Objective: Pre-injury depression is a risk factor for poor outcome following concussion. Therefore, we documented pre-season mental health symptoms and depression in adolescent athletes. Method: Participants were 38,811 adolescent student athletes, ages 13-18, who completed baseline cognitive testing with ImPACT® between 2009 and 2014. None reported a concussion in the past 6 months. ImPACT® includes a health history questionnaire and the Post-Concussion Scale. Positive screening for current depression was defined as (a) “moderate” or greater self-reported symptoms of sadness and/or irritability, and (b) five or more symptoms of depression, out of eight, rated as “moderate” or greater in severity (i.e., sleep disturbance, fatigue, feeling more emotional, feeling slowed down, concentration problems, memory problems). Results: Of the total cohort, 6.3% reported prior treatment for a psychiatric condition (boys = 4.9%, girls = 7.9%), and 1.6% were currently on an antidepressant (boys = 1.1%, girls = 2.1%). Rates of psychiatric treatment for...

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