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Adolescent depression: diagnosis, treatment, and educational attainment

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  • Jason M. Fletcher

    (Division of Health Policy and Administration, Department of Epidemiology and Public Health, Yale University School of Medicine, CT, USA)

Abstract

In this paper, I use nationally representative longitudinal data to examine adolescent depression and educational attainment. First, I examine the individual, family, and community-level determinants of adolescent depression, diagnosis, and treatment. I find that male and minority adolescents who score high on depression scales are less likely to be diagnosed as depressed or receive treatment than female and non-Hispanic white adolescents. Additionally, I find several community-level variables to be important determinants of depression, diagnosis, and treatment. Second, I examine the importance of adolescent depression for educational attainment. Although it is uncontroversial to expect a negative relationship, most previous research uses cross-sectional data, making it difficult to adequately determine the magnitude of the effect. I find that depressive symptoms are related to educational attainment along multiple margins: dropping out of high school, college enrollment, and college type. These relationships are only found for adolescent females, and there are several interesting results across income groups. Overall, these findings suggest that further attempts to diagnose and treat adolescents with depressive symptoms are needed and that additional treatment options may be required to combat the important relationship between adolescent depression and human capital accumulation for females. Copyright © 2007 John Wiley & Sons, Ltd.

Suggested Citation

  • Jason M. Fletcher, 2008. "Adolescent depression: diagnosis, treatment, and educational attainment," Health Economics, John Wiley & Sons, Ltd., vol. 17(11), pages 1215-1235.
  • Handle: RePEc:wly:hlthec:v:17:y:2008:i:11:p:1215-1235
    DOI: 10.1002/hec.1319
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    File URL: http://hdl.handle.net/10.1002/hec.1319
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    Cited by:

    1. Johnston, DW & Propper, C & Pudney, SE & Shields, MA, "undated". "Is there an income gradient in child health? It depends whom you ask," Working Papers 5283, Imperial College, London, Imperial College Business School.
    2. Jason M. Fletcher, 2010. "Adolescent depression and educational attainment: results using sibling fixed effects," Health Economics, John Wiley & Sons, Ltd., vol. 19(7), pages 855-871.
    3. Dinand Webbink & Sunčica Vujić & Pierre Koning & Nicholas G. Martin, 2012. "The Effect Of Childhood Conduct Disorder On Human Capital," Health Economics, John Wiley & Sons, Ltd., vol. 21(8), pages 928-945, August.
    4. Daniel Gladwell & Gurleen Popli & Aki Tsuchiya, 2015. "A Dynamic Analysis of Skill Formation and NEET status," Working Papers 2015016, The University of Sheffield, Department of Economics.
    5. Joseph Sabia & Daniel Rees, 2015. "Body weight, mental health capital, and academic achievement," Review of Economics of the Household, Springer, vol. 13(3), pages 653-684, September.
    6. Egan, Mark & Daly, Michael & Delaney, Liam, 2015. "Childhood psychological distress and youth unemployment: Evidence from two British cohort studies," Social Science & Medicine, Elsevier, vol. 124(C), pages 11-17.
    7. Fletcher, Jason M. & Green, Jeremy C. & Neidell, Matthew J., 2010. "Long term effects of childhood asthma on adult health," Journal of Health Economics, Elsevier, vol. 29(3), pages 377-387, May.
    8. Eisenberg Daniel & Golberstein Ezra & Hunt Justin B, 2009. "Mental Health and Academic Success in College," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 9(1), pages 1-37, September.
    9. D. Mark Anderson & Resul Cesur & Erdal Tekin, 2015. "Youth Depression And Future Criminal Behavior," Economic Inquiry, Western Economic Association International, vol. 53(1), pages 294-317, January.
    10. Sarah Baird & Jacobus de Hoop & Berk Özler, 2013. "Income Shocks and Adolescent Mental Health," Journal of Human Resources, University of Wisconsin Press, vol. 48(2), pages 370-403.
    11. Francesca Cornaglia & Elena Crivellaro & Sandra McNally, 2012. "Mental Health and Education Decisions," CEE Discussion Papers e0136, Centre for the Economics of Education, LSE.
    12. Fletcher, Jason M., 2009. "Childhood mistreatment and adolescent and young adult depression," Social Science & Medicine, Elsevier, vol. 68(5), pages 799-806, March.
    13. Maclean, Johanna Catherine, 2013. "The health effects of leaving school in a bad economy," Journal of Health Economics, Elsevier, vol. 32(5), pages 951-964.
    14. Cornaglia, Francesca & Crivellaro, Elena & McNally, Sandra, 2015. "Mental health and education decisions," Labour Economics, Elsevier, vol. 33(C), pages 1-12.
    15. Albert Okunade & Andrew Hussey & Mustafa Karakus, 2009. "Overweight Adolescents and On-time High School Graduation: Racial and Gender Disparities," Atlantic Economic Journal, Springer;International Atlantic Economic Society, vol. 37(3), pages 225-242, September.
    16. Rees, Daniel I. & Sabia, Joseph J. & Argys, Laura M., 2009. "A head above the rest: Height and adolescent psychological well-being," Economics & Human Biology, Elsevier, vol. 7(2), pages 217-228, July.
    17. Susan Busch & Ezra Golberstein & Ellen Meara, 2011. "The FDA and ABCs: The Unintended Consequences of Antidepressant Warnings on Human Capital," NBER Working Papers 17426, National Bureau of Economic Research, Inc.
    18. Nguyen, Quynh C. & Hussey, Jon M. & Halpern, Carolyn T. & Villaveces, Andres & Marshall, Stephen W. & Siddiqi, Arjumand & Poole, Charles, 2012. "Adolescent expectations of early death predict young adult socioeconomic status," Social Science & Medicine, Elsevier, vol. 74(9), pages 1452-1460.
    19. Arne Risa Hole & Anita Ratcliffe, 2015. "The impact of the London bombings on the wellbeing of young Muslims," Working Papers 2015002, The University of Sheffield, Department of Economics.
    20. Sabia, Joseph J. & Rees, Daniel I., 2011. "Individual heterogeneity and reverse causality in the relationship between migraine headache and educational attainment," Economics of Education Review, Elsevier, vol. 30(5), pages 913-923, October.
    21. Jeffrey S. DeSimone, 2010. "Sadness, Suicidality and Grades," NBER Working Papers 16239, National Bureau of Economic Research, Inc.
    22. Cronin, C.J.; Forsstrom, M.P.; Papageorge, N.W.;, 2017. "Mental Health, Human Capital and Labor Market Outcomes," Health, Econometrics and Data Group (HEDG) Working Papers 17/25, HEDG, c/o Department of Economics, University of York.
    23. Andrew Hussey & Debjani Kanjilal & Anil Nathan, 2016. "Disruption in Parental Co-habitation and its Effects on Short-Term, Medium-Term, and Long-Term Outcomes of Adolescents," Journal of Family and Economic Issues, Springer, vol. 37(1), pages 58-74, March.

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