ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2019
Early Adolescent Substance Use and Mental Health Problems and Service Utilisation in a School-based Sample.
Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Substance use and co-occurring mental health conditions among adolescents and young adults in North America: a systematic review.BMC psychiatry · 2026Pooled it
- Effects of Brief Interventions on Internalizing Symptoms and Substance Use in Youth: A Systematic Review.Clinical child and family psychology review · 2022Pooled it
- Agreement between Youth Self-Report and Biospecimen-Confirmed Substance Use: A Systematic Review.Substance use & misuse · 2022Pooled it
- The Impact of the COVID-19 Pandemic on Adolescent Mental Health and Substance Use.The Journal of adolescent health : official publication of the Society for Adolescent Medicine · 2022Trial
- Trial
- Prevalence and correlates of substance use among biracial and monoracial adolescents.The American journal of orthopsychiatry · 2026Article
- Chronic Health Conditions and Substance Use Among Canadian Youth: A Nationally Representative Study: Problèmes de santé chroniques et usage de substances chez les jeunes Canadiens : étude représentative à l'échelle nationale.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2026Article
- Substance use and mental health outcomes in children and adolescents exposed to household dysfunction: mediating role of emotional intelligence.BJPsych open · 2026Article
- Concurrent mental health and substance use disorders among Canadian adults during the COVID-19 pandemic: a population-based study.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2026Article
- Acute Poisoning in Children Presenting to the Pediatric Emergency Department: An Epidemiologic Study and the Impact of the SARS-CoV-2 Pandemic.Medicina (Kaunas, Lithuania) · 2025Article
- Peer Relationships Are a Direct Cause of the Adolescent Mental Health Crisis: Interpretable Machine Learning Analysis of 2 Large Cohort Studies.JMIR public health and surveillance · 2025Article
- Mental health and addiction concerns in northern Ontario: A cross-sectional study of sociodemographic predictors, access barriers, and service needs.PLOS mental health · 2025Article
- A Pilot Study on the Association of Internet Use with Sports Practice and Sex in Italian Adolescents.Healthcare (Basel, Switzerland) · 2023Article
- Delivering substance use prevention interventions for adolescents in educational settings: A scoping review.World journal of psychiatry · 2023Article
- Substance Use Problem Trajectories in Canadian Adolescents: A Longitudinal Study.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2022Article
- A qualitative study exploring how young people perceive and experience substance use services in British Columbia, Canada.Substance abuse treatment, prevention, and policy · 2022Article
- Longitudinal Emergence of Concurrent Mental Health and Substance Use Concerns in an Ontario School-Based Sample: The Research and Action for Teens Study.Journal of the Canadian Academy of Child and Adolescent Psychiatry = Journal de l'Academie canadienne de psychiatrie de l'enfant et de l'adolescent · 2021Article
- Text Message Interventions in Adolescent Mental Health and Addiction Services: Scoping Review.JMIR mental health · 2021Article
- Investing in Our Future: Importance of Postsecondary Student Mental Health Research.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2019Article
- Early Substance Use Initiation And Psychological Distress Among Adolescents In Five ASEAN Countries: A Cross-Sectional Study.Psychology research and behavior management · 2019Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveThis paper reports on substance use, mental health problems, and mental health service utilisation in an early adolescent school-based sample.
methodParticipants were 1,360 grade 7 and 8 students from 4 regions of Ontario, Canada. Students completed an in-class survey on mental health and substance use. The sampling strategy and survey items on demographics, substance use, service utilisation, and distress were adapted from the Ontario Student Drug Use and Health Survey. Internalising and externalising mental health problems were assessed using the Global Assessment of Individual Needs - Short Screener. Distress was defined as fair or poor self-rated mental health.
resultsRates of internalising and/or externalising problems above the threshold exceeded 30%; yet, fewer than half had received mental health services in the past 12 mo. Substance use was associated with increased odds of internalising and externalising problems above the threshold and distress. Youth using cannabis had 10-times the odds of exceeding the threshold for internalising or externalising problems. The use of substances other than alcohol or cannabis was associated with increased odds of fair or poor self-rated mental health among grade 8 students. Of the youth who confirmed at least a substance use problem, most also reported mental health problems; this association was stronger among girls than boys.
conclusionsEarly adolescent substance use was associated with concurrent self-reported mental health problems in a non-clinical sample. The low levels of service utilisation reported highlight the need for improved access to early identification and intervention to prevent the development of concurrent disorders.
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Registered trials
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