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The number of adolescents receiving treatment has increased. We investigated whether the association between psychiatric problems in early adolescence and dropping out of school had changed. We used the register-based 1987 and 1997 Finnish Birth Cohort studies, which include all live births in Finland. Hospital districts with incomplete records were excluded, leaving 25,421 participants born in 1987 and 32,025 born in 1997. The main outcome was not having applied for secondary education by the year the cohort members turned 18. Our main predictors were psychiatric and neurodevelopmental disorders diagnosed by specialized services during 1998\u20132003 and 2008\u20132013, when the cohort members were 10\u201316\u00a0years old. We found that 511 (2.0) of subjects born in 1987 and 499 (1.6%) born in 1997 dropped out of school. Having any diagnosis at 10\u201316 of age was associated with dropping out of school early in both cohorts: 3.9% in 1987 and 4.8% in 1997. The highest proportions were in the subgroup with autism spectrum disorders (ASD), 19.4% in 1987 and 16.2% in 1997. Dropping out early increased among adolescents diagnosed with any psychiatric or neurodevelopmental disorder, from 3.9 to 4.8%, with the clearest increase for learning disabilities, from 3.4 to 9.0%. Dropping out decreased for those with depression, from 4.5 to 2.1%. Adolescents with psychiatric and especially neurodevelopmental disorders, need effective interventions to prevent them dropping out of school early. Increased detection of psychopathology did not result in decreased dropout rates.<\/jats:p>","DOI":"10.1007\/s00787-023-02252-2","type":"journal-article","created":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T23:32:46Z","timestamp":1687995166000},"page":"1443-1450","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Temporal changes in the associations between diagnosed psychiatric disorders and dropping out of school early"],"prefix":"10.1007","volume":"33","author":[{"given":"Ida","family":"Ringbom","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaana","family":"Suvisaari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andre","family":"Sourander","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mika","family":"Gissler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Gyllenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,6,29]]},"reference":[{"key":"2252_CR1","doi-asserted-by":"publisher","first-page":"671","DOI":"10.1353\/dem.0.0078","volume":"46","author":"M Jackson","year":"2009","unstructured":"Jackson M (2009) Understanding links between adolescent health and educational attainment. 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Dr. Suvisaari has nothing to disclose. Dr. Sourander has nothing to disclose. Dr. Gissler has nothing to disclose. Dr. Gyllenberg has nothing to disclose.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The birth cohort studies were approved by the review board of the Finnish Institute for Health and Welfare. We obtained permission from the registered keepers to use the data sources, as required by Finnish law. All data were pseudonymised and handled according to Finnish data protection legislation and regulations. Informed consent was not required, because none of the registered individuals were contacted.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval and informed consent"}}]}}