Evidence map›Paper›PMID 42676704›Full record

ReviewFrontiers in public health2026

The impact of online toxicity on the school ecosystem: an integrative review and conceptual framework.

Beth D Marshall, Lauren M Klein, Marina Jenkins, Sara B Johnson

Abstract readReview
In one paragraph

Review in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Beth D MarshallDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Lauren M KleinDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Marina JenkinsDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.
Sara B JohnsonDepartment of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The effects of online toxicity on children and adolescents permeate nearly every part of their lives. The harmful effects of online behavior and interactions increasingly impact not just students, but also teachers, school staff, and families, local education leaders, and even public confidence in education. Online toxicity is linked with serious mental health symptoms, school withdrawal and absenteeism, fighting and violence among students, and harassment of teachers, staff, and school board members. Increasingly, schools have looked to structural and policy interventions, including cell phone policies, to reduce the effects of negative online interactions on student behavior and learning during the school day; however, these approaches address only part of the problem. In this conceptual analysis, we begin by summarizing what is known about the impact of online toxicity on schools as organizations and the individuals who interact with them. We propose a conceptual framework illustrating how online behavior affects schools (e.g., peer-to-peer, student-to-teacher, family-to-staff, community-to-staff) to help explain this phenomenon. Finally, we discuss the strengths and limitations of current interventions and highlight opportunities to enhance interventions to support the health and well-being of students and school communities navigating online toxicity.

Indexed as

InternetSchoolsStudentsAdolescentBullyingChildDigital MediaHumansadolescentscyberbullyingdigital healthmental healthonline toxicityschool climateschoolsteachers

Identifiers

PMID42676704
PMCPMC13527669

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.