This study uses the National Survey of Children’s Health to examine the nationwide prevalence and severity of US adolescent mental health issues in the 12–17 age group between the years 2022 and 2023 in relation to parental mental health and exposure to adverse childhood experiences (ACEs). We used the NSCH data collected for 12–17-year-old adolescents. Descriptive statistics were generated for the selected sample and binary logistics regressions were conducted to examine influential factors for the presence and severity of adolescent depression and anxiety for the selected year. Adolescents aged 12–17 who experienced neighborhood violence had higher odds of being diagnosed with anxiety (OR = 1.369,
p = 0.009) and depression (OR = 1.508,
p = 0.004). Those living with someone who was mentally ill, suicidal, or severely depressed showed increased odds of anxiety (OR = 1.642,
p < 0.001) and depression (OR = 1.587,
p < 0.001). Adolescents judged unfairly due to a health condition or disability had markedly higher odds of anxiety (OR = 3.056,
p < 0.001) and depression (OR = 1.835,
p < 0.001), including severe forms (severe anxiety OR = 2.569; severe depression OR = 2.238; both
p < 0.001). Poorer parental emotional health was consistently associated with higher adolescent anxiety and depression, with “fair” parental emotional health showing the strongest association for depression (OR = 7.320,
p < 0.001). These findings demonstrate the need for better tailored mental health efforts towards both adolescents and their caregivers highlighting the harm of long-term environmental and familial stressors, and the gaps in community approaches in this population.
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