ArticleJournal of epidemiology and community health2025
The effect of mental health problems on having a 'neither in employment nor in education or training' period and the mediating role of high school dropout: a register-based study with a 14-year follow-up.
Article in Journal of epidemiology and community health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The association between mental health problems in childhood and adolescence and educational and labor market outcomes in adulthood: a systematic review and meta-analysis of register data studies.Archives of public health = Archives belges de sante publique · 2026Pooled it
- Mental well-being in 15-19-year-old adolescents and poor school connectedness, dropout, and NEET status: a prospective cohort study.The Lancet regional health. Europe · 2026Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThis study investigates (1) whether mental health problems among individuals aged 12-15 years impact (a) high school dropout (ages 16-20 years) and (b) having a 'neither in employment nor in education or training' (NEET) period (ages 21-26 years); (2) the process of mediation and interaction by high school dropout in the association between mental health problems and NEET; and (3) whether these associations differ based on (non-)employment and mental health problems of parents.
methodsLongitudinal register data were used (n=196 227). Log-linear regression analyses were used to assess the association between reimbursed medication for mental health problems and high school dropout or NEET period for at least 12 months. Causal mediation analysis was used to assess the mediation and interaction effects of high school dropout in the association between mental health problems and NEET. Stratified analyses were performed based on parental employment and mental health status.
resultsMental health problems were strongly associated with high school dropout (RR 1.96, 95% CI 1.88; 2.04) and NEET (RR 2.44, 95% CI 2.35; 2.52). High school dropout had a small mediating effect in the relationship between mental health problems and NEET. Individuals with parents with mental health problems or non-employment more often experienced high school dropout and being NEET, but the mediating effect of dropout on NEET was lower in these individuals.
conclusionPreventing mental health problems early in the lifecourse is of paramount importance to promote educational outcomes and employment participation, but high school dropout only plays a marginal role in this relationship.
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