We use self-reported changes from baseline in the SDQ total difficulties score [32] by the pupils as the primary outcome. SDQ measures behavioural and emotional functioning and social competencies, which is highly relevant according to WHO´s definition of mental health e.g. the ability to manage thoughts, emotions, as well as to build social relationships [1]. SDQ is recommended as a measure of child well- being in community settings such as schools [33].

Our primary end-point is 6 months after baseline. Our primary study population is the vulnerable sub group with a SDQ total difficulties score above the 80th percentile [34]. They will be taught the “.b” programme together with the whole class as a part of compulsory class room teaching.

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