Table 6.

Precipitating factors: Worries.

Sub themes	Illustrative quotes
Family worry or conflict	“Maybe [he is] worrying about family - family worries” “… he is sad, he is in trouble with his family, and he wanted to be alone…”
Feeling sad or alone	“[Depressed is] feeing like you are out of place, alone” “I was upset yesterday - because I was lonely to go back home… [Family] never answer [the phone]. Sometimes my Mum answers, but she tells me to hang up. ‘I am busy I can't talk now’, she always says that to me. It's just them. They won't talk”
Fighting, anger & violence	“He is drinking too much grog [alcohol], getting mad… forgetting about family. [He] starts fighting… picking on other people” “… [She is] not thinking, [she] starts smashing stuff, anything. They might try suicide themselves” “[He] could have bloody knuckles from punching things, getting angry”
Drugs, alcohol and sniffing [solvents]	“… especially drinking [alcohol] and drugs and stuff… it's really common” “When everyone gets stressed out, they have gunja [cannabis] and cigarettes” “… when he is not high… he is going to be mad and angry… more irritated than he was before”
Sleep worry	“He has sore eyes from no sleep, red eyes… [he] dosen't go [to] sleep, he says up all night”
Money & Food Worry	“[He is stressing because, he has] no family, no house, no food” “Mum and Dad, they fight a lot, they blame me, steal money for grog [alcohol] and gambling”
Housing worry	“I didn't like the way my Auntie's mother spoke to me, I got mad. I got locked out of the house at night. I felt shame, I ran away. Now Aunty says she can't have me, I'm ‘too much trouble’, she can't handle me”
Trouble with justice system	“[It's the] first time I will be free from goal, Mum & child safety” “… I got bail out here, if I do anything bad they will call the cops [police] on me and I will get arrested”
Shame	“… they might feel shame, to just jump up and search it [mental health conditions]” “…you get jealous, you fight someone and family gets involved and especially if there are other families it gets shame”
Missing culture/country	“... here I am missing culture… I like family and friends there, good friends, big family and culture and hunting and fishing”
Stressing	“[His] hands, get sweaty and clammy… [he feels] antisocial… fragile temper… mood swings… stress eating or not eating” “[He is] shaking, angry, stressing, breathless… crying… butterflies [in his tummy]… hasn't eaten, hungry… frightened, scared”
Body image	“… seeing like body images, getting self-conscious”
Overwhelming thoughts	“[You] shut down, act out… over think it” “…people [are] looking at him, [he is] getting horrors, wrong thinking - like jealousy”
Unhealthy lifestyle	“Make him play sport, make him eat healthy” “[If you eat] MacDonald's, all the preservatives… You get fat and become bullied, become lazy, sugar levels get high, feel sick…”
Medication worries	“They might be like freakin’ out if they don't have their medication…”
Racism	“[He is angry because] maybe they [are] racist”
Relationship problems	“[He has a] broken heart… he just got dumped - girlfriend problems” “… girls get jealous and start fights, yeah that is like most of the fights I have had…”
Teasing/Gossip	“… they [are] throwing a ball at him, the kids laughing and staring… like venom, they are staring into him, he needs help” “… a lot of bullying goes on with social media” “Not really strategies [for dealing with online bullying]… Just tell a trusted adult and report it and don't do it to others…”
Trauma	“Things have happened in the past which make me feel sad and angry…”