en Mental Health and Substance Use Mental Health and Substance Use Original Research Original Research <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><b>&nbsp;&nbsp;</b><b><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp; Background: </span></span></b><span style="font-size:9.0pt"><span style="font-style:normal">Depression in adolescents is a significant mental health issue in Indonesia. Parents&rsquo; inability to cope with adolescent depression is a key risk factor. This study reports the development and evaluation of a guide for parents to prevent adolescent depression, focusing on emotional and instrumental support in Deli Serdang, Indonesia. The objective of the study was to analyze the association between levels of emotional and instrumental support and adolescent depression. </span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Methods: </b>A cross-sectional study was conducted from June 2023 to September 2024 at 5 community health centres in Deli Serdang Regency, Indonesia. A total of 202 purposively selected households with adolescents. Inclusion criteria were families with individuals aged 15-24 years without a current diagnosis of depression and willingness to participate. Data were collected using a validated, structured questionnaire, the Depression Anxiety Stress Scale, covering demographic factors, parenting style, and levels of emotional and instrumental support. Emotional and instrumental support scores were categorized into &ldquo;good&rdquo; and &ldquo;lacking.&rdquo; Chi-square tests and multivariate logistic regression were used with statistical significance set at P < 0.05.</span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Results:</b> Good emotional support was reported by 67.3% (95% CI) and good instrumental support by 66.0% (95% CI). Both emotional support (</span></span><span style="font-size:9.0pt">P</span><span style="font-size:9.0pt"><span style="font-style:normal"> = 0.008; OR = 7.56, 95% CI: 6.12&ndash;7.56) and instrumental support (</span></span><span style="font-size:9.0pt">P</span><span style="font-size:9.0pt"><span style="font-style:normal"> = 0.013; OR = 6.06, 95% CI: 5.33&ndash;6.12) were significantly associated with lower depression prevalence among adolescents.</span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal">&nbsp;&nbsp; <b>Conclusion:</b> This study indicates that family empowerment through enhanced emotional and instrumental support is associated with lower depression prevalence among adolescents and should be integrated into community mental health programs.</span></span></span></span></span></span></span></span><br> <span style="font-size:13pt"><span style="text-justify:kashida"><span style="text-kashida:0%"><span style="text-autospace:none"><span style="font-family:&quot;Times New Roman&quot;,serif"><span style="font-style:italic"><span style="font-size:9.0pt"><span style="font-style:normal"></span></span></span></span></span></span></span></span><br> &nbsp; Adolescent, Depression, Emotional and instrumental support, Family understanding 1467 1474 http://mjiri.iums.ac.ir/browse.php?a_code=A-10-9610-1&slc_lang=en&sid=1 Tati Murni Karokaro tatikarokaro612sp@gmail.com 200319475328460095708 200319475328460095708 Yes Department of Nursing, Faculty of Nursing and Physiotherapy, Institut Kesehatan Medistra Lubuk Pakam, Sumatra Utara, Indonesia Afrizal Afrizal afrizal@soc.unand.ac.id 200319475328460095709 200319475328460095709 No Department of Sociology, Faculty of Social and Political Science, Universitas Andalas, Kompleks perum Unand, D1-07-15, Ulu Gadut, Kel. Bandar Buat, Padang, West Sumatra-25163, Indonesia Amel Yanis amelyanis@med.unand.ac.id 200319475328460095710 200319475328460095710 No Department of Medicine, Faculty of Medicine, Universitas Andalas, Limau Manis, Padang, West Sumatra, 25163, Indonesia Hardisman Hardisman hardisman@med.unand.ac.id 200319475328460095711 200319475328460095711 No Department of Medicine, Faculty of Medicine, Universitas Andalas, Limau Manis, Padang, West Sumatra, 25163, Indonesia Miftahul Zannah Miftahuljannah@medistra.ac.id 200319475328460095712 200319475328460095712 No Department of Physiotherapy, Faculty of Nursing and Physiotherapy, Institut Kesehatan Medistra Lubuk Pakam, Sumatra Utara, Indonesia Sari Desi Esta Ulina Sitepu sitepudesisari@gmail.com 200319475328460095713 200319475328460095713 No Department of Nursing, Faculty of Nursing and Physiotherapy, Institut Kesehatan Medistra Lubuk Pakam, Sumatra Utara, Indonesia Abdi Lestari Sitepu abdisitepu1403@gmail.com 200319475328460095714 0009-0009-6643-0808 No Department of Nursing, Faculty of Nursing and Physiotherapy, Institut Kesehatan Medistra Lubuk Pakam, Sumatra Utara, Indonesia