Wellbeing: Anxiety, depression & self-harm

What is anxiety? 

Anxiety is a feeling of unease, such as worry or fear – it is an understandable reaction in children to change or a stressful event. But for some children/young people, anxiety affects their behaviour and thoughts on a daily basis, interfering with their school, home and social life. 

What is depression/low mood? 

The Anna Freud Centre outlines that low mood can mean an absence of feeling, irritability, lack of pleasure, and/or lack of motivation. Most people have experienced this at times. However, low mood means that people feel this way persistently. Doctors define low mood as feeling this way for over two weeks. It is not always easy to spot low mood. Signs include changes in behaviour and relationships with friends and school staff, becoming more withdrawn and fluctuating attendance. Low mood may be related to range of factors, including challenging home circumstances, bullying or difficult peer relationships. 

What is self-harm? 

According to the NICE guidelines for self-harm, self-harm is defined as intentional self-poisoning or injury irrespective of the apparent purpose of the act. Prevalence statistics are unreliable because it is a problem that is sometimes hidden. Although people of all demographics self-harm, it is particularly common among adolescents. Prevalence estimates suggest that about 17% of young people have self-harmed in their lifetime, with the average age of onset around 12-13 years of age, and peak prevalence during mid-adolescence. While reasons for self-harm are unique to individuals, many people self-harm to manage distress or emotional dysregulation. But worryingly, few young people seek professional help for their self-harm or mental health.

Category short code Description
School age resilience

Resilience: The importance of a universal and whole-school approach is cited within government guidance on supporting mental health and behaviour in schools (DfE, 2018): Schools are in a unique position, as they are able to help prevent mental health problems by promoting resilience as part of an integrated, whole school approach that is tailored to the needs of their pupils (p.8).

Anxiety may manifest in a number of ways in school aged children, including: 

  • Externalising/Disruptive behaviour which interferes with learning outcomes
  • Emotional over-reactions
  • Verbal/physical aggression
  • Internalising/Withdrawn behaviour
  • Social anxiety
  • Peer relationships difficulties
  • Bullying or Victim of bullying
  • Performance anxiety/Exam anxiety
  • Poor frustration tolerance
  • Low self esteem
  • Obsessive behaviour or rituals
Separation anxiety

For example difficulties with morning transition, poor attendance