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      • School safety showed an exposure-response relationship with mental health problems after adjustment for confounders. Odds ratios increased from 2.48 ("sometimes unsafe") to 8.05 ("very often unsafe"). The association was strongest in girls and young and middle-aged adolescents.
      research.rug.nl/en/publications/perceived-school-safety-is-strongly-associated-with-adolescent-me
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  2. School safety showed an exposure-response relationship with mental health problems after adjustment for confounders. Odds ratios increased from 2.48 ("sometimes unsafe") to 8.05 ("very often unsafe"). The association was strongest in girls and young and middle-aged adolescents.

    • Sample
    • Measures
    • Data Analysis
    • Statistical Analysis

    In this cross-sectional population-based study of Dutch adolescents attending secondary schools in the Utrecht province, The Netherlands, an unselected sample of 11,130 adolescents between 11 and 19 years of age was included by the Community Health Service Midden-Nederland (GGD Midden-Nederland). In the Netherlands, children make the transition fro...

    Mental Health Problems

    Mental health problems were defined by a score in the clinical range of the Strengths and Difficulties Questionnaire (SDQ), self-reported by the adolescents (Goodman et al. 1998). The SDQ is a validated brief screening questionnaire for psychosocial functioning and consists of 25 items on psychological attributes. Each item is scored on a 3-point scale with “not true”, “somewhat true”, and “certainly true”. These 25 items are divided in 5 subscales with each 5 items: emotional symptoms, condu...

    Perceived Safety at Secondary School

    Perceived school safety was measured by a single question: “Do you ever feel unsafe at school?”. The question was scored on a 4-point scale: “never”, “sometimes”, “often” and “very often”. For the analysis, we investigated “very often”, “often” and “sometimes” in comparison to “never”. The following variables were considered as potential confounders.

    Demographic Variables

    Gender (Merikangas et al. 2010; Verhulst et al. 1997), age (Botticello 2009; Kessler et al. 2007; Mooij et al. 2011; Steinhausen et al. 2008), ethnicity (“Dutch”, “Surinamese/Antillean/Aruban”, “Turkish”, “Moroccan”, or “other ethnicity”) (Mooij et al. 2011; Romero et al. 2007; Schwab-Stone et al. 1995), marital status of parents (“living with father and mother/father or mother and partner”, or “other marital status of parents”) and socioeconomic position (Amone-P’Olak et al. 2011; Mijanovich...

    Missing Data

    The SDQ was complete for 11,291 adolescents (247 incomplete cases (2.1 %) were excluded). There were no missing data for other variables, except for victimization, bullying and perceived school safety (1 missing) and for educational attainment level [149 missing (1.3 %)]. Because of the relatively small amount of missing data, and because statistical analysis for missing data patterns did not reveal a significant pattern, listwise exclusion of missing cases was considered acceptable. After ex...

    Comparison of general characteristics between the normal/borderline SDQ outcome group and the clinical SDQ outcome group was performed for significant differences using the nonparametric Mann–Whitney U-test. Bivariate non-parametric correlations between independent variables were performed to investigate potential multicollinearity (Kendall’s τ > 0...

    • Miesje M. Nijs, Clothilde J. E. Bun, Wanda M. Tempelaar, Niek J. de Wit, Huibert Burger, Carolien M....
    • 2014
  3. Mar 17, 2021 · To do that, we investigated the prevalence of students who felt unsafe at school and examined the factors that were associated with perceived school safety, with a particular focus on any association with mental health difficulties.

    • Yuko Mori, Elina Tiiri, Prakash Khanal, Jayden Khakurel, Kaisa Mishina, Andre Sourander, Andre Soura...
    • 2021
  4. Mar 17, 2021 · Not feeling safe at school was related to being victimized and mental health difficulties, including depressive symptoms and suicidal behavior. Higher perceived school safety was associated with measures such as the presence of a security officer and fair school rule enforcement.

    • Yuko Mori, Elina Tiiri, Prakash Khanal, Jayden Khakurel, Kaisa Mishina, Andre Sourander, Andre Soura...
    • 2021
  5. Mar 1, 2018 · Promoting adolescent mental health is a global priority, and schools have an important role to play. This systematic mixed- methods literature review examined relationships between the psychosocial school climate and adolescents’ mental health, mapping the scope and quality of recent research.

    • Jill M. Aldridge, Katrina McChesney
    • Eisman et al. (2015)
    • 2018
    • Dessel et al. (2017)
  6. If school safety is associated with adolescents’ psychosocial functioning independent from other risk factors, this may be relevant for detection and prevention of mental health...

  7. Mar 17, 2021 · Not feeling safe at school was related to being victimized and mental health difficulties, including depressive symptoms and suicidal behavior. Higher perceived school safety was...

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