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The Global Consortium for Depression Prevention convened last September at Brown University to address the alarming rise in depression and suicidal behavior among adolescents worldwide. This global crisis has reportedly been elevated by various factors, including the COVID-19 pandemic, socioeconomic disparities, political conflicts and climate change.

Focusing on prevention

While evidence-based treatments exist for depression, they only address part of the problem and cannot meet the current demand. In a report, Consortium members explained that even if these treatment methods are widely implemented, they would only reduce the burden of depression by 28%.

Recognizing the limitations of treatment, the Consortium advocates for prevention as a more viable and cost-effective approach. By focusing on prevention, depression rates could potentially be lowered by 19% or more, especially among high-risk groups and in countries with fewer resources.

Despite the importance of prevention, implementing effective strategies is challenging. Large-scale school interventions have shown mixed results, with challenges including underdeveloped methodologies, difficulties in quantifying outcomes, and the need for clarification on specific features of prevention strategies.

Research suggests that targeted programs aimed at high-risk groups may be more effective than universal approaches. This finding underscores the need for tailored interventions that take into account individual and cultural identities.

Balancing prevention and treatment

The immediate needs of those currently suffering from depression often overshadow prevention efforts. However, addressing foundational issues such as racism and access to housing and healthcare is crucial for effective prevention.

Involving adolescents and young adults in the design of prevention interventions is essential. At the September event, a panel of young people shared their experiences with depression and provided insights into prevention approaches that would resonate with their peers.