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Abstract Girls are at higher risk of internalizing problems than boys. This disparity has widened in recent decades, but the underlying mechanisms remain understudied. Here we analysed data from 3,171 adolescents (46.9% girls) within the Tokyo Teen Cohort, assessed at ages 12, 14 and 16 years. At age 16, girls showed higher prevalence of internalizing problems than boys: depressive symptoms (15.9% versus 8.2%) and suicidal ideation (29.8% versus 18.1%).
Key Points Question Which categories and trajectories of psychopathological and behavioral symptoms are associated with suicidal thoughts in adolescence after accounting for comorbid symptoms? Findings In this cohort study of 2780 adolescents, the clustering pattern of trajectories varied depending on the categories of psychopathological and behavioral symptoms.
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