Depression in adolescents requires careful assessment due to suicide risk, atypical presentation, and developmental considerations in treatment. Adolescent depression may present as: irritability rather than sadness; behavioral problems; decline in school performance; social withdrawal; substance use; and somatic complaints. Suicide risk assessment is critical (third leading cause of death in adolescents). Treatment: psychotherapy (CBT, interpersonal therapy) first-line; SSRIs if moderate-severe (with close monitoring for activation/suicidal thoughts). Family involvement important. Nursing interventions: build rapport; provide supportive environment; educate about depression; monitor safety; encourage healthy activities; and collaborate with school. Documentation includes risk assessment and safety plan. Confidentiality limits discussed (safety concerns override). Developmental issues: identity formation, peer relationships, autonomy. Comorbid conditions common (anxiety, eating disorders, ADHD). Early intervention improves long-term outcomes. Nurses advocate for mental health services in schools and communities.

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Zambia

• Joseph Soko – 101 pts

• Visual Pathway Lesions
• Positive and Negative Symptoms
• Hallucinations and Delusions
• Antipsychotic Medications
• Emergency: Environmental Emergencies