ArticleFrontiers in public health2026
Mental health support in German schools: a cross-sectional survey study of principals on demand vs. provision of support services.
Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Student mental health concerns are rising globally and educational institutions constitute critical settings for the prevention and early intervention of these issues in youth. Yet, mental health support structures often vary between countries, regions, and schools and a systematic monitoring of provision and use of services is missing. Methods: To fill this gap, we surveyed 486 principals across 13 German federal states in spring 2024 with a questionnaire developed through literature review, expert interviews and pilot testing by an interdisciplinary expert committee. The instrument assessed the availability and demand (as estimated by principals) for guidance counseling, school social work, and school psychology services during the previous and current school years, and examined variations by school type (primary school, lower track secondary and comprehensive school, higher track secondary school, and special-needs school). The data was analyzed using Results: Findings revealed that demand increased compared to the previous school year, whereas provision remained unchanged. Although the majority of schools had access to school social workers and school psychology services, fewer than half employed guidance counselors. Where services were absent, demand was consistently high. Across all three domains, service provision failed to meet demand, which was up to twice as high as that offered by the services available. While resources varied across school types, no type consistently received more resources, though special-needs schools reported the highest level of both service provision and demand. Discussion: These findings reveal a significant mismatch between students' mental health needs and institutional capacity in German schools, underscoring the necessity to expand school-based services and to implement systematic, comparative monitoring at the international level for the optimal governance of health-care infrastructures.
Indexed as
Identifiers
What OpenQuestion holds
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.