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how do adolescents define depression? - cIRcle - University of ...

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APPENDIX B: Student Assent Form<br />

UNIVERSITY OF BRITISH COLUMBIA<br />

Department <strong>of</strong> Educational and Counselling<br />

Psychology and Special Education<br />

Faculty <strong>of</strong> Education<br />

2125 Main Mall<br />

Vancouver, B.C. Canada V6T 1Z4<br />

Principal Investigator:<br />

Kimberly Schonert-Reichl, Ph.D<br />

Associate Pr<strong>of</strong>essor<br />

Department <strong>of</strong> Educational and<br />

Counselling Psychology and<br />

Special Education<br />

Room 2310-2125 Main Mall<br />

Vancouver, B.C. V6T 1Z4 Canada<br />

Phone number: 604-822-2215<br />

Fax: 604-822-3302<br />

STUDENT ASSENT FORM<br />

Appendices<br />

Institute <strong>of</strong> Health Promotion Research<br />

Faculty <strong>of</strong> Graduate Studies<br />

2206 East Mall<br />

Vancouver, B.C. Canada V6T 1Z3<br />

WWW: http://www.ihpr.ubc.ca<br />

Co-Investigator:<br />

Czesia Fuks Geddes, R.N., MSW,<br />

Ph.D Candidate<br />

Interdisciplinary Studies<br />

Institute <strong>of</strong> Health Promotion Research<br />

Room 415-2206 East Mall<br />

Vancouver, B.C.<br />

V6T 1Z3 Canada<br />

Phone number: 604-822-0634<br />

Fax: 604-822-9210<br />

The purpose <strong>of</strong> this form is to give you the information you need in order to decide whether or not<br />

you want to be in our research study "A<strong>do</strong>lescents' Understanding <strong>of</strong> Depression and Help-Seeking<br />

Behaviors."<br />

The purpose <strong>of</strong> this study is to help us learn more about <strong>how</strong> young people your age think about<br />

and describe <strong>depression</strong>, and make decisions to seek help for it. One <strong>of</strong> the research questions also<br />

explores a<strong>do</strong>lescents' level <strong>of</strong> <strong>depression</strong>. To answer this question each participant will complete one set<br />

<strong>of</strong> questions designed to screen, not diagnose, for their level <strong>of</strong> <strong>depression</strong>. This study is being organized<br />

by Dr. Kimberly Schonert-Reichl and Czesia Fuks Geddes at the <strong>University</strong> <strong>of</strong> British Columbia. By<br />

taking part in our research project you will help us better understand what is important to young people<br />

your age so that we can better communicate with and help all a<strong>do</strong>lescents. If you decide to take part in<br />

this study, we will ask you to fill out questionnaires that ask you some questions about your background,<br />

your definitions <strong>of</strong> <strong>depression</strong>, decisions you make about getting help, your level <strong>of</strong> <strong>depression</strong>, and your<br />

thoughts and feelings about yourself and others.<br />

Due to the nature <strong>of</strong> this study, Czesia Fuks Geddes will notify you if your answers suggest that<br />

you may be feeling depressed or thinking about hurting yourself. Additionally, the school counsellor and<br />

your parent or guardian will be informed but will NOT be s<strong>how</strong>n any answers to the questions. All other<br />

information will be kept strictly confidential in that no one at school or in your community (not<br />

even your parents, teachers, school counsellor, or school principal) will ever see your answers. NO<br />

ONE WILL BE IDENTIFIED IN ANY REPORTS. This survey will take I class period. THIS IS NOT A<br />

TEST. There are no right or wrong answers-just your answers. Please answer all Questions if you<br />

can. Do your best to answer truthfully and honestly.<br />

It is your choice whether or not you want to take part in this study. At any time during the study,<br />

you may change your mind, and there will be no consequence. If you choose not to participate, it will not<br />

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