Studies in western countries have identified that the development of depressive symptoms in adolescence can follow different pathways. The goal of the current study was to characterize developmental trajectories of depressive symptoms and variation in trajectories by gender among Chinese high school students. Anonymous surveys were collected from 1023 high school students [51% female; mean age, 16.29 (range, 14–19) years] in Hunan, China. Four distinct longitudinal patterns were identified. The four classes of “Moderately stable” Class, “Hi...