Evidence map›Paper›PMID 24828082›Full record

Trial reportInternational journal of environmental research and public health2014

Does the absence of a supportive family environment influence the outcome of a universal intervention for the prevention of depression?

Susan H Spence, Michael G Sawyer, Jeanie Sheffield, George Patton, Lyndal Bond, Brian Graetz, Debra Kay

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International journal of environmental research and public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 3 pooled it
4.0field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 3 syntheses or guidelines pooled it, 66 citations in OpenAlex.

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  8. Multilevel risk and protective factors for self-harm, suicidal ideation and suicide attempt in adolescents.Journal of child psychology and psychiatry, and allied disciplines · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 7 institutions in 1 country.

Susan H SpenceGriffith Health Institute, Griffith University, Nathan Campus, 170 Kessels Road, Nathan, QLD 4111, Australia. s.spence@griffith.edu.au.
Michael G SawyerResearch and Evaluation Unit, Women's and Children's Hospital, and Discipline of Paediatrics, University of Adelaide, North Terrace Adelaide, SA 5005, Australia. michael.sawyer@adelaide.edu.au.
Jeanie SheffieldSchool of Psychology, University of Queensland, Sir Fred Schonell Dr., St. Lucia, QLD 4072, Australia. jeanie@psy.uq.edu.au.
George PattonCentre for Adolescent Health, Murdoch Children's Research Institute, University of Melbourne, 2 Gatehouse Street, Parkville, VIC 3052, Australia. gcpatton@unimelb.edu.au.
Lyndal BondCentre of Excellence in Intervention and Prevention Science, 15-31 Pelham Street South Carlton, VIC 3053, Australia. lyndalbond@ceips.org.au.
Brian Graetzbeyondblue, P.O. Box 6100, Hawthorn West, Melbourne, VIC 3122, Australia. brian.graetz@beyondblue.org.au.
Debra KayInternational Centre for Allied Health Research, School of Health Sciences, University of South Australia, City East Campus, Cnr of North Terrace and Frome Rd., Adelaide, SA 5000, Australia. debra.kay@internode.on.net.
Beyondblue · AUGriffith University · AUMelbourne Sexual Health Centre · AUSA Health · AUUniversity of Melbourne · AUUniversity of Queensland · AUWomen's and Children's Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To date, universal, school-based interventions have produced limited success in the long-term prevention of depression in young people. This paper examines whether family relationship support moderates the outcomes of a universal, school-based preventive intervention for depression in adolescents. It reports a secondary analysis of data from the beyondblue schools research initiative. Twenty-five matched pairs of secondary schools were randomly assigned to an intervention or control condition (N = 5633 Grade 8 students). The multi-component, school-based intervention was implemented over a 3-year period, with 2 years of follow-up in Grades 11 and 12. For those available at follow-up, small but significantly greater reductions in depressive and anxiety symptoms and improvements in emotional wellbeing were found over time for the intervention group compared to the control among those who experienced low family relationship support in Grade 8. For those who did not experience low family relationship support in Grade 8, no significant effects of the invention were found over the control condition. This pattern of results was also found for the intent-to-treat sample for measures of depression and anxiety. Previous research may have overlooked important moderating variables that influence the outcome of universal approaches to the prevention of depression. The findings raise issues of the relative costs and benefits of universal versus targeted approaches to the prevention of depression.

Indexed as

Family RelationsSocial SupportAdolescentChildDepressionFemaleHumansMaleQueenslandRandom AllocationSchool Health ServicesSouth AustraliaStudentsVictoria

Identifiers

PMID24828082
PMCPMC4053893
OpenAlexW2024083048

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.