frequent crying Withdrawal from friends and family Loss of interest in activities Changes in eating and sleeping habits

3. Signs & Symptoms Restlessness and agitation Feelings of worthlessness and guilt Lack of enthusiasm and motivation Fatigue or lack of energy Difficulty concentrating Thoughts of death or suicide

4. Could Lead To… Problems at school Running away Substance abuse Low self-esteem Eating disorders Internet addiction Self-injury Reckless behavior Violence Suicide

5. Causes of Teen Depression A family history of depression A history of substance abuse Certain medical conditions Gender Certain types of personalities Physical factors Stressful life events. Pressure (PARENTAL proven most common)

6. According to the Centers for Disease Control and Prevention (CDC), suicide is the third leading cause of death for 15 to 24-year- olds.

7. Long-term depressive illness usually has its onset in the teen or young adult years — about 15% to 20% of American teens have experienced a serious episode of depression.

8. Adolescent girls are twice as likely as boys to experience depression.

9. China has one of the highest suicide rates in the world, particularly among rural women.