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School achievement as a predictor of depression and self-harm in adolescence: linked education and health record study

Muhammad A Rahman, Charlotte Todd Orcid Logo, Ann John Orcid Logo, Jacinta Tan Orcid Logo, Michael Kerr, Robert Potter, Jonathan Kennedy, Frances Rice, Sinead Brophy Orcid Logo

The British Journal of Psychiatry, Volume: 212, Issue: 4, Pages: 215 - 221

Swansea University Authors: Charlotte Todd Orcid Logo, Ann John Orcid Logo, Jacinta Tan Orcid Logo, Sinead Brophy Orcid Logo

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DOI (Published version): 10.1192/bjp.2017.69

Abstract

BackgroundMental disorders in children and adolescents have an impact on educational attainment.AimsTo examine the temporal association between attainment in education and subsequent diagnosis of depression or self-harm in the teenage years.MethodGeneral practitioner, hospital and education records...

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Published in: The British Journal of Psychiatry
ISSN: 0007-1250 1472-1465
Published: Cambridge University Press 2018
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URI: https://cronfa.swan.ac.uk/Record/cronfa37930
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fullrecord <?xml version="1.0"?><rfc1807><datestamp>2021-02-23T14:06:02.2384181</datestamp><bib-version>v2</bib-version><id>37930</id><entry>2018-01-04</entry><title>School achievement as a predictor of depression and self-harm in adolescence: linked education and health record study</title><swanseaauthors><author><sid>74c92c91e05d8cb8de38e27de34c9194</sid><ORCID>0000-0002-3183-2403</ORCID><firstname>Charlotte</firstname><surname>Todd</surname><name>Charlotte Todd</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>ed8a9c37bd7b7235b762d941ef18ee55</sid><ORCID>0000-0002-5657-6995</ORCID><firstname>Ann</firstname><surname>John</surname><name>Ann John</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>7e34bcfc492efffababfc1d4b6477c30</sid><ORCID>0000-0002-8879-441X</ORCID><firstname>Jacinta</firstname><surname>Tan</surname><name>Jacinta Tan</name><active>true</active><ethesisStudent>false</ethesisStudent></author><author><sid>84f5661b35a729f55047f9e793d8798b</sid><ORCID>0000-0001-7417-2858</ORCID><firstname>Sinead</firstname><surname>Brophy</surname><name>Sinead Brophy</name><active>true</active><ethesisStudent>false</ethesisStudent></author></swanseaauthors><date>2018-01-04</date><deptcode>HDAT</deptcode><abstract>BackgroundMental disorders in children and adolescents have an impact on educational attainment.AimsTo examine the temporal association between attainment in education and subsequent diagnosis of depression or self-harm in the teenage years.MethodGeneral practitioner, hospital and education records of young people in Wales between 1999 and 2014 were linked and analysed using Cox regression.ResultsLinked records were available for 652 903 young people and of these 33 498 (5.1%) developed depression and 15 946 (2.4%) self-harmed after the age of 12 but before the age of 20. Young people who developed depression over the study period were more likely to have achieved key stage 1 (age 7 years) but not key stage 2 (age 11) (hazard ratio (HR) = 0.79, 95% CI 0.74&#x2013;0.84) milestones, indicating that they were declining in academic attainment during primary school. Conversely, those who self-harmed were achieving as well as those who did not self-harm in primary school, but showed a severe decline in their attainment during secondary school (HR = 0.72, 95% CI 0.68&#x2013;0.78).ConclusionsLong-term declining educational attainment in primary and secondary school was associated with development of depression in the teenage years. Self-harm was associated with declining educational attainment during secondary school only. 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spelling 2021-02-23T14:06:02.2384181 v2 37930 2018-01-04 School achievement as a predictor of depression and self-harm in adolescence: linked education and health record study 74c92c91e05d8cb8de38e27de34c9194 0000-0002-3183-2403 Charlotte Todd Charlotte Todd true false ed8a9c37bd7b7235b762d941ef18ee55 0000-0002-5657-6995 Ann John Ann John true false 7e34bcfc492efffababfc1d4b6477c30 0000-0002-8879-441X Jacinta Tan Jacinta Tan true false 84f5661b35a729f55047f9e793d8798b 0000-0001-7417-2858 Sinead Brophy Sinead Brophy true false 2018-01-04 HDAT BackgroundMental disorders in children and adolescents have an impact on educational attainment.AimsTo examine the temporal association between attainment in education and subsequent diagnosis of depression or self-harm in the teenage years.MethodGeneral practitioner, hospital and education records of young people in Wales between 1999 and 2014 were linked and analysed using Cox regression.ResultsLinked records were available for 652 903 young people and of these 33 498 (5.1%) developed depression and 15 946 (2.4%) self-harmed after the age of 12 but before the age of 20. Young people who developed depression over the study period were more likely to have achieved key stage 1 (age 7 years) but not key stage 2 (age 11) (hazard ratio (HR) = 0.79, 95% CI 0.74–0.84) milestones, indicating that they were declining in academic attainment during primary school. Conversely, those who self-harmed were achieving as well as those who did not self-harm in primary school, but showed a severe decline in their attainment during secondary school (HR = 0.72, 95% CI 0.68–0.78).ConclusionsLong-term declining educational attainment in primary and secondary school was associated with development of depression in the teenage years. Self-harm was associated with declining educational attainment during secondary school only. Incorporating information on academic decline with other known risk factors for depression/self-harm (for example stressful life events, parental mental health problems) may improve risk profiling methods.Declaration of interestNone. Journal Article The British Journal of Psychiatry 212 4 215 221 Cambridge University Press 0007-1250 1472-1465 30 4 2018 2018-04-30 10.1192/bjp.2017.69 COLLEGE NANME Health Data Science COLLEGE CODE HDAT Swansea University RCUK, MR/K006525/1 RCUK, MR/K006525/1 2021-02-23T14:06:02.2384181 2018-01-04T12:31:14.3969657 Faculty of Medicine, Health and Life Sciences Swansea University Medical School - Medicine Muhammad A Rahman 1 Charlotte Todd 0000-0002-3183-2403 2 Ann John 0000-0002-5657-6995 3 Jacinta Tan 0000-0002-8879-441X 4 Michael Kerr 5 Robert Potter 6 Jonathan Kennedy 7 Frances Rice 8 Sinead Brophy 0000-0001-7417-2858 9 0037930-11042018092343.pdf 37930.pdf 2018-04-11T09:23:43.3230000 Output 264665 application/pdf Version of Record true 2018-04-11T00:00:00.0000000 This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence. true eng
title School achievement as a predictor of depression and self-harm in adolescence: linked education and health record study
spellingShingle School achievement as a predictor of depression and self-harm in adolescence: linked education and health record study
Charlotte Todd
Ann John
Jacinta Tan
Sinead Brophy
title_short School achievement as a predictor of depression and self-harm in adolescence: linked education and health record study
title_full School achievement as a predictor of depression and self-harm in adolescence: linked education and health record study
title_fullStr School achievement as a predictor of depression and self-harm in adolescence: linked education and health record study
title_full_unstemmed School achievement as a predictor of depression and self-harm in adolescence: linked education and health record study
title_sort School achievement as a predictor of depression and self-harm in adolescence: linked education and health record study
author_id_str_mv 74c92c91e05d8cb8de38e27de34c9194
ed8a9c37bd7b7235b762d941ef18ee55
7e34bcfc492efffababfc1d4b6477c30
84f5661b35a729f55047f9e793d8798b
author_id_fullname_str_mv 74c92c91e05d8cb8de38e27de34c9194_***_Charlotte Todd
ed8a9c37bd7b7235b762d941ef18ee55_***_Ann John
7e34bcfc492efffababfc1d4b6477c30_***_Jacinta Tan
84f5661b35a729f55047f9e793d8798b_***_Sinead Brophy
author Charlotte Todd
Ann John
Jacinta Tan
Sinead Brophy
author2 Muhammad A Rahman
Charlotte Todd
Ann John
Jacinta Tan
Michael Kerr
Robert Potter
Jonathan Kennedy
Frances Rice
Sinead Brophy
format Journal article
container_title The British Journal of Psychiatry
container_volume 212
container_issue 4
container_start_page 215
publishDate 2018
institution Swansea University
issn 0007-1250
1472-1465
doi_str_mv 10.1192/bjp.2017.69
publisher Cambridge University Press
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str Swansea University Medical School - Medicine{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}Swansea University Medical School - Medicine
document_store_str 1
active_str 0
description BackgroundMental disorders in children and adolescents have an impact on educational attainment.AimsTo examine the temporal association between attainment in education and subsequent diagnosis of depression or self-harm in the teenage years.MethodGeneral practitioner, hospital and education records of young people in Wales between 1999 and 2014 were linked and analysed using Cox regression.ResultsLinked records were available for 652 903 young people and of these 33 498 (5.1%) developed depression and 15 946 (2.4%) self-harmed after the age of 12 but before the age of 20. Young people who developed depression over the study period were more likely to have achieved key stage 1 (age 7 years) but not key stage 2 (age 11) (hazard ratio (HR) = 0.79, 95% CI 0.74–0.84) milestones, indicating that they were declining in academic attainment during primary school. Conversely, those who self-harmed were achieving as well as those who did not self-harm in primary school, but showed a severe decline in their attainment during secondary school (HR = 0.72, 95% CI 0.68–0.78).ConclusionsLong-term declining educational attainment in primary and secondary school was associated with development of depression in the teenage years. Self-harm was associated with declining educational attainment during secondary school only. Incorporating information on academic decline with other known risk factors for depression/self-harm (for example stressful life events, parental mental health problems) may improve risk profiling methods.Declaration of interestNone.
published_date 2018-04-30T03:47:53Z
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