Identifying Adolescents in Need of Support for Anxiety and Depression in Schools.
University of Oxford, Division of Medical Sciences
Supervisors: Prof Polly Waite, Dr Eleanor Leigh
Tuesday, September 22, 2026
Competition Funded PhD Project (UK Students Only)
About the Project
Background and rationale
Over the past decade there has been increasing interest in mental health screening within schools to identify young people who may benefit from support. Most existing screening measures were originally developed to identify symptoms associated with anxiety and depressive disorders. While this approach provides valuable information about population mental health, it may be less useful for informing decisions about support provision within schools.
Schools must decide which young people require monitoring, targeted support, referral to specialist services or no immediate intervention. However, these decisions are typically made without universal screening, relying instead on approaches such as teacher identification, pastoral concerns or self-referral, all of which may create additional barriers for some young people. If screening is used, symptom severity alone may be insufficient. Emotional symptoms are common during adolescence and often occur in the absence of substantial distress or impairment, while some young people experience significant functional difficulties despite reporting relatively modest symptom levels. This raises questions about whether current approaches accurately identify those with the greatest need for support.
Adolescence is an important period for early identification because anxiety and depression commonly emerge during the secondary school years. Secondary schools provide a unique opportunity to identify young people who may not otherwise access support. Given well-established inequalities in help-seeking, referral and access to care, school-based screening has the potential to improve equity by identifying adolescents in need of support regardless of whether they have sought help or come to the attention of services.
Research Aims
- Review the existing literature to identify measures used to screen adolescents in secondary schools for anxiety and depression and examine their psychometric properties.
- Co-design a measure to screen adolescents in secondary schools who are most likely to benefit from support for anxiety and depression.
- Psychometrically evaluate the measure in secondary school populations.
Potential Methodologies
Mixed methods and participatory research approaches including:
- Systematic review and evidence synthesis
- Co-design and measure development
- Psychometric evaluation
Funding Notes
Thanks to generous funding from the Paul Foundation, the Oxford Centre for Emerging Minds Research is able to offer up to four fully funded OCEMR DPhil (PhD) studentships from October 2027. International students are eligible to apply, however the studentships will provide a stipend and fees for three years at the UK home fees rate. Due to our funding, the studentships will need to be completed by October 2030.
Interested students are requested to submit their CV, academic transcripts and supporting statement to ocemr@psy.ox.ac.uk by midday on 22 September (Stage 1 deadline).
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