Evidence map›Paper›PMID 34305046›Full record

ArticleBMJ open2021

Adolescent mental health difficulties and educational attainment: findings from the UK household longitudinal study.

Neil R Smith, Lydia Marshall, Muslihah Albakri, Melanie Smuk, Ann Hagell, Stephen Stansfeld

Abstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Mood Monitoring in Schools: A Promising Alternative to Single-Time-Point Screening.International journal of environmental research and public health · 2026
    Article
  5. Article
  6. Article
  7. Article
  8. Children and Young People's Priorities for Mental Health Research in Northern Ireland.Health expectations : an international journal of public participation in health care and health policy · 2025
    Article
  9. Article
  10. Article
  11. Mental health, gender, and higher education attainment.Zeitschrift fur Erziehungswissenschaft : ZfE · 2024
    Article
  12. Article
  13. Article
  14. Article
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

6 authors.

Neil R SmithPolicy Research Centre, NatCen Social Research, London, UK neil.smith@natcen.ac.uk.ORCID 0000-0002-0023-4398
Lydia MarshallPolicy Research Centre, NatCen Social Research, London, UK.
Muslihah AlbakriPolicy Research Centre, NatCen Social Research, London, UK.
Melanie SmukLondon School of Hygiene & Tropical Medicine, London, UK.
Ann HagellAssociation for Young People's Health, London, UK.
Stephen StansfeldPsychiatry, Barts and the London, Queen Marys School of Medicine and Dentistry, London, UK.ORCID 0000-0001-8716-3897

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study examines whether there is an independent association between mental difficulties in adolescence and educational attainment at age 16.

designLongitudinal study.

settingNationally representative data from the UK Household Longitudinal Study (UKHLS) were linked to the National Pupil Database for England.

participantsRespondents (N=1100) to the UKHLS between 2009 and 2012 were linked to the National Pupil Database to investigate longitudinal associations between mental difficulties at ages 11-14 and educational attainment at age 16 (General Certificate of Secondary Education (GCSE)). PRIMARY OUTCOME MEASURE: Not gaining five or more GCSE qualifications at age 16, including English and maths at grade A*-C.

resultsAn atypical total mental health difficulty score measured using the Strengths and Difficulties Questionnaire at ages 11-14 predicted low levels of educational attainment at age 16 (OR: 3.11 (95% CI: (2.11 to 4.57)). Controlling for prior attainment and family sociodemographic factors, happiness with school (/work) and parental health, school engagement and relationship with the child partially attenuated the association, which was significant in the fully adjusted model (2.05, 95% CI (1.15 to 3.68)). The association was maintained in the fully adjusted model for males only (OR: 2.77 (95% CI (1.24 to 6.16)) but not for females. Hyperactivity disorder strongly predicted lower attainment for males (OR: 2.17 (95% CI: (1.11 to 4.23)) and females (OR: 2.85 (95% CI (1.30 to 6.23)).

conclusionMental difficulties at ages 11-14 were independently linked to educational success at age 16, highlighting an important pathway through which health in adolescence can determine young people's life chances.

Indexed as

Mental HealthAdolescentChildEducational StatusEnglandFemaleHumansLongitudinal StudiesMaleUnited Kingdomchild & adolescent psychiatryepidemiologymental healthpublic health

Identifiers

PMID34305046
PMCPMC8372813

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.