What might a change of subject by a depressed 15-year-old after being asked about sexual activity indicate?

A change of subject in a conversation, particularly with a depressed adolescent, can signify several underlying emotions or experiences. In this context, shifting away from discussing sexual activity can indicate emotional discomfort. Adolescents, especially those dealing with depression, may find topics related to sexuality trigger painful feelings, insecurity, or anxiety.

This response can be a protective mechanism, as the individual may feel overwhelmed or unable to cope with the emotions surrounding such discussions. Emotional discomfort could stem from various sources, including societal pressures, personal experiences, or mental health struggles such as depression, making the conversation feel particularly daunting or sensitive.

While the possibility of sexual abuse is a serious concern in pediatric populations, a change of subject alone does not provide sufficient evidence to conclude that abuse has occurred. It is essential to approach such situations with sensitivity and an understanding of the broader context of the adolescent's emotional state and development. Similarly, while general teenage behavior might involve changing the subject frequently, the specific context of depression suggests a deeper, more complex emotional response at play.