Faculty Advisor

Bobby Bellflower, DNSc, NNP-BC, FAANP

Document Type


Publication Date

Spring 4-20-2022


Community Health | Family Practice Nursing | Health and Medical Administration | Health Services Administration | Health Services Research | Maternal and Child Health | Maternal, Child Health and Neonatal Nursing | Medicine and Health Sciences | Mental and Social Health | Mental Disorders | Nursing | Nursing Administration | Other Mental and Social Health | Pediatric Nursing | Psychiatric and Mental Health | Psychiatric and Mental Health Nursing | Psychiatry and Psychology | Public Health | Public Health and Community Nursing | Public Health Education and Promotion


Purpose/Background Recognizing mental illness is crucial in adolescence. It is the second leading cause of suicide and death in children 10-19 years of age. Early identification and recognition of signs and symptoms could prevent progressive mental health illness in early childhood and adulthood. We are seeking to answer the PICO question: In adolescents between 10 and 19 years of age who are enrolled in school (P), how does receiving education on depression awareness (I) compared to not receiving education on depression awareness (C) affect depression scores (O)?

Methods This review was conducted on articles about adolescent children. These articles were written within the past ten years and were scientifically researched, peer-reviewed, and published by a professional medical journal in the English language. The research was conducted in a school-based setting throughout the country and abroad. The information was evidence-based and included systematic reviews. In the fall of 2019, we began searching the literature on school-based education programs and the effectiveness of education in identifying signs and symptoms of depression.

Results The review yielded 40 results. Ten articles of high quality were used to support positive findings that school-based programs such as ADAP programs effectively taught signs and symptoms of depression and help-seeking behavior. This program was administered by teachers, nurses, and other school personnel educated before the program's start. The program consists of a 6-week program with education on depression provided. Pre and post-tests were given to show improvement in knowledge of depression. There was an increase in depression scores from 0% pretest to 74.5% post-screening.

Implications for Nursing This scoping review reveals evidence that education on depression awareness improves help-seeking behavior and increases knowledge on signs and symptoms of depression. The ADAP curriculum and other curricula have effectively promoted positive outcomes. However, further research is needed to make these programs available to all students.