1. Theresa (Terry) Fleming, on behalf of & The Adolescent Health Research Group Youth’12 Dr Terry (Theresa) Fleming & the Adolescent Health Research Group

2. The Adolescent Health Research Group To provide high quality, accurate and timely research that seeks to improve the health and wellbeing of young people in Aotearoa, New Zealand

3. The Youth2000 Survey Series 1. National Secondary School Student Surveys 2001 - 9,699 adolescents 2007 - 9,107 adolescents 2012 - 8,500 adolescents 2. School Climate Surveys 2007 School Climate 2012/13 School Climate 3. Alternative Education Surveys 2009 - 335 adolescents 2000 – 268 adolescents 4. Teen Parent Unit Survey 2006 - 220 adolescents

5. Suicide attempts & depressive symptoms %

6. Suicide attempt in the past 12 months (%)

7. Supportive school climate (student report) Suicide risk Suicide risk among male same-sex attracted students and supportive school environments Same-sex attracted students Both-sex attracted students Opposite-sex attracted students

9. School Health Services Survey  All schools that took part in the youth12 were invited to participate in on-line survey school health services survey  Clinic leaders and health professionals working in the school.  One hundred and twenty-nine health professionals were identified as working in one of the participating Youth12 schools. Of these, one hundred and thirteen (n=113, response rate 87.6%) replied to the health staff survey.

10. Level of health services in schools

11. Less depression symptoms Less suicide risk Level of health service Regular clinics from visiting HP++ One person on-site++ Health team on-site+++++ Infrastructure Hours of nursing/ 100 students+++ Hours of GP/ 100 students++ HEADSS screening++ Facilities+ Training and continuing education Youth health training – post grad+++++ Peer review group+ Collaboration and support With pastoral care team With local GP/ PHO+ Team meetings Specialist support – mental health

13. Association between nursing and doctor hours and self-reported pregnancy Denny et al, AJPH 2012 p = 0.03

14. Dissemination Reports Publications Presentations Fact sheets Policy briefings Other monitoring reports

15. Youth2018 Your thoughts? New questions New approaches New issues?

16. Thank you for finishing the Youth’18 survey! Would you like to find out some options for getting help for… Feeling happier Cutting down or giving up smoking Getting fitter Something else No thanks You will be able to choose another option later on

17. Feeling happier  It is normal to feel down sometimes, but there are places you can go and people you can talk to help you feel better when you need it.  Would you like to Check out xxx Find out how I can get help

18. Feeling happier – what can you do?  Talk to a GP or family doctor Tell me how  Talk to someone at school (like a nurse or counsellor) Tell me how  Visit http://www.sparx.org.nz/ or http://www.youthline.co.nz/http://www.sparx.org.nz/ http://www.youthline.co.nz/  Call or text Youthline 0800 37 66 33 Email me this Text me this

19. Thank You www.youthresearch.auckland.ac.nz The Youth’12 project was funded by the Ministries of Youth Development, Social Development, Health, Education and Justice, the Department of Labour, the Families Commission and the Health Promotion Agency (HPA) Thanks to all the schools and students who participated