Early Psychosis Intervention Center, Mental Health Services East, Region Zealand, Denmark.
Department of Occupational and Social Medicine, Holbaek Hospital, Denmark.
Scand J Public Health. 2022 Dec;50(8):1164-1171. doi: 10.1177/14034948221089112. Epub 2022 Apr 20.
Mental health problems in young people are associated with educational outcomes. There are persistent difficulties in screening for these problems and mapping the trajectories of mental health in relation to academic and work outcomes. We investigated whether Strength and Difficulties Questionnaire (SDQ) scores in adolescents attending school were associated with school dropout in upper secondary school, both in adolescents with already recognised mental disorders and adolescents without known mental disorders.
The data consisted of a questionnaire targeting 13,100 adolescents attending the final year of compulsory school combined with data derived from a national register. SDQ scores were divided into normal, borderline and abnormal scores. School dropout in upper secondary school was identified during a 2.5-years follow-up period. We stratified the data by recognised mental disorders. Logistic regression was performed to examine the association between SDQ scores and later school dropout with adjustment for parents' mental disorders, parents' educational level, sex, suicidal thoughts, school absence and negative childhood events.
During follow-up, 18.5% of adolescents experienced school dropout. Adolescents with abnormally high SDQ scores and borderline SDQ scores had higher odds for school dropout than adolescents with SDQ scores in the normal range. The association remained in the adjusted analysis, although more covariates showed independent contributions in association with school dropout.
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年轻人的心理健康问题与教育成果有关。在筛查这些问题并绘制与学业和工作成果相关的心理健康轨迹方面存在持续的困难。我们调查了在已经确诊患有精神障碍的青少年和没有已知精神障碍的青少年中，在校青少年的长处和困难问卷（SDQ）评分是否与高中辍学有关。
该数据由针对 13100 名参加义务教育最后一年的青少年的问卷组成，结合了来自国家登记册的数据。SDQ 评分分为正常、边缘和异常评分。在 2.5 年的随访期间确定了高中辍学情况。我们按已识别的精神障碍对数据进行分层。使用逻辑回归来检查 SDQ 评分与以后的辍学之间的关联，同时调整父母的精神障碍、父母的教育水平、性别、自杀念头、缺课和负面童年事件的影响。
在随访期间，18.5%的青少年辍学。与 SDQ 评分正常范围内的青少年相比，SDQ 评分异常高和边缘的青少年辍学的可能性更高。在调整分析中，这种关联仍然存在，尽管更多的协变量在与辍学相关的关联中表现出独立的贡献。
