This page includes information about:

  • adverse childhood experiences and their impact on mental health 
  • which groups of children and young people are most at risk.  


Taking a whole school or college approach to children and young people’s mental health relies on understanding the systemic issues that affect mental health.  

This means collecting data within your education setting where possible, noting general trends and identifying risk factors. 

Risk factors

Adverse childhood experiences 

Research tells us that early childhood experiences, particularly adverse ones – such as poverty, deprivation, physical or sexual abuse, having a parent or carer with a mental health problem, witnessing domestic conflict or violence – have an impact on mental health 

The greater the number of adverse childhood experiences (ACEs) a child faces before the age of 18, the greater their chance of poorer outcomes in adulthood. You can find more information about the impact of adverse childhood experiences from the Early Intervention Foundation. 

Systemic issues 

Other factors that are associated with increased mental health problems in children and young people includegender, ethnicity, eligibility for free school meals, special educational needs, and child-in-need status.  

The negative impact for these groups has increased as a result of the pandemic – see our emerging evidence series for more on this. 

The presence of multiple risk factors can make a child or young person more susceptible to experiencing a mental health problem. 

Race and ethnicity 

Rates of mental health concerns vary depending on race and ethnicity. The latest NHS digital report states that, Rates of probable mental disorder were higher among 6 to 23 year olds in the White British (18.9%) and the mixed or other (22.5%) groups, than in the Asian/Asian British (8.4%) and Black/Black British (8.3%) groups". 

Experiencing racism is also known to be a contributing factor to mental health problems.  

Mind commissioned a survey which found that 70% of young people who had experienced racism in school said this had affected their mental health. A literature review published in 2018 also found that exposure to discrimination predicted worse mental health (for example, anxiety and depression symptoms) in 76% of the types of discrimination examined. 

Gender and sexual identity 

According to the NHS digital report, “Boys aged 6 to 10 years were more likely to have a probable mental disorder (21.9%) than girls (12.0%). In 17 to 23 year olds, this pattern was reversed, with rates higher in young women (23.5%) than young men (10.7%).  

The high rates of self-harm and attempted suicide  among those with a mental health disorder, particularly girls – is a reminder, if any were needed, of how serious these issues are. 

Young people who identify as lesbian, gay, bisexual or a sexual identity other than heterosexual are roughly 2.5 times as likely to have a mental disorder than those who identify as heterosexual. 

Sexual identity.png

Source: NHS Digital(2017) 

Using information about risk factors 

Risk factors cannot be considered in isolation, but are helpful to provide some context so that you can consider which children or young people could potentially be at risk, and may therefore require additional support or monitoring.  

This information can then be used in conjunction with an in-depth knowledge of the child or young person, and through using measurement surveys. See ourMeasure pupil wellbeing action for more information about conducting surveys with individuals and groups. 


Mental health and behaviour in schools (2018)

Advice from the DfE which aims to help schools  support pupils whose mental health problems manifest themselves in behaviour.

Mentally Healthy Schools: Risks and protective factors

This section of the site helps school staff understand the many risk factors that may challenge and undermine children’s mental health including being vulnerable, having family problems e.g. substance misuse, and poverty.

Addressing emotionally-based school avoidance

This resource looks at the topic of emotionally-based school avoidance (EBSA) and shares ideas to help education staff address the issue.

Supporting students who have experienced racism

Information for staff on how best to support a student who has experienced racism and where else to seek support.

LGBTQI+ mental health

This resource, designed for young people aged 14 and up, explores some important topics in relation to being a member of the LGBTQI+ community, including mental health.

UK Trauma Council: Childhood Trauma and the Brain animation

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