ArticleThe Journal of school health2025
Associations Between Adverse Childhood Experiences, Adolescent Behavioral Health Challenges, and High School Dropout.
Article in The Journal of school health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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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.
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Who cites it
5 citing papers in PubMed.
- Individual and Interactive Effects of Adverse Childhood Experiences and Household Income on Adolescent Depression and Anxiety Symptoms.Research in nursing & health · 2026Article
- Cumulative Adverse Childhood Experiences (ACEs) and School Outcomes During Adolescence: A Scoping Review.The Journal of school health · 2026Article
- Effects of adverse childhood experiences and childhood socioeconomic disadvantage on youth depression: A scoping review.Journal of child and adolescent mental health · 2026Article
- A Scoping Review of Trauma-Informed Interventions and Violence Prevention in K-12 Schools in the United States.School mental health · 2026Review
- Associations Between Adverse Childhood Experiences, Adolescent Behavioral Health Challenges, and High School Dropout.The Journal of school health · 2025Article
Corrections and comments
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Authors and funding
2 authors.
Funding
Abstract
backgroundAdverse childhood experiences (ACEs) are associated with behavioral health challenges and high school dropout, and behavioral health is associated with high school dropout. Less is known about the role of behavioral health challenges in the relationship between ACEs and high school dropout.
methodsUsing data from the Panel Study of Income Dynamics (2013) and its 2014 Childhood Retrospective Circumstances Study supplement, the current study conducts mediational path analysis to examine the direct and indirect effects of cumulative ACEs on high school dropout via adolescent depression, anxiety, and substance use.
resultsExperiencing more ACEs was associated with depression, anxiety, and substance use. Only depression and substance use were associated with high school dropout. There was a significant direct effect between increased ACEs and high school dropout and significant indirect effects via depression and substance use, but not anxiety.
conclusionsAdolescent behavioral health interventions to address the long-term effects of ACEs may also support academic achievement. School-based interventions, particularly those aligned with trauma-sensitive school frameworks and engaging various school personnel, including school nurses, should be considered. Community- and policy-level interventions aimed at primary prevention of ACEs are also needed.
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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.