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Purpose: This study aimed to identify the influence of social pressure related to appearance and body image dissatisfaction on mental health in adolescents. Methods: Participants included 293 high school students. The data were collected from March 4 to 29, 2019, and were analyzed using t-test, ANOVA, Pearson’s correlation coefficient, and multiple linear regression with SPSS ver. 21. Results: Mental health was positively correlated with social pressure related to appearance and body image dissatisfaction. Factors influencing mental health were peer pressure (β=.28, p<.001) and parental pressure (β=.22, p<.001) related to appearance; body image dissatisfaction (β=.11, p=.034); “high” (β=-.18, p=.004) and “moderate” (β=-.22, p<.001) perceived school achievement; and “satisfied” response to school satisfaction (β=-.27, p=.028). These factors explained 32% of the variance in mental health. Conclusion: These results imply the need to develop effective intervention programs that enhance body image satisfaction to prevent poor mental health in adolescents.