Evidence map›Paper›PMID 40932580›Full record

Trial reportJournal of youth and adolescence2026

Effects of a Whole-School Prevention Program Targeting Mental Health and Nonsuicidal Self-Injury in Swedish Adolescents: A Cluster-Randomized Experimental Study with Longitudinal Follow-Up.

Erik Aspeqvist, Laura Korhonen, Örjan Dahlström, Hedvig Andersson, Imke Baetens, Paul Plener, Maria Zetterqvist

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of youth and adolescence, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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

7 authors.

Erik AspeqvistCenter for Social and Affective Neuroscience, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden. erik.aspeqvist@liu.se.
Laura KorhonenCenter for Social and Affective Neuroscience, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Örjan DahlströmDepartment of Behavioural Sciences and Learning, Linköping University, Linköping, Sweden.
Hedvig AnderssonCenter for Social and Affective Neuroscience, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.
Imke BaetensBrussels University Consultation Center (BRUCC), Department of Psychology, Vrije Universiteit Brussel, Brussels, Belgium.
Paul PlenerDepartment of Child and Adolescent Psychiatry, Medical University of Vienna, Vienna, Austria.
Maria ZetterqvistCenter for Social and Affective Neuroscience, Department of Biomedical and Clinical Sciences, Linköping University, Linköping, Sweden.

Funding

Vetenskapsrådet 2018-05820
6 · The paper itself

Abstract

Rising rates of mental health problems and nonsuicidal self-injury (NSSI) among adolescents highlight the need for preventive interventions and the lack of evidence regarding such measures. To date, few studies have investigated school-based prevention programs targeting NSSI. In this study, a whole-school preventive intervention was carried out at Swedish lower secondary schools and evaluated in a cluster-randomized controlled trial. The whole-school intervention included classroom-based modules focusing on mental health and NSSI directed at students, psychoeducational webinars on NSSI directed at parents and teachers, and a two-day workshop on NSSI and suicidality for school health staff. Data were collected from students (N = 183, age M = 14.17, SD = 0.55, 58% female) at baseline and three- and six-month post-intervention follow-ups. Analyses revealed a significant decrease in three-month NSSI frequency and a significant difference in mental health-related stigma awareness in the intervention group compared to controls. Regarding other outcomes (NSSI onset, attitudes toward help-seeking, perceived social support, health-related quality of life, emotion regulation and self-criticism), no significant effects were found. Effects moderated by gender and history of NSSI were found, underscoring that the outcomes of universal prevention are not always uniformly distributed. Main conclusions were that whole-school prevention can be effective in reducing NSSI frequency as well as affecting the awareness of mental health-related stigma.

Indexed as

Adolescent BehaviorMental HealthSchool Health ServicesSelf-Injurious BehaviorAdolescentFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleSocial StigmaStudentsSwedenAdolescenceMental healthNonsuicidal self-injuryPreventionSchoolSelf-harm

Identifiers

PMID40932580
PMCPMC13076508

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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.