Evidence map›Paper›PMID 40629918›Full record

ArticleHealth economics2025

Adolescent Mental Health: Impact of Introducing Earlier Compulsory School Grades.

Anna Linder, Ulf-G Gerdtham, Gawain Heckley

Abstract read
In one paragraph

Article in Health economics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. 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

3 authors.

Anna LinderDepartment of Clinical Sciences Malmö, Health Economics Unit, Lund University, Malmö, Sweden.ORCID 0000-0001-9630-4313
Ulf-G GerdthamDepartment of Clinical Sciences Malmö, Health Economics Unit, Lund University, Malmö, Sweden.
Gawain HeckleyDepartment of Clinical Sciences Malmö, Health Economics Unit, Lund University, Malmö, Sweden.ORCID 0000-0001-6737-3969

Funding

Crafoordska Stiftelsen 20190685Folkhälsomyndigheten 03478-2019FORTE 2023-01128Jan Wallanders och Tom Hedelius Stiftelse samt Tore Browaldhs Stiftelse P2017-0081:1Region SkåneSTIAS Wallenberg Research CentreVetenskapsrådet 2019-06292
6 · The paper itself

Abstract

We examine how the earlier introduction of compulsory school grades affects the likelihood of receiving a mental disorder diagnosis among Swedish adolescents. We exploit a school reform that shifted the introduction of grades from grade 8 to grade 6, resulting in first exposure to grading at different ages between cohorts. Our results show that girls exposed to earlier grading are more likely to be diagnosed with internalizing disorders, such as depression and anxiety, by the end of compulsory school. This effect is particularly pronounced among students with low to moderate academic achievement. We also find suggestive evidence that both girls and boys exposed to earlier grading face an increased risk of being diagnosed with alcohol-related disorders. These findings highlight that early exposure to grading may have unintended adverse effects on adolescent mental health. Education systems should acknowledge these potential risks and consider implementing complementary mental health support when revising grading policies.

Indexed as

Mental DisordersMental HealthSchoolsStudentsAcademic SuccessAdolescentFemaleHumansMaleSex FactorsSwedeneducation policyhuman capital developmentmental healthschool grades

Identifiers

PMID40629918
PMCPMC12316578

What OpenQuestion holds

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Registered trials

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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.