Schools have an important role to play in adolescent suicide prevention. This article describes universal screenings for depression and suicidality as one component of the Signs of Suicide (SOS) program in middle and high schools following the suicide death of a student in the past few years. Of the students screened (N = 7,429), 11.0 percent of…

Mental health challenges (including mood, anxiety, and behavioral disorders) affect up to one-fifth of adolescents ages 13-18. Although these disorders are associated with impairments in psychological, academic, social, and family domains, they are often left untreated. Schools have great potential to address this service-underutilization gap by…

Background: Adolescent substance use is often associated with concurrent mental health problems (e.g., depression, suicide attempts, parental emotional and physical abuse, not feeling close to people at school, and lower virtual connectedness) at multiple ecological levels. Objective: This study examined whether such risk factors among adolescents…

Background: Transgender adolescents are at increased risk for negative sexual health outcomes compared to their cisgender peers. Methods: Using data from 10,231 students from 7 high schools in a large, urban school district, our analysis compared sexual behaviors, referral to sexual health services by school staff, and use of sexual health…

The aim of the study has been to examine the impact of diagnosed internalising and externalising behavioural problems on educational attainment. We used a fixed-effect model on rich individual longitudinal register data. The sample consisted of five full cohorts of adolescents (N=242,542). The analyses suggest that compared to their healthy peers,…

Depression and anxiety are major mental health concerns among adolescent females within the school community and inflect many implications for psychological service providers in schools. The aims of this descriptive correlational study are to estimate the prevalence of anxiety and depression among high school adolescent females in Jordan, and to…

This study investigated whether the presence of school-based health centers (SBHCs) was associated with six substance use behaviors among sexual minority youth (SMY) and their heterosexual peers. Data from the 2015 Oregon Healthy Teens Survey, including 13,608 11th graders in 137 schools (26 with SBHCs) were used in the current study. Multilevel…

This report summarizes the results to date of the ongoing Colorado Study of Students in Foster Care. The Colorado Study is a longitudinal study of educational outcomes of students in foster care and factors that affect these outcomes, which is intended to inform systems-level reform. The research is conducted in partnership with the Colorado…

In this article, we examined predictive validity of "Student Risk Screening Scale for Internalizing and Externalizing" (SRSS-IE) scores for use at the middle (N = 2,313 from four middle schools) and high (N = 2,727 from two high schools) school level. Results indicated middle and high school students with high levels of risk according to…

In 2014-15, the high school graduation rate reached a record high of 83 percent (U.S. Department of Education 2016). Despite the gains, over half a million students still drop out of high school each year (U.S. Department of Education 2015). High schools have adopted various strategies designed to keep students who are at risk of not graduating in…

According to national indicators of adolescent health and well-being, the most significant health issues young people face are related to mental health. In San Mateo County, a recent report on adolescent health frames the prevalence of mental health needs among public school students as "staggering." Both locally and nationally, schools…

This chapter reviews youth mental health interventions that promote behavioral, emotional, and cognitive engagement among school-aged youth within a three-tier framework. We first summarize empirical relationships between positive indicators of student engagement (e.g., subjective well-being; SWB) and negative indicators (e.g., internalizing and…

According to national indicators of adolescent health and well-being, mental health is one of the most significant health issues young people face. Since mental health is linked to other aspects of health and well-being, undiagnosed and untreated mental health conditions can negatively impact a young person's social-emotional health, academic…

Background: Bullying and victimization are ongoing concerns in schools. School health centers (SHCs) are well situated to support affected students because they provide crisis intervention, mental health care, and broader interventions to improve school climate. This study examined the association between urban adolescents' experiences of…

Despite innovations in the screening and early identification of students who may benefit from school mental health services, many schools struggle to link screening to intervention decisions, particularly at the Tier 2 level. Universal complete mental health screening, which measures strengths along with risk factors, is a strength-based approach…