Normal developmental stages can also confuse the diagnostic process when behavior for a development stage mimics symptoms of depression. Once possible physical causes are ruled out, careful observation of the child for an extended time may be necessary before diagnosis is possible. While parents are primarily responsible for getting treatment for their depressed child, they often can't or don't recognize the signs. Teachers often notice a gradual decline in attentiveness, quality of school work and general social interaction of a student. Even very young children, if suffering from depression, are at risk for suicide.
Some experts think suicides in young children are sometimes mistaken for accidents.
Observation, recognition of risk signs, and timely referral are the most important steps for a teacher to take when a child is suspect for depression. You may want to become more familiar with your facility's policy about referral to the appropriate contact person. Children with depression often have altered behavior that distracts from their school work. Some are sad and tearful, others may act out their frustration about emotions they don't understand with aggressive behavior, similar to that seen in attention deficit disorder. Lowered self esteem may make students hesitant to become involved in group activities.