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Teenagers with care experience face significantly higher risk of self-harm and mental ill health, study finds

Date:26 JAN 2026
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Teenagers with experience of foster, residential or kinship care are at substantially increased risk of serious mental health difficulties, self-harm and social exclusion, according to new longitudinal research from University College London (UCL).

The study, funded by the Nuffield Foundation and conducted by the UCL Centre for Longitudinal Studies, analysed data from over 10,000 participants in the Millennium Cohort Study, tracking outcomes from adolescence into early adulthood. The findings raise significant concerns for professionals working in family justice, children’s services and safeguarding.

Researchers found that more than one in four 17-year-olds who had lived in foster or residential care (26%), and one in five who had lived with other relatives (21%), had attempted to take their own life. This compares with just 7% of teenagers with no experience of out-of-home care (OHC).

Rates of self-harm and depression were also markedly higher among care-experienced young people. Over half of those who had lived in foster or residential care reported recent self-harm, compared with fewer than a quarter of their peers without care experience. High levels of depression were reported by 39% of those in foster or residential care and 29% of those in kinship care, compared with 16% among those who had never been in care.

The research also highlights a broader pattern of disadvantage. Teenagers with OHC experience were significantly more likely to report a longstanding illness, to engage in risky behaviours including early sexual activity and substance misuse, and to live in areas of high deprivation. By age 17, one in four young people who had been in foster or residential care were not in education, employment or training (NEET), compared with one in 17 of those without care experience.

Mental health inequalities persisted into early adulthood. At age 20 or 21, more than 40% of participants with foster or residential care experience reported high levels of psychological distress, compared with around a quarter of those without any care history.

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The study also found evidence of intergenerational disadvantage. Children born to mothers who had themselves experienced out-of-home care were more likely to display emotional and behavioural difficulties. However, researchers emphasised that the increased risk was driven primarily by associated socioeconomic factors, including instability in housing, educational disadvantage and poorer maternal health and wellbeing, rather than care experience alone.

Professor Ingrid Schoon of the UCL Social Research Institute said the findings demonstrate the enduring impact of care experience across the life course, describing a “cliff edge” in support as young people transition out of the care system. She argued that services must adopt a family-focused, lifelong approach rather than withdrawing support abruptly in late adolescence.

Co-author Dr Sam Parsons highlighted the relevance of the findings to ongoing policy debates. The independent review of children’s social care led by Josh MacAlister in 2022 described care experience as “the civil rights issue of our time” and recommended that it be recognised as a protected characteristic under the Equality Act 2010. That recommendation has not been implemented.

The authors argue that the data provides further evidence in support of reform, pointing to systemic discrimination, social exclusion and long-term harm experienced by care-experienced individuals. For family law practitioners, the findings underscore the importance of sustained post-care support, trauma-informed practice and early intervention to mitigate the long-term risks associated with childhood adversity.

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