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Depression is a medical illness, just like cancer or diabetes. It is not the "blues". The blues are normal feelings that eventually pass. The feelings associated with depression last longer than a couple of weeks. If your friend has depression, he can't talk himself out of it. Your friend isn't weak and doesn't have a character flaw. Having depression isn't his fault. Depression affects the whole body - thoughts, feelings, behavior, physical health, appearance, and all areas of a person's life - home, work, school and social life. Depression can be treated successfully just like other illnesses.


Depression is triggered by a complex combination of genetic, psychological and environmental factors. Genetic means that in some families, depression is inherited, passed down through genes. Psychological makeup has to do with personality traits and environmental factors means life circumstances. The brain is an organ of the body just like the heart, liver and kidneys. If the chemicals in the brain (neurotransmitters) that regulate how a person thinks, feels and acts, get out of balance, the brain can get "sick" and the result can be clinical depression. A bad or stressful life event could trigger depression, however, a person can also be born with depression. It can also appear out of nowhere, when everything is going fine, at a time when there is no reason to get depression. Depression is nothing to be ashamed of!



Anyone. People of all ages can get depression - even children. Boys and girls and men and women can get depression. It doesn't matter what race, ethnicity or economic group a person comes from. Depression affects more than 19 million people living in the United States each year.



Your friend may not know she has a treatable illness. Depression affects thinking - she may not be able to think clearly or rationally, or may believe that she can't be helped. When depression is severe, it can cause thoughts of hopelessness and helplessness. The #1 cause of suicide is untreated depression. Early recognition and treatment of depression can save lives.



Your friend might have only a few of the symptoms of depression listed below or he might have many symptoms. Everyone is different. There is no set number of boxes that, once checked, signal depression for sure. If any of the following are particularly bothersome or interfere with life, a person should get help. Can you "hear" your friend saying these things? What boxes do you think your friend would check?

  •  I feel sad.

  •  I feel like crying a lot.

  •  I feel so alone.

  •  I don't really feel sad, just "empty".

  •  I don't have any confidence in myself.

  •  I don't like myself.

  •  I feel scared a lot of the time, but I don't know why.

  •  I feel mad a lot, like I could just explode.

  •  I feel guilty.

  •  I can't concentrate.

  •  I have a hard time remembering.

  •  I don't want to make decisions - it's too much work.

  •  I feel like I'm in a fog.

  •  I'm so tired, no matter how much sleep I get.

  •  I'm frustrated with everything and everybody.

  •  I don't have fun anymore.

  •  I feel so helpless.

  •  I'm always getting into trouble.

  •  I'm so restless and jittery. I just can't sit still.

  •  I feel so disorganized, like my head is spinning.

  •  I feel so self-conscious.

  •  I can't think straight. My brain doesn't seem to "work".

  •  I don't feel like talking - I just don't have anything to say.

  •  Sometimes I feel I can't go on living.

  •  I use alcohol or drugs to escape or to mask feelings.

  •  Sometimes I do things that are dangerous or that could hurt me.

  •  My whole body feels slowed down; my speech, my walk, my movements.

  •  I don't want to go out with friends anymore.

  •  I don't feel like taking care of my appearance or myself.

  •  I feel my life has no direction.

  •  Occasionally, my heart will pound very hard, I can't catch my breath, I feel tingly, my vision seems strange, and I feel like I might pass out. It passes in seconds, but I'm afraid it will happen again. (panic attack)

  •  I feel "different" from everyone else.

  •  I smile, but inside I'm miserable.

  •  I have trouble falling asleep or wake up in the middle of the night and can't get back to sleep.

  •  I don't feel like eating anymore.

  •  I feel I could eat all the time.

  •  I've gained or lost a significant amount of weight.

  •  I have headaches, stomach aches, back aches, and/or pain in my arms and legs.

  •  I feel dizzy a lot.

  •  My vision seems blurred or "slow" at times.

  •  Nothing I do makes me feel better.


In 90% or more of cases, a combination of antidepressant medication and therapy works to treat depression. People with depression can be helped. Your friend can feel good again! A physical exam from your doctor is important to rule out any other illnesses that may have the same symptoms as depression.



Your friend may have symptoms of depression, but not be suicidal. It is always important to watch for danger signs of suicide though, just in case your friend might be having suicidal thoughts. Have you noticed any of these warning signs of suicide in your friend?

  •  Talking, reading, or writing about suicide or death.

  •  Talking about feeling worthless or helpless.

  •  Saying things like, "I'm going to kill myself," "I wish I were dead," or "I shouldn't have been born."

  •  Visiting or calling people to say goodbye.

  •  Giving things away or returning borrowed items.

  •  Organizing or cleaning bedroom "for the last time."

  •  Self-destructive behavior like self-cutting, or other "risk-taking" behaviors.

  •  Obsessed with death, violence and guns or knives.

  •  Previous suicidal thoughts or suicide attempts.


If you see any of these danger signs in your friend, get help immediately.




There is a direct link between depression and suicide. Every year in the United States, over 2,000 teenagers die by suicide.



The statement, "People who talk about suicide, won't really do it," is false!

  •  If your friend makes comments like, "I wish I were dead," or "It doesn't matter, I won't be around much longer," or "Everyone would be better off without me," it may signal that he is thinking about suicide.



It's okay to ask your friend, "Have you ever felt so badly that you've thought of suicide?" Asking the question won't plant the idea in a person's mind.

  •  If you suspect a friend has been thinking of suicide, tell a responsible adult, someone who will listen, take you seriously, and take action to get your friend help.

  •  If the first adult you go to doesn't feel there is cause for concern, keep going until you find someone who takes you seriously. This is an act of true friendship. A suicidal threat, even if said jokingly, should always be taken seriously!



Listen carefully, don't judge, and focus on the behaviors that concern you.

  •  Reassure your friend that there is help and that suicidal thoughts are only temporary.

  •  Offer to go with your friend to his or her parents, counselor or doctor.

  •  You can say things like, "I can tell you're really hurting," or "I care about you and will do my best to help." Tell him or her, "It's okay, it isn't your fault." A supportive friend can mean so much to someone who is in pain.

  •  Use this booklet and SAVE's wallet card to explain to your friend why you are concerned.



  •  Parent(s), guardian, or other family member

  •  School psychologist, social worker, counselor or nurse

  •  Teacher

  •  Personal physician or nurse

  •  Personal clergy

  •  Your local hospital

Many people can help you help a friend who is depressed or suicidal. But sometimes people don't understand depression and suicide. You can teach them.

Ask for help until you find it!

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