This meta-analysis adds to the knowledge base about a lack of robustly effective treatments for depression in children and adolescents. Psychological treatments appear to be only moderately effective for this age group (Cuijpers et al. 2020), antidepressant medications perform at negligible levels above the placebo effect (Feeny et al. 2022), and the studies under consideration here indicate that subclinical symptoms show, at best, small to moderate changes that do not reduce the incidence of later disorder.