Evidence map›Paper›PMID 34407891›Full record

ArticleBMC psychology2021

Mental health groups in high school students and later school dropout: a latent class and register-based follow-up analysis of the Danish National Youth Study.

Susan Andersen, Michael Davidsen, Line Nielsen, Janne S Tolstrup

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in BMC psychology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06893627 (Body Project SMIL), which is not on this map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 4% of its field
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.

NCT06893627 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Body Project SMIL: Effectiveness of Virtually Delivered Body Project Groups to Prevent Eating Disorders Among Young Women With Psychiatric Illness

TypeinterventionalSponsorAarhus University HospitalRan2025 to 2026Enrolled300ConditionsEating Disorders, Psychiatric Disorder, Body Dissatisfaction, Eating Disorder Symptom and Body Image DissatisfactionArmsBody Project, Expressive writing
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Early-stage profiles of adolescent mental health difficulties and well-being: A systematic review of cluster analyses in large school and community samples.Journal of research on adolescence : the official journal of the Society for Research on Adolescence · 2025
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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

4 authors at 1 institution in 1 country.

Susan AndersenNational Institute of Public Health, University of Southern Denmark, Studiestræde 6, 1455, Copenhagen, Denmark. suan@sdu.dk.
Michael DavidsenNational Institute of Public Health, University of Southern Denmark, Studiestræde 6, 1455, Copenhagen, Denmark.
Line NielsenNational Institute of Public Health, University of Southern Denmark, Studiestræde 6, 1455, Copenhagen, Denmark.
Janne S TolstrupNational Institute of Public Health, University of Southern Denmark, Studiestræde 6, 1455, Copenhagen, Denmark.
University of Southern Denmark · DK

Funding

Helsefonden 17-B-0188
6 · The paper itself

Abstract

backgroundMental health represents an important public health issue, and mental health problems have been linked to school dropout. This study aimed to identify mental health groups of high school students using both positive and negative aspects of mental health and to examine whether these mental health groups longitudinally predict school dropout.

methodsWe conducted latent class analysis using the Danish National Youth Study 2014 (n = 60,526; mean 17.9 years) to identify clustering of mental health (11 items covering positive and negative aspects of emotional wellbeing and functioning in daily life), separately by sex. The relationship with subsequent school dropout was examined using logistic regression models, adjusted for age, ethnicity and socioeconomic status. Information on dropout status was obtained through educational registers.

resultsSchool dropout rates was highest among first-year students. Four mental health groups were identified: Flourishing (females: 38%, males: 55%), moderate mental health (females: 15%, males: 20%), emotionally challenged (females: 28%, males: 15%) and languishing (females: 19%, males: 10%). Compared to the flourishing group, adjusted odds ratio (AOR) for dropout were 3.43 (95% CI: 2.98, 3.95), 1.73 (95% CI: 1.45, 2.06) and 1.76 (95% CI: 1.52, 2.04) in the languishing, moderate mentally healthy and emotional challenged females. Results in males were comparable.

conclusionsMental health in high school students cluster together in four categories among both males and females. Students who are languishing, emotionally challenged or moderate mentally healthy have about 1.5-fold to threefold higher risk of dropping out of high school compared with flourishing students. Universal mental health interventions may be a promising strategy, particularly in the first year of high school where most students drop out of school.

Indexed as

Mental HealthStudent DropoutsAdolescentDenmarkFemaleFollow-Up StudiesHumansMaleSchoolsStudentsAdolescenceDenmarkHigh school studentsLatent class analysisMental healthSchool dropout

Identifiers

PMID34407891
PMCPMC8371858
OpenAlexW3195585410

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.