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We conducted a cross\u2010sectional study among 260 adolescents in schools of Bhavnagar city (western India) during January\u2013October 2017. To assess depression, Beck Depression Inventory\u2010II (BDI\u2010II) was used and high\u2010risk health behaviors were assessed by the Youth Risk Behavior Surveillance System (YRBSS) tool. Multivariable logistic regression analysis was performed to assess whether high\u2010risk health behaviors were independent predictors of depression. The prevalence of depression was found to be 43%. Among high\u2010risk health behaviors, adolescents carrying a sharp weapon to the school was the lowest (4%) and not eating breakfast was the highest (88%). On multiple logistic regression, feeling unsafe at school, self\u2010perception regarding overweight, being a female, not living with both parents in the same house, being unhappy with school performance, having illness\/seriously injured, and immediate family member being seriously ill\/injured were found to be the significant predictors of depression among the adolescents. There is a need to address mental health issues like depression and high\u2010risk health behaviors under the school health program through screening interventions.<\/jats:p>","DOI":"10.1002\/jcop.22627","type":"journal-article","created":{"date-parts":[[2021,6,1]],"date-time":"2021-06-01T17:03:22Z","timestamp":1622567002000},"page":"1891-1903","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["High\u2010risk health behaviors predict depression among school\u2010going adolescents: the need for integration of mental health with school health program in India"],"prefix":"10.1002","volume":"49","author":[{"given":"Pooja A.","family":"Chauhan","sequence":"first","affiliation":[{"name":"Department of Community Medicine NAMO Medical Education &amp; Research Institute  Sayali Road Silvassa Dadra &amp; Nagar Haveli India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2174-1345","authenticated-orcid":false,"given":"Mihir Prafulbhai","family":"Rupani","sequence":"additional","affiliation":[{"name":"Department of Community Medicine Government Medical College Bhavnagar (Maharaja Krishnakumarsinhji Bhavnagar University)  Near ST Bus Stand, Jail Road Bhavnagar Gujarat India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,6]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"crossref","unstructured":"Beck A. 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