Key findings

• In 2023, female students and LGBTQ+ students experienced more violence, signs of poor mental health, and suicidal thoughts and behaviors than their male and cisgender and heterosexual peers.
• From 2021 to 2023, there were early signs that adolescent mental health is getting better. There were also concerning increases in students' experiences of violence at school.
• From 2013 to 2023, 10-year trends were similar to what data showed in 2021. There were decreases in students' use of substances. There were increases in students' experiences of violence, signs of poor mental health, and suicidal thoughts and behaviors. Students' sexual activity decreased, but so did their protective sexual behaviors, like condom use.