Please write a comment base in these answers. At least 130 words. Academic References in each. Write both comment in the same paper in APA Format. Thanks.

Comment 1
Contributing factors:
-Being victim of violence.
-Physical Disability,
-Negative impaction self-esteem.
-Abusing alcohol and another drugs.
-living in unsupported
-environment,
-Family conflicts and experiencing stressful events like loss of loved one,
-Imbalance or impairment of brain chemicals,
-Change in balance of hormone,
-inherited traits and acquired patterns of negative thinking.
Signs & Symptoms:
Emotional : Feeling hopeless,low self-esteem,begin irritable,extreme sensitivity to rejection,thinking of death/suicide frequently,getting trouble in thinking or remembering things,loss of interest in family and friends and feeling of sadness.
Behavior: Social isolation,Use of drugs, suicide attempts,self-harm,change in appetite,poor performance in school work,energy loss,sleepiness or insomnia,restlessness and other acting out manners.
Community & State   Resources:
National Alliance of the Mentally IllNESS: 1-800-950-6264:
NAMI  is an organization to support people affected by Mental Illness.
Toll-free, confidential hot line operating Mon.-Fri., 10 am- 6 pm (EST).
The Substance Abuse and Mental Health [SAML]Is a program responsible for the oversight of a statewide system care for the Prevention, Treatment and recovery children and adult with Mental illness or Substance Abuse Disorder.
Help Line-1800-273-8255.
Nursing Interventions for depressed Teen:

• PRIMARY PREVENTION:Assess Risk factors and educate families how to prevent it, Educate families  how to identify signs and symptoms of depression.
• SECONDARY PREVENTION: Screening during assessment.
• Refer to a counselor or support group.
• Encourage feeling and open expression.
• Medicate as ordered and document results.
• TERTIARY PREVENTION: Assess adolescent to identify  the precipitating event when sadness and feeling arose.
• Encourage daily  physical activity.
• Assist adolescent to focus on strengths rather than weaknesses.
• Teach positive and effective coping strategies.

Comment 2
Teen pregnancies have always been an important issue for young adolescent females. This issue is important due to the risks of complications associated with early age pregnancies. There are some factors that play into teen pregnancy. Known factors that contribute to the rise in teen pregnancies is the absence of education for sexually active teens. Many teens do not have education on important topics like birth control, condoms, and plan B. Some teens do not have resources available to them that they can talk to about their questions. It is important to assess a teenager’s knowledge about sex and sexuality (“Risk and Protective factors”,n.d.). If the parent is with them, it is always good to ask if the patient would like privacy to discuss the topic.
It is believed certain situations such as family poverty, having parents who had children before age 20, single parent homes, early sexual activity, and use of alcohol and drugs play into teen pregnancies. In the state of Texas, the rate of teenage pregnancies has subtly decreased over the span of the past 10 years. In 2011, 27% of teens under the age of 18 experienced a pregnancy. Currently, it has dropped to 26% (“Total and Population”, n.d.).
“Power to Decide” is an organization designated to helping educate teens on their ways to prevent pregnancy so that they can ensure their future is all about them. In the event the teenager is pregnant, there are other resources to help aid during their time of need. “Brightright” is available 24/7 for pregnant teens. They also have a hot line teens can call if needed. Resources for teen pregnancy is important since most teens are likely to not seek medical attention early on due to emberassment or fear of telling their family. Which in turn puts them at risk for pregnancy complications like high blood pressure, eclampsia, and pre-term birth.