This study introduces a new, adolescent-specific measure of subjective social status (SSS), the MacArthur Scale of Subjective Social Status—Youth Version, and evaluates its relationship to adolescents' physical and psychological health. The scale uses a visual ladder to assess both familial placement in society and personal placement in the school community. The study involved 10,843 adolescents and 166 adolescent/mother dyads from the Growing Up Today Study. Results showed that adolescents had higher SSS rankings than their mothers, with older adolescents showing stronger correlations with maternal perceptions. SSS explained 9.9% of the variance in depressive symptoms and was independently associated with obesity. Community ladder rankings were more strongly linked to health outcomes than society ladder rankings. The study highlights the importance of SSS in understanding health disparities among adolescents and suggests that SSS may undergo a developmental shift as adolescents mature. The findings indicate that subjective social status, particularly perceptions of school community placement, is a significant factor in adolescent health. The study underscores the need for further research to explore how changes in SSS relate to health outcomes and how SSS influences health prospectively. The MacArthur Scale of Subjective Social Status—Youth Version is a reliable tool for assessing SSS in adolescents and provides a broader conceptualization of social status. The study emphasizes the importance of considering both objective and subjective measures of social status in understanding health disparities.This study introduces a new, adolescent-specific measure of subjective social status (SSS), the MacArthur Scale of Subjective Social Status—Youth Version, and evaluates its relationship to adolescents' physical and psychological health. The scale uses a visual ladder to assess both familial placement in society and personal placement in the school community. The study involved 10,843 adolescents and 166 adolescent/mother dyads from the Growing Up Today Study. Results showed that adolescents had higher SSS rankings than their mothers, with older adolescents showing stronger correlations with maternal perceptions. SSS explained 9.9% of the variance in depressive symptoms and was independently associated with obesity. Community ladder rankings were more strongly linked to health outcomes than society ladder rankings. The study highlights the importance of SSS in understanding health disparities among adolescents and suggests that SSS may undergo a developmental shift as adolescents mature. The findings indicate that subjective social status, particularly perceptions of school community placement, is a significant factor in adolescent health. The study underscores the need for further research to explore how changes in SSS relate to health outcomes and how SSS influences health prospectively. The MacArthur Scale of Subjective Social Status—Youth Version is a reliable tool for assessing SSS in adolescents and provides a broader conceptualization of social status. The study emphasizes the importance of considering both objective and subjective measures of social status in understanding health disparities.