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INTRODUCTION The presence of loneliness, depression, and anxiety is known to be associated with increased overall morbidity.1,2 These conditions may occur as individual syndromes or in combination. There is a clear need to recognize these conditions when they occur and to provide patients with appropriate care and support. From a public health perspective, it is important to evaluate both the prevalence and the epidemiological risk factors associated with these syndromes. For example, approximately 50% of mental health disorders have been shown to begin during the mid-teenage years.3 As such, mental health screening should specifically target the younger population since, while these disorders frequently manifest early on in adolescence, intervention and treatment are not usually initiated until years later.4 At times of stress and crisis, mental health disorders in younger individuals are often more pronounced. This may reflect an exacerbation of pre-existing depression or anxiety, may manifest the transformation of a preclinical mental disorder into a symptomatic one, or may represent a risk factor for the development of a mental health condition de novo.

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