Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2021
The Role of Schools in Early Adolescents' Mental Health: Findings From the MYRIAD Study.
Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.
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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
33 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Research Review: The effect of school-based suicide prevention on suicidal ideation and suicide attempts and the role of intervention and contextual factors among adolescents: a meta-analysis and meta-regression.Journal of child psychology and psychiatry, and allied disciplines · 2022Pooled it
- Student- and School-Level Factors Associated With Mental Health and Well-Being in Early Adolescence.Journal of the American Academy of Child and Adolescent Psychiatry · 2024Trial
- Young People's Mental Health Changes, Risk, and Resilience During the COVID-19 Pandemic.JAMA network open · 2023Trial
- School absence and mental health service referral: Cohort study of a South London data linkage.JCPP advances · 2026Article
- Examining Longitudinal, Reciprocal Relations Between Mental Health Service Use and Mental Health Symptoms.The journal of behavioral health services & research · 2026Article
- Adolescents' trajectories of mental health in the MYRIAD trial.JCPP advances · 2026Article
- School Climate and Sleep Duration Among Adolescents at the Intersection of Multiple Social Positions.Journal of adolescence · 2026Article
- School experiences and self-harm in the OxWell study.JCPP advances · 2026Article
- The association of positive educational experiences with adolescents' depressive symptoms: longitudinal evidence from a trial cohort in English secondary schools.Frontiers in public health · 2026Article
- Experiences of Emotional Healing After Figurines Intervention in Rural Thai Primary School Children: A Mixed-method Study.International journal of community based nursing and midwifery · 2025Article
- Longitudinal association between parent-child relationship and depression among Chinese adolescents: the role of psychological resilience and school climate.Child and adolescent psychiatry and mental health · 2025Article
- Population-level transitions in observed difficulties through childhood and adolescence.Developmental psychology · 2025Article
- The Mental Health Costs of Shadow Education: The Duration of Shadow Education and Its Depressive Effects on Chinese Adolescents.Behavioral sciences (Basel, Switzerland) · 2025Article
- Parental psychological control and depressive symptomatology in Chinese junior middle school students: a moderated mediation model.BMC psychology · 2025Article
- Emotional adjustment and peer relationships: The role of behavioural reputation and classroom social climate.PloS one · 2025Article
- The push and pull factors: Adverse childhood experiences and their association with homelessness.Health SA = SA Gesondheid · 2025Review
- Preschool-level socio-economic deprivation in relation to emotional and behavioural problems among preschool children in Sweden.Scandinavian journal of public health · 2024Article
- Co-producing school-based mental health interventions with young people, teachers, and schools: a case study.Research involvement and engagement · 2024Article
- How do schools influence the emotional and behavioural health of their pupils? A multi-level analysis of 135 schools in the Born in Bradford inner city multi-ethnic birth cohort.Social psychiatry and psychiatric epidemiology · 2024Article
- Aspects of Area Deprivation Index in Relation to Hippocampal Volume Among Children.JAMA network open · 2024Article
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32 authors.
Funding
Abstract
objectiveRecent studies suggest mental health in youths is deteriorating. The current policy in the United Kingdom emphasizes the role of schools for mental health promotion and prevention, but little data exist on what aspects of schools influence mental health in pupils. This study explored school-level influences on the mental health of young people in a large school-based sample from the United Kingdom.
methodBaseline data from a large cluster randomized controlled trial collected between 2016 and 2018 from mainstream secondary schools selected to be representative in relation to their quality rating, size, deprivation, mixed or single-sex pupil population, and country were analyzed. Participants were pupils in their first or second year of secondary school. The study assessed whether school-level factors were associated with pupil mental health.
resultsThe study included 26,885 pupils (response rate = 90%; age range, 11‒14 years; 55% female) attending 85 schools in the United Kingdom. Schools accounted for 2.4% (95% CI: 2.0%‒2.8%; p < .0001) of the variation in psychopathology, 1.6% (95% CI: 1.2%‒2.1%; p < .0001) of depression, and 1.4% (95% CI: 1.0%‒1.7%; p < .0001) of well-being. Schools in urban locations, with a higher percentage of free school meals and of White British, were associated with poorer pupil mental health. A more positive school climate was associated with better mental health.
conclusionSchool-level variables, primarily related to contextual factors, characteristics of pupil population, and school climate, explain a small but significant amount of variability in mental health of young people. This information might be used to identify schools that are in need of more resources to support mental health of young people. CLINICAL TRIAL REGISTRATION INFORMATION: MYRIAD: My Resilience in Adolescence, a Study Examining the Effectiveness and Cost-Effectiveness of a Mindfulness Training Programme in Schools Compared With Normal School Provision; https://www.isrctn.com/; 86619085.
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