Risk and protective factors associated with adolescent depression in Singapore: a systematic review

Introduction: Adolescent depression is prevalent, and teen suicide rates are on the rise locally. A systemic review to understand associated risk and protective factors is important to strengthen measures for the prevention and early detection of adolescent depression and suicide in Singapore. This...

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Main Authors: Wei Sheng Goh, Jun Hao Norman Tan, Yang Luo, Sok Hui Ng, Mohamed Sufyan Bin Mohamed Sulaiman, John Chee Meng Wong, Victor Weng Keong Loh
Format: Article
Language:English
Published: Wolters Kluwer – Medknow Publications 2025-01-01
Series:Singapore Medical Journal
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Online Access:https://journals.lww.com/10.4103/singaporemedj.SMJ-2021-192
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author Wei Sheng Goh
Jun Hao Norman Tan
Yang Luo
Sok Hui Ng
Mohamed Sufyan Bin Mohamed Sulaiman
John Chee Meng Wong
Victor Weng Keong Loh
author_facet Wei Sheng Goh
Jun Hao Norman Tan
Yang Luo
Sok Hui Ng
Mohamed Sufyan Bin Mohamed Sulaiman
John Chee Meng Wong
Victor Weng Keong Loh
author_sort Wei Sheng Goh
collection DOAJ
description Introduction: Adolescent depression is prevalent, and teen suicide rates are on the rise locally. A systemic review to understand associated risk and protective factors is important to strengthen measures for the prevention and early detection of adolescent depression and suicide in Singapore. This systematic review aims to identify the factors associated with adolescent depression in Singapore. Methods: A systematic search on the following databases was performed on 21 May 2020: PubMed, EMBASE and PsycINFO. Full texts were reviewed for eligibility, and the included studies were appraised for quality using the Newcastle Ottawa Scale. Narrative synthesis of the finalised articles was performed through thematic analysis. Results: In total, eight studies were included in this review. The four factors associated with adolescent depression identified were: (1) sociodemographic factors (gender, ethnicity); (2) psychological factors, including childhood maltreatment exposure and psychological constructs (hope, optimism); (3) coexisting chronic medical conditions (asthma); and (4) lifestyle factors (sleep inadequacy, excessive internet use and pathological gaming). Conclusion: The identified factors were largely similar to those reported in the global literature, except for sleep inadequacy along with conspicuously absent factors such as academic stress and strict parenting, which should prompt further research in these areas. Further research should focus on current and prospective interventions to improve mental health literacy, targeting sleep duration, internet use and gaming, and mitigating the risk of depression in patients with chronic disease in the primary care and community setting.
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spelling doaj-art-1ae7a2a8067444acb0e8f66204dc70502025-02-09T13:06:01ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352025-01-0166121410.4103/singaporemedj.SMJ-2021-192Risk and protective factors associated with adolescent depression in Singapore: a systematic reviewWei Sheng GohJun Hao Norman TanYang LuoSok Hui NgMohamed Sufyan Bin Mohamed SulaimanJohn Chee Meng WongVictor Weng Keong LohIntroduction: Adolescent depression is prevalent, and teen suicide rates are on the rise locally. A systemic review to understand associated risk and protective factors is important to strengthen measures for the prevention and early detection of adolescent depression and suicide in Singapore. This systematic review aims to identify the factors associated with adolescent depression in Singapore. Methods: A systematic search on the following databases was performed on 21 May 2020: PubMed, EMBASE and PsycINFO. Full texts were reviewed for eligibility, and the included studies were appraised for quality using the Newcastle Ottawa Scale. Narrative synthesis of the finalised articles was performed through thematic analysis. Results: In total, eight studies were included in this review. The four factors associated with adolescent depression identified were: (1) sociodemographic factors (gender, ethnicity); (2) psychological factors, including childhood maltreatment exposure and psychological constructs (hope, optimism); (3) coexisting chronic medical conditions (asthma); and (4) lifestyle factors (sleep inadequacy, excessive internet use and pathological gaming). Conclusion: The identified factors were largely similar to those reported in the global literature, except for sleep inadequacy along with conspicuously absent factors such as academic stress and strict parenting, which should prompt further research in these areas. Further research should focus on current and prospective interventions to improve mental health literacy, targeting sleep duration, internet use and gaming, and mitigating the risk of depression in patients with chronic disease in the primary care and community setting.https://journals.lww.com/10.4103/singaporemedj.SMJ-2021-192adolescent healthdepressionmental healthrisk factorssingapore
spellingShingle Wei Sheng Goh
Jun Hao Norman Tan
Yang Luo
Sok Hui Ng
Mohamed Sufyan Bin Mohamed Sulaiman
John Chee Meng Wong
Victor Weng Keong Loh
Risk and protective factors associated with adolescent depression in Singapore: a systematic review
Singapore Medical Journal
adolescent health
depression
mental health
risk factors
singapore
title Risk and protective factors associated with adolescent depression in Singapore: a systematic review
title_full Risk and protective factors associated with adolescent depression in Singapore: a systematic review
title_fullStr Risk and protective factors associated with adolescent depression in Singapore: a systematic review
title_full_unstemmed Risk and protective factors associated with adolescent depression in Singapore: a systematic review
title_short Risk and protective factors associated with adolescent depression in Singapore: a systematic review
title_sort risk and protective factors associated with adolescent depression in singapore a systematic review
topic adolescent health
depression
mental health
risk factors
singapore
url https://journals.lww.com/10.4103/singaporemedj.SMJ-2021-192
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