ArticleThe British journal of psychiatry : the journal of mental science2018
School achievement as a predictor of depression and self-harm in adolescence: linked education and health record study.
Article in The British journal of psychiatry : the journal of mental science, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed, 51 citations in OpenAlex.
- School absence and mental health service referral: Cohort study of a South London data linkage.JCPP advances · 2026Article
- Effectiveness of resilience-based interventions to promote mental well-being among secondary school children: a systematic review.Frontiers in psychiatry · 2026Review
- Depression symptom severity and behavioral impairment in school-going adolescents in Uganda.BMC psychiatry · 2025Article
- Dissecting the polygenic contribution of attention-deficit/hyperactivity disorder and autism spectrum disorder on school performance by their relationship with educational attainment.Molecular psychiatry · 2024Article
- Chronicity of self-harming behaviors among adolescent teenage girls living in refugee settlements in Northern Uganda.BMC psychology · 2024Article
- An early economic evaluation of Kooth, a web-based mental health platform for children and young people with emerging mental health needs.Internet interventions · 2024Article
- Comparing Ruminative and Distracting Responses and Emotion Regulation Difficulties in Early Community Adolescents With and Without Self-Harm.Journal of the Korean Academy of Child and Adolescent Psychiatry · 2024Article
- Risk of new onset and persistent psychopathology in children with long-term physical health conditions: a population-based cohort study.European child & adolescent psychiatry · 2024Article
- School achievement in adolescence and the risk of mental disorders in early adulthood: a Finnish nationwide register study.Molecular psychiatry · 2023Article
- Impact of the COVID-19 pandemic on domiciliary care workers in Wales, UK: a data linkage cohort study using the SAIL Databank.BMJ open · 2023Article
- Longitudinal associations between early childhood irritability and adolescent depression symptoms in autistic children are mediated by peer relationships but not educational engagement.Development and psychopathology · 2023Article
- Middle school students' mental unwellness and academic performance in China: The effects of parental involvement.PloS one · 2023Article
- Mental health indicators for children and adolescents in OECD countries: a scoping review.Frontiers in public health · 2023Article
- Predicting South Korea adolescents vulnerable to depressive disorder using Bayesian nomogram: A community-based cross-sectional study.World journal of psychiatry · 2022Article
- Peer victimization (bullying) on mental health, behavioral problems, cognition, and academic performance in preadolescent children in the ABCD Study.Frontiers in psychology · 2022Article
- Estimating the impact of child and early adolescent depression on subsequent educational attainment: secondary analysis of an existing data linkage.Epidemiology and psychiatric sciences · 2021Article
- Article
- Educational attainment trajectories among children and adolescents with depression, and the role of sociodemographic characteristics: longitudinal data-linkage study.The British journal of psychiatry : the journal of mental science · 2021Article
- School Failure in a Girl with Specific Learning Difficulties, Suffering from Childhood Depression: Interdisciplinary Therapeutic Approach.Brain sciences · 2020Article
- Impact of schizophrenia genetic liability on the association between schizophrenia and physical illness: data-linkage study.BJPsych open · 2020Article
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Authors and funding
9 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundMental disorders in children and adolescents have an impact on educational attainment. Aims To examine the temporal association between attainment in education and subsequent diagnosis of depression or self-harm in the teenage years.
methodGeneral practitioner, hospital and education records of young people in Wales between 1999 and 2014 were linked and analysed using Cox regression.
resultsLinked records were available for 652 903 young people and of these 33 498 (5.1%) developed depression and 15 946 (2.4%) self-harmed after the age of 12 but before the age of 20. Young people who developed depression over the study period were more likely to have achieved key stage 1 (age 7 years) but not key stage 2 (age 11) (hazard ratio (HR) = 0.79, 95% CI 0.74-0.84) milestones, indicating that they were declining in academic attainment during primary school. Conversely, those who self-harmed were achieving as well as those who did not self-harm in primary school, but showed a severe decline in their attainment during secondary school (HR = 0.72, 95% CI 0.68-0.78).
conclusionsLong-term declining educational attainment in primary and secondary school was associated with development of depression in the teenage years. Self-harm was associated with declining educational attainment during secondary school only. Incorporating information on academic decline with other known risk factors for depression/self-harm (for example stressful life events, parental mental health problems) may improve risk profiling methods. Declaration of interest None.
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