- Identification and data sharing reduce pupils' anticipated honesty and engagement, especially when shared with school staff; external professionals provoke the fewest negative responses.
- Developmental differences: most primary pupils would respond authentically, while many secondary pupils would be less honest or disengage when identifiable.
- Low well-being, low school connectedness, and being female predicted greater likelihood of negative responses; strengthen trust, privacy, autonomy to improve accuracy.
J Adolesc Health. 2026 Aug 4:S1054-139X(26)00222-3. doi: 10.1016/j.jadohealth.2026.06.002. Online ahead of print.
ABSTRACT
PURPOSE: Universal well-being assessments in schools may support early identification of pupils needing mental health support. However, little is known about how privacy and confidentiality concerns influence pupils’ acceptability of assessments and willingness to engage authentically. This study examined how hypothetical identification, where responses are linked to pupils and shared with key stakeholders, affects pupils’ anticipated honesty and engagement, and whether known help-seeking barriers predict negative responses.
METHODS: Cross-sectional data were collected from 12,377 primary (ages 8-10) and secondary pupils (ages 11-17) across 55 schools in England. Pupils reported whether their responses would change if identifiable and shared with school staff, parents/guardians, or external professionals. Responses indicating reduced honesty or likelihood of disengagement were coded as negative. Predictors were examined using mixed-effects logistic regression models, including demographics, school connectedness, and mental well-being.
RESULTS: Identification and data sharing influenced pupils’ anticipated engagement, particularly in secondary schools. Identification by school staff elicited the highest proportion of negative responses in both phases, whereas external professionals elicited the fewest. Most primary pupils reported they would respond authentically, while a larger proportion of secondary pupils indicated they would respond less honestly or disengage when responses were identifiable and shared. Across primary and secondary samples, low well-being, low school connectedness, and being female were associated with greater likelihood of negative response.
DISCUSSION: Pupils’ anticipated engagement with well-being assessments is shaped by who accesses their data, with marked developmental differences. Strengthening trust, privacy, and connectedness, and supporting pupils’ autonomy, may improve the acceptability and response accuracy.
PMID:42554534 | DOI:10.1016/j.jadohealth.2026.06.002
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