biostudies-literatureDe Rubeis VThe Canadian Institutes of Health Research583https://www.ebi.ac.uk/biostudies/studies/S-EPMC11520149biostudies-literatureUnknown12(1)<h4>Background</h4>Few studies have examined the inter-relationships between teacher and student mental health. We aimed to examine associations between teacher distress and student mental health difficulties and if student perceptions of school safety moderate these associations.<h4>Method</h4>Data from 23,568 students in grades 6-12 and 1,478 teachers from 268 schools participating in the School Mental Health Surveys in Ontario, Canada, were used. Three-level (student, classroom, school) multivariable linear regression models were fit to examine associations between teacher distress and student internalizing and externalizing symptoms by elementary (grades 6-8) and secondary (grades 9-12) school. Statistical interactions were used to evaluate effect modification.<h4>Results</h4>Small butBMC psychologyThe association between teacher distress and student mental health outcomes: a cross-sectional study using data from the school mental health survey.PMC11520149CIHR; MOP-136939Georgiades KRepchuck RHalladay JDe Rubeis VCost KTThabane LfalseThe association between teacher distress and student mental health outcomes: a cross-sectional study using data from the school mental health survey.<h4>Background</h4>Few studies have examined the inter-relationships between teacher and student mental health. We aimed to examine associations between teacher distress and student mental health difficulties and if student perceptions of school safety moderate these associations.<h4>Method</h4>Data from 23,568 students in grades 6-12 and 1,478 teachers from 268 schools participating in the School Mental Health Surveys in Ontario, Canada, were used. Three-level (student, classroom, school) multivariable linear regression models were fit to examine associations between teacher distress and student internalizing and externalizing symptoms by elementary (grades 6-8) and secondary (grades 9-12) school. Statistical interactions were used to evaluate effect modification.<h4>Results</h4>Small but2024-01-01T00:00:00Z2024 Oct2025-04-04T01:02:17.919Z2025-04-04T01:02:17.919ZS-EPMC115201493943900110.1186/s40359-024-02071-3