Evidence map›Paper›PMID 34931257›Full record

SynthesisSocial psychiatry and psychiatric epidemiology2022

The mental health of young people who are not in education, employment, or training: a systematic review and meta-analysis.

Geneviève Gariépy, Sofia M Danna, Lisa Hawke, Joanna Henderson, Srividya N Iyer

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 7 pooled it
23.1field-weighted citation impact, top 1% 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.

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

56 citing papers in PubMed, 7 syntheses or guidelines pooled it, 117 citations in OpenAlex.

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  11. Failure to Launch (FTL): A Narrative Review and Call for Research.Clinical child and family psychology review · 2026
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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

5 authors at 4 institutions in 1 country.

Geneviève GariépyMontreal Mental Health University Institute, Montreal, QC, Canada.ORCID http://orcid.org/0000-0001-9209-4240
Sofia M DannaDouglas Research Centre, Montreal, QC, Canada.ORCID http://orcid.org/0000-0003-4861-8400
Lisa HawkeCentre for Addiction and Mental Health, Toronto, ON, Canada.ORCID http://orcid.org/0000-0003-1108-9453
Joanna HendersonCentre for Addiction and Mental Health, Toronto, ON, Canada.ORCID http://orcid.org/0000-0002-9387-5193
Srividya N IyerACCESS Open Minds (Pan-Canadian Youth Mental Health Services Research Network), Montreal, QC, Canada. srividya.iyer@mcgill.ca.ORCID http://orcid.org/0000-0001-5367-9086
Centre for Addiction and Mental Health · CADouglas College · CADouglas Mental Health University Institute · CAThe Quebec Population Health Research Network · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere are increasing concerns about the intersection between NEET (not in education, employment, or training) status and youth mental ill-health and substance use. However, findings are inconsistent and differ across types of problems. This is the first systematic review and meta-analysis (PROSPERO-CRD42018087446) on the association between NEET status and youth mental health and substance use problems.

methodsWe searched Medline, EMBASE, Web of Science, ERIC, PsycINFO, and ProQuest Dissertations and Theses (1999-2020). Two reviewers extracted data and appraised study quality using a modified Newcastle-Ottawa Scale. We ran robust variance estimation random-effects models for associations between NEET and aggregate groups of mental ill-health and substance use measures; conventional random-effects models for associations with individual mental/substance use problems; and subgroup analyses to explore heterogeneity.

resultsWe identified 24 studies from 6,120 references. NEET status was associated with aggregate groups of mental ill-health (OR 1.28, CI 1.06-1.54), substance use problems (OR 1.43, CI 1.08-1.89), and combined mental ill-health and substance use measures (OR 1.38, CI 1.15-1.64). Each disaggregated measure was associated with NEET status [mood (OR 1.43, CI 1.21-1.70), anxiety (OR 1.55, CI 1.07-2.24), behaviour problems (OR 1.49, CI 1.21-1.85), alcohol use (OR 1.28, CI 1.24-1.46), cannabis use (OR 1.62, CI 1.07-2.46), drug use (OR 1.99, CI 1.19-3.31), suicidality (OR 2.84, CI 2.04-3.95); and psychological distress (OR 1.10, CI 1.01-1.21)]. Longitudinal data indicated that aggregate measures of mental health problems and of mental health and substance use problems (combined) predicted being NEET later, while evidence for the inverse relationship was equivocal and sparse.

conclusionOur review provides evidence for meaningful, significant associations between youth mental health and substance use problems and being NEET. We, therefore, advocate for mental ill-health prevention and early intervention and integrating vocational supports in youth mental healthcare.

Indexed as

Mental HealthSubstance-Related DisordersAdolescentEducational StatusEmploymentHumansSuicidal IdeationEducation or employmentMeta-analysisNEETSubstance useSystematic reviewYouth mental health

Identifiers

PMID34931257
PMCPMC8687877
OpenAlexW4200358910

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.