Adolescent Mental Health : Impact of Introducing Earlier Compulsory School Grades

Summary, in English

We examine how the earlier introduction of compulsory school grades affects the likelihood of receiving a mental disorder diagnosis among Swedish adolescents. We exploit a school reform that shifted the introduction of grades from grade 8 to grade 6, resulting in first exposure to grading at different ages between cohorts. Our results show that girls exposed to earlier grading are more likely to be diagnosed with internalizing disorders, such as depression and anxiety, by the end of compulsory school. This effect is particularly pronounced among students with low to moderate academic achievement. We also find suggestive evidence that both girls and boys exposed to earlier grading face an increased risk of being diagnosed with alcohol-related disorders. These findings highlight that early exposure to grading may have unintended adverse effects on adolescent mental health. Education systems should acknowledge these potential risks and consider implementing complementary mental health support when revising grading policies.

• Author: Anna Linder; Ulf G. Gerdtham; Gawain Heckley
• Department/s: Centre for Economic Demography; Health Economics; LU Profile Area: Proactive Ageing; EpiHealth: Epidemiology for Health
• Publishing year: 2025
• Language: English
• Pages: 1731-1746
• Publication/Series: Health Economics (United Kingdom)
• Volume: 34
• Issue: 9
• Links: http://dx.doi.org/10.1002/hec.4982
• Document type: Journal article
• Publisher: John Wiley & Sons Inc.
• Topic: Public Health, Global Health and Social Medicine
• Keywords: education policy; human capital development; mental health; school grades
• Status: Published
• Research group: Health Economics
• ISBN/ISSN/Other: ISSN: 1057-9230