Mental health difficulties amongst children and young people increasingly dominate the British government agenda. Despite the 2014 Special Educational Needs and Disability Code of Practice extending statutory provision up to the age of 25, the mental health needs of older young people are often overlooked in educational guidance. For many young people, the impact of depression has wide ranging social and economic implications; therefore it is important to enable early identification and intervention. Understanding self-report processes may be one way of enabling this. From this perspective, the present review aimed to investigate what narratives young people use to communicate depression. Eight studies were identified and assessed using qualitative and quantitative frameworks, and reported using PRISMA guidelines. Findings provide useful information about issues, methods and processes in communicating depression as well as perceptions about effective support. Implications for future research and practice are considered in light of these findings.