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Amidst the coronavirus 2019 (COVID-19) pandemic crisis, individuals have changed their lifestyles while maintaining social distancing which makes them feel isolated. As a result, a large number of teenagers are constantly under stress, anxiety and depression. This descriptive correlational study aimed to (1) investigate the prevalence of stress, anxiety, and depression, and (2) examine factors associated with depression among teenagers during the outbreak of coronavirus 2019 (COVID-19) as a case study of Ratsada School in Trang province by using stress assessment forms (ST-5), anxiety towards coronavirus 2019 screening forms, and the Patient Health Questionnaire for Adolescents (PHQ-A). Data were collected online from a sample of 1,035 people between November 10 and December 6, 2021, and were analyzed using descriptive statistics accompanied by multivariate logistic regression statistics. The results showed that 12.47% of teenagers reported feeling stressed (score ≥ 8), 11.3 % concerned about COVID-19 (score ≥ 7) and 14.12% depressed (score ≥ 10). More importantly, 1.35% of them thought it was better to die than to live or thought about self-harm which is a sign of severe depression. The correlational analysis revealed that stress factors (OR = 190.63, 95% CI = 25.87-1,405.00) and concerns about coronavirus 2019 (OR = 1.94, 95% CI = 1.14-3.29) were associated with teen depression. These findings illustrated the magnitude of teen stress, anxiety, depression and suicide risk which yielded information that public health agencies or other relevant sectors can use for care and support planning as well as proper prevention of the above mentioned problems.
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