Evidence map›Paper›PMID 42717186›Full record

ArticleChild and adolescent mental health2026

Response: Clarifying the evidence and our position on universal school-based mental health interventions: A response to Bonell et al.

Jack L Andrews, Lucy Foulkes

Abstract read
In one paragraph

Article in Child and adolescent mental 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

2 authors.

Jack L AndrewsDepartment of Experimental Psychology, University of Oxford, Oxford, UK.
Lucy FoulkesDepartment of Experimental Psychology, University of Oxford, Oxford, UK.

Funding

The Prudence TrustWellcome Trust WT/227640/Z/23/Z
6 · The paper itself

Abstract

We appreciate the opportunity to respond to Bonell and colleagues' discussion of our work. However, the article does not accurately represent our position, attributing to us claims and arguments we have not made. There are five inaccuracies: the article (1) conflates arguments we have made in different papers; (2) generalises our arguments to all universal interventions when we specify therapeutically informed universal interventions; (3) claims we are definitive that universal interventions cause harm when we have stressed uncertainty around that word and concept; (4) states that we report meta-analytic effect sizes incorrectly, but this is not the case; and (5) states that universal interventions are acceptable to young people, but evidence shows wide-ranging, mixed responses. To offer clarity for readers, and in the interest of maintaining an accurate scientific record, we address these inaccuracies and reiterate what we originally wrote. We finish with a brief section summarising our position and the latest research. We hope that this clarification allows discussion to return to the pressing task of identifying which approaches meaningfully improve the mental health of young people, and which do not.

Indexed as

Mental DisordersSchool Mental Health ServicesHumansinterventionmental healthPreventionschooluniversal

Identifiers

PMID42717186
PMCPMC13668475

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.