SynthesisThe Journal of school nursing : the official publication of the National Association of School Nurses2021
The Impact of Positive School Climate on Suicidality and Mental Health Among LGBTQ Adolescents: A Systematic Review.
Synthesis in The Journal of school nursing : the official publication of the National Association of School Nurses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 10 of them syntheses that pooled 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.
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.
Who cites it
37 citing papers in PubMed, 10 syntheses or guidelines pooled it.
- Organizational Interventions to Address Primary Care Provider Burnout: A Systematic Review.Medical care research and review : MCRR · 2026Pooled it
- The impact of health emergencies on nurses' burnout: a systematic review and meta-analysis.BMC public health · 2025Pooled it
- Prevalence, severity and risk factors for mental disorders among sexual and gender minority young people: a systematic review of systematic reviews and meta-analyses.European child & adolescent psychiatry · 2025Pooled it
- A Systematic Review of Outcomes Related to Nurse Practitioner-Delivered Primary Care for Multiple Chronic Conditions.Medical care research and review : MCRR · 2023Pooled it
- Family outcome disparities between sexual minority and heterosexual families: a systematic review and meta-analysis.BMJ global health · 2023Pooled it
- Digital intervention in improving the outcomes of mental health among LGBTQ+ youth: a systematic review.Frontiers in psychology · 2023Pooled it
- Punitive school discipline as a mechanism of structural marginalization with implications for health inequity: A systematic review of quantitative studies in the health and social sciences literature.Annals of the New York Academy of Sciences · 2023Pooled it
- The role of school connectedness in the prevention of youth depression and anxiety: a systematic review with youth consultation.BMC public health · 2022Pooled it
- Facilitators and Barriers to Pediatric Nurse Practitioner Practice in the United States: A Systematic Review.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersPooled it
- The effectiveness of nurse practitioner care for patients with mental health conditions in primary care settings: A systematic review.Nursing outlookPooled it
- Unveiling the resilience gap between vocational and general high school students in China: mediating effect of belongingness and moderating effect of school climate.BMC psychology · 2026Article
- Annual Research Review: Improving school climate to improve child and adolescent mental health and reduce inequalities.Journal of child psychology and psychiatry, and allied disciplines · 2026Review
- Evaluating community engagement supporting LGBTQ + health in schools: adaptation and use of the collaborating with community subscale from the measure of school, family, and community partnerships.Implementation science communications · 2025Article
- Depressive Symptoms, Emergency Care, and School Climate: An Ecological Analysis of Linked Administrative and Survey Data in New York City.The Journal of school health · 2025Article
- Longitudinal Measurement Invariance of the Dual School Climate and School Identification Scale (SCASIM-St15) in Chilean Adolescents.Behavioral sciences (Basel, Switzerland) · 2025Article
- Article
- Providing LGBTQ+ Adolescents With Nurturance, Trustworthiness, and Safety: A Community-Informed, Theory-Grounded, Evidence-Based Intervention for High School Staff.Psychology of sexual orientation and gender diversity · 2025Article
- Article
- Contextualising Experiences of Co-Occurring Mental Ill-Health and Substance Use Among Trans, Non-Binary, and Gender Diverse Young People: Implications for Tailored Harm Reduction Approaches.Community mental health journal · 2025Article
- Reducing LGBTQ+ adolescent mental health inequalities: a realist review of school-based interventions.Journal of mental health (Abingdon, England) · 2024Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
Abstract
Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) adolescents are more likely to report suicidality and worse mental health than their heterosexual peers. We conducted a systematic review to examine the relationship between positive school climate and suicidality and mental health among LGBTQ adolescents. We searched the literature using PubMed, PsycINFO, and CINAHL. Six studies met inclusion criteria, and all had low to moderate risks of bias. Results indicate that LGBTQ students in schools with more positive school climates were at lower risk of suicidality and reported fewer depressive symptoms compared to students in less positive school climates. Being at the forefront of health in schools, school nurses have the opportunity to advocate for changes in school environments that promote positive mental health for all youth, including LGBTQ adolescents.
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Registered trials
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.