Our objective was to estimate the prevalence of depression and to determine whether high-risk health behaviors were associated with it among school-going adolescents, thereby assessing the need to integrate mental health services with the school health program. We conducted a cross-sectional study among 260 adolescents in schools of Bhavnagar city (western India) during January–October 2017. To assess depression, Beck Depression Inventory-II (BDI-II) was used and high-risk health behaviors were assessed by the Youth Risk Behavior Surveillance System (YRBSS) tool. Multivariable logistic regression analysis was performed to assess whether high-risk health behaviors were independent predictors of depression. The prevalence of depression was found to be 43%. Among high-risk health behaviors, adolescents carrying a sharp weapon to the school was the lowest (4%) and not eating breakfast was the highest (88%). On multiple logistic regression, feeling unsafe at school, self-perception regarding overweight, being a female, not living with both parents in the same house, being unhappy with school performance, having illness/seriously injured, and immediate family member being seriously ill/injured were found to be the significant predictors of depression among the adolescents. There is a need to address mental health issues like depression and high-risk health behaviors under the school health program through screening interventions.

中文翻译：

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高危健康行为预示着学龄青少年的抑郁症：印度需要将心理健康与学校健康计划相结合

我们的目标是估计抑郁症的患病率，并确定在校青少年的高危健康行为是否与其相关，从而评估将心理健康服务与学校健康计划相结合的必要性。我们在 2017 年 1 月至 10 月期间对 Bhavnagar 市（印度西部）学校的 260 名青少年进行了一项横断面研究。为了评估抑郁症，使用贝克抑郁量表-II (BDI-II) 并通过以下方法评估高风险健康行为青少年风险行为监测系统 (YRBSS) 工具。进行多变量逻辑回归分析以评估高危健康行为是否是抑郁症的独立预测因素。抑郁症的患病率为 43%。在高危健康行为中，携带利器上学的青少年最少（4%），不吃早餐最多（88%）。在多元逻辑回归中，在学校感到不安全，对超重的自我认知，是女性，与父母不住在同一所房子里，对学校表现不满意，生病/重伤，以及直系亲属病重/发现受伤是青少年抑郁症的重要预测因素。需要通过筛查干预来解决学校健康计划下的心理健康问题，例如抑郁症和高危健康行为。与父母不住在同一所房子里、对学校表现不满意、生病/严重受伤、直系亲属病重/受伤被发现是青少年抑郁症的重要预测因素。需要通过筛查干预来解决学校健康计划下的心理健康问题，例如抑郁症和高危健康行为。与父母不住在同一所房子里、对学校表现不满意、生病/严重受伤以及直系亲属病重/受伤被发现是青少年抑郁症的重要预测因素。需要通过筛查干预来解决学校健康计划下的心理健康问题，例如抑郁症和高危健康行为。