Adolescence is a high-risk period for depression, yet few studies have examined depressed adolescents' perspectives on their experiences with depression. This study sought to understand adolescents' subjective experiences and contextual factors shaping depression among these young individuals.Methods: Thirteen purposely selected adolescents (13–17 years old) clinically diagnosed with depression within one year of the study and receiving treatment on an outpatient basis were taken through semi-structured interviews focussing on their unique difficulties and their understanding of these challenges. We analyzed the transcribed data using interpretative phenomenological analysis.
Results: The mean age of adolescents was 15.31 years (SD=1.60); adolescents were all in school, about 61.5% had been admitted at least once to psychiatric in-patient units for depression (mean 1.38, SD=.51). Two superordinate themes emerged: "Desperation and Emotional Turmoil" and "Expressions of Inner Conflict and Distress." Subordinate themes included expressing sadness and misery, physical expressions of despair, gloomy perspective on things, disconnection and isolation, anger and aggression, and the influence on academics.
Conclusion: The findings highlight the severity of teenage depression and the necessity for improved detection and tailored interventions. It calls for developing culturally sensitive interventions and screening tools that reflect the language and experiences of adolescents. Enhanced awareness among adolescents, parents, teachers, and health professionals is essential for early detection and effective intervention for adolescent depression.

Lalit Dzifa Kodzo is a committed Mental Health Nurse dedicated to improving patient well-being. Currently pursuing a Ph.D. in Nursing at Zhengzhou University, China, Lalit holds a Master's in Public Health, a Bachelor of Education in Health Science (Psychiatry), and a Diploma in Mental Health Nursing. Her expertise spans various disciplines, including psychiatric nursing, epidemiology, and health promotion. With a diverse educational background, Lalit's career encompasses clinical practice, education, and research roles across Ghana and China. Recognized for her dependability, excellent communication, and organizational skills, she is currently the president of the Zhengzhou University International Students' Association. Dzifa's passion extends beyond mental health; she enjoys spending time with family, reading, writing, and cooking.