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Adolescents' Suicidal Thoughts and Behaviors, Mental Health, and Access to School Counselors: Evidence from Georgia

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Title: Adolescents' Suicidal Thoughts and Behaviors, Mental Health, and Access to School Counselors: Evidence from Georgia
Language: English
Authors: Jerome Graham (ORCID 0000-0002-8034-5994), Yi-Chih Chiang (ORCID 0000-0003-1311-1845)
Source: Educational Policy. 2026 40(2):151-185.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
Peer Reviewed: Y
Page Count: 35
Publication Date: 2026
Document Type: Journal Articles
Reports - Research
Education Level: Junior High Schools
Middle Schools
Secondary Education
High Schools
Descriptors: Adolescents, Mental Disorders, Mental Health, Access to Health Care, Suicide, School Counselors, Counselor Role, Psychological Patterns, Well Being, Prevention, Educational Environment, Victims, Bullying, Peer Relationship, Middle School Students, High School Students
Geographic Terms: Georgia
DOI: 10.1177/08959048251337436
ISSN: 0895-9048
1552-3896
Abstract: When adolescents experiencing mental health difficulties lack access to mental health services, it can lead to negative consequences, including suicidal thoughts and behaviors (STBs). School counselors play critical roles in providing care to youth who might otherwise lack access, but extant literature on counselors rarely accentuates their effects on mental health outcomes. This study examines whether access to school counselors moderates the association between adolescents' mental health difficulties and STBs. We find that, while adolescents' mental health difficulties are highly associated with STBs, this relationship is weakened when students attend schools with more counselors. Our findings contribute to the growing body of research on the roles of school counselors, underscoring the importance of investing in support personnel who promote students' socioemotional well-being and mental health.
Abstractor: As Provided
Entry Date: 2026
Accession Number: EJ1496464
Database: ERIC
FullText Text:
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  Data: Adolescents' Suicidal Thoughts and Behaviors, Mental Health, and Access to School Counselors: Evidence from Georgia
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  Data: English
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  Data: <searchLink fieldCode="AR" term="%22Jerome+Graham%22">Jerome Graham</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-8034-5994">0000-0002-8034-5994</externalLink>)<br /><searchLink fieldCode="AR" term="%22Yi-Chih+Chiang%22">Yi-Chih Chiang</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-1311-1845">0000-0003-1311-1845</externalLink>)
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  Data: <searchLink fieldCode="SO" term="%22Educational+Policy%22"><i>Educational Policy</i></searchLink>. 2026 40(2):151-185.
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  Data: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: https://sagepub.com
– Name: PeerReviewed
  Label: Peer Reviewed
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  Data: Y
– Name: Pages
  Label: Page Count
  Group: Src
  Data: 35
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  Label: Publication Date
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  Data: 2026
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  Data: Journal Articles<br />Reports - Research
– Name: Audience
  Label: Education Level
  Group: Audnce
  Data: <searchLink fieldCode="EL" term="%22Junior+High+Schools%22">Junior High Schools</searchLink><br /><searchLink fieldCode="EL" term="%22Middle+Schools%22">Middle Schools</searchLink><br /><searchLink fieldCode="EL" term="%22Secondary+Education%22">Secondary Education</searchLink><br /><searchLink fieldCode="EL" term="%22High+Schools%22">High Schools</searchLink>
– Name: Subject
  Label: Descriptors
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  Data: <searchLink fieldCode="DE" term="%22Adolescents%22">Adolescents</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+Disorders%22">Mental Disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+Health%22">Mental Health</searchLink><br /><searchLink fieldCode="DE" term="%22Access+to+Health+Care%22">Access to Health Care</searchLink><br /><searchLink fieldCode="DE" term="%22Suicide%22">Suicide</searchLink><br /><searchLink fieldCode="DE" term="%22School+Counselors%22">School Counselors</searchLink><br /><searchLink fieldCode="DE" term="%22Counselor+Role%22">Counselor Role</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+Patterns%22">Psychological Patterns</searchLink><br /><searchLink fieldCode="DE" term="%22Well+Being%22">Well Being</searchLink><br /><searchLink fieldCode="DE" term="%22Prevention%22">Prevention</searchLink><br /><searchLink fieldCode="DE" term="%22Educational+Environment%22">Educational Environment</searchLink><br /><searchLink fieldCode="DE" term="%22Victims%22">Victims</searchLink><br /><searchLink fieldCode="DE" term="%22Bullying%22">Bullying</searchLink><br /><searchLink fieldCode="DE" term="%22Peer+Relationship%22">Peer Relationship</searchLink><br /><searchLink fieldCode="DE" term="%22Middle+School+Students%22">Middle School Students</searchLink><br /><searchLink fieldCode="DE" term="%22High+School+Students%22">High School Students</searchLink>
– Name: Subject
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Georgia%22">Georgia</searchLink>
– Name: DOI
  Label: DOI
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  Data: 10.1177/08959048251337436
– Name: ISSN
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  Data: 0895-9048<br />1552-3896
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: When adolescents experiencing mental health difficulties lack access to mental health services, it can lead to negative consequences, including suicidal thoughts and behaviors (STBs). School counselors play critical roles in providing care to youth who might otherwise lack access, but extant literature on counselors rarely accentuates their effects on mental health outcomes. This study examines whether access to school counselors moderates the association between adolescents' mental health difficulties and STBs. We find that, while adolescents' mental health difficulties are highly associated with STBs, this relationship is weakened when students attend schools with more counselors. Our findings contribute to the growing body of research on the roles of school counselors, underscoring the importance of investing in support personnel who promote students' socioemotional well-being and mental health.
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  Data: 2026
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  Label: Accession Number
  Group: ID
  Data: EJ1496464
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=eric&AN=EJ1496464
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        Value: 10.1177/08959048251337436
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      – Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 35
        StartPage: 151
    Subjects:
      – SubjectFull: Adolescents
        Type: general
      – SubjectFull: Mental Disorders
        Type: general
      – SubjectFull: Mental Health
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      – SubjectFull: Access to Health Care
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      – SubjectFull: Suicide
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      – SubjectFull: School Counselors
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      – SubjectFull: Counselor Role
        Type: general
      – SubjectFull: Psychological Patterns
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      – SubjectFull: Well Being
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      – SubjectFull: Prevention
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      – SubjectFull: Educational Environment
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      – SubjectFull: Victims
        Type: general
      – SubjectFull: Bullying
        Type: general
      – SubjectFull: Peer Relationship
        Type: general
      – SubjectFull: Middle School Students
        Type: general
      – SubjectFull: High School Students
        Type: general
      – SubjectFull: Georgia
        Type: general
    Titles:
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