What should the nurse suspect if a depressed adolescent changes the subject when asked about sexual activity?

When a depressed adolescent changes the subject when asked about sexual activity, it may indicate a variety of underlying emotions or circumstances. One possibility is that the adolescent feels uncomfortable discussing this topic, potentially due to experiences of sexual abuse. Adolescents with a history of abuse may evade conversations about sexual activity, as it can trigger trauma-related emotions or memories. Such avoidance can be a protective mechanism to cope with distressing feelings associated with past experiences.

While other options such as fear of judgment, social anxiety, or desire for privacy could also explain changes in subject matter during discussions, the context of depression elevates the concern for underlying issues like abuse. In psychiatric nursing, it’s crucial to approach these situations with sensitivity and the understanding that changes in behavior, particularly in the context of mental health challenges, may signal deeper psychological concerns that require further inquiry and support.