Overview
- The UCL-led analysis of the ALSPAC cohort was published in Lancet Child & Adolescent Health and followed young people born in 1991–92.
- Teens who reported greater pressure at age 15 showed higher depressive symptoms at multiple follow-ups from ages 16 to 22, with the strongest link at age 16.
- Each one-point rise on a nine-point pressure scale corresponded to an 8% increase in the odds of self-harm, with elevated risk observed up to age 24.
- Academic pressure was assessed near GCSEs using a questionnaire that combined internal and external pressures rather than a standardized instrument.
- Authors emphasize the observational design and pre‑COVID timing of the data, and they urge school-level policies such as fewer high‑stakes tests and stronger social‑emotional and relaxation supports, a call echoed by YoungMinds and Mind.