Table 1.

Inductive content analysis based on the opinions of school professionals

1. What kind of changes have you perceived in well-being of students?
Heading	Sub-categories	Examples
A general disregard	1) reduced family well-being	“(there are) A lot of problems in the families, loose family ties, fighting, violence etc. that are reflected in school life.” “A lot of family related ill-being. Neglect has increased.” “Parents are busy, nobody spends time with the children.”
	2) lack of basic care	’(there are) Students in classrooms, that are not taken care of properly. They might be hungry, not dressed properly etc. Basic needs are not taken care of.’ Irregular sleeping hours, no routine in life … ’ “Poor nutritional habits, students don’t eat breakfast, which leads to tiredness in school.” “Obesity has increased.”
	3) difficulties in social relations	“In addition, some children clearly have a weakened understanding of what is funny, nice and correct behaviour towards other children.” “More social conflicts due to the student’s own problems.”
	4) disregard for school	“More students with attention deficit, learning difficulties or difficulties in study strategies.” ’Weakened sense of responsibility. Homework is not taken care of, pens and pencils are missing and exams not prepared for.’
	5) excess computer gaming	“Attention deficit caused by gaming is visible especially in young boys, it’s like they live in a pawn world.”
Increase of mental health problems	anxiety	“Anxiety has increased.” “Elementary students are showing depressive and anxiety behaviour.”
	depression	’Striking is the lack of dreams.’ “Depression has become more common. Disregarded ‘numb’ adolescents → nothing matters attitude.”
	restlessness	“(they) Demand action all the time, have difficulties waiting for their turn and have difficulties sitting still.” “Restless and aggressive behaviour have increased.”
2. Mental health promotion is a basic function of schools because …
	Sub-categories	Examples
	1) a comprehensive part of the everyday activity in school	“Good mental health is the foundation for learning.” “A school’s mission is to raise healthy and balanced members of society.” “It is our task to take care of student well-being and their ability to learn in schools.”
	2) covers the whole age group	“Schools accept all age groups and therefore all (children) are reached. In addition, adolescents spend an important part of their time in school, so taking care of mental health is definitely a school’s function.” “In schools, we have entire age groups in our hands.”
	3) a mean to help students to deal with problems	“ Students show symptoms (of mental health problems). A psychodynamic interventions are an important addition in schools.” “Children’s’ problems should be dealt with as early as possible.”
3. What kind of collaboration with psychiatric nurse do you wish to have?
	Sub-categories	Examples
	1) student-related collaboration	“If we are concerned about an individual student, it would be important to talk about the situation with a mental health professional as early as possible.” “ Working with education groups and on the school community level.” “ … groups for shy girls … ”
	2) consultation and guidance	“ Education for teachers.” “ It would be nice to get a chance to ventilate thoughts raised by (my) job.”
	3) multi-professional collaboration in school welfare services	“Theme days for different age groups on health related topics could be organised together with student welfare services. “ “ Join student welfare services.”