As mentioned above, many runaways come from homes with some type of mental illness, predominantly depression. Tucker, Edelen, Ellickson, and Klein (2011) state that running away from home increases risk factors for intrapersonal vulnerability such as depression. Erdem and Slesnick suggest that approximately 89% of runaway youth meet criteria for major depression (2010). This high prevalence is profound and highlights the amount of runaways with possible depression. The disturbing fact that many of these children are struggling with a difficult illness with little or no support broadens the conversation about runaway adolescents' risk of depression. Slesnick et al. found that only 22% of adolescents seeking services at a refugee shelter access mental health services (2013). This statistic is critical because it highlights the fact that even when runaways have access to mental health services, the vast majority do not take advantage of the resources. As the fugitives continue to remain on the streets, they face worsening depression and are unable or unwilling to search
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