The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990–2019: Findings from the Global Burden of Disease Study 2019

Giulio Castelpietra; Ann Kristin Skrindo Knudsen; Emilie E. Agardh; Benedetta Armocida; Massimiliano Beghi; Kim Moesgaard Iburg; Giancarlo Logroscino; Rui Ma; Fabrizio Starace; Nicholas Steel; Giovanni Addolorato; Catalina Liliana Andrei; Tudorel Andrei; Jose L. Ayuso-Mateos; Maciej Banach; Till Winfried Bärnighausen; Francesco Barone-Adesi; Akshaya Srikanth Bhagavathula; Felix Carvalho; Áurea M. Madureira-Carvalho; Joht Singh Chandan; Vijay Kumar Chattu; Rosa A.S. Couto; Natália Cruz-Martins; Paul I. Dargan; Keshab Deuba; Diana Dias da Silva; Adeniyi Francis Fagbamigbe; Eduarda Fernandes; Pietro Ferrara; Florian Fischer; Peter Andras Gaal; Alessandro Gialluisi; Juanita A. Haagsma; Josep Maria Haro; M. Tasdik Hasan; Syed Shahzad Hasan; Sorin Hostiuc; Licia Iacoviello; Ivo Iavicoli; Elham Jamshidi; Jost B. Jonas; Tamas Joo; Jacek Jerzy Jozwiak; Srinivasa Vittal Katikireddi; Joonas H. Kauppila; Moien A.B. Khan; Adnan Kisa; Sezer Kisa; Mika Kivimäki; Kamrun Nahar Koly; Ai Koyanagi; Manasi Kumar; Tea Lallukka; Berthold Langguth; Caterina Ledda; Paul H. Lee; Ilaria Lega; Christine Linehan; Joana A. Loureiro; Áurea M. Madureira-Carvalho; Jose Martinez-Raga; Manu Raj Mathur; John J. McGrath; Enkeleint A. Mechili; Alexios Fotios A. Mentis; Tomislav Mestrovic; Bartosz Miazgowski; Andreea Mirica; Antonio Mirijello; Babak Moazen; Shafiu Mohammed; Francesk Mulita; Gabriele Nagel; Ruxandra Irina Negoi; Ruxandra Irina Negoi; Vincent Ebuka Nwatah; Alicia Padron-Monedero; Songhomitra Panda-Jonas; Shahina Pardhan; Maja Pasovic; Jay Patel; Ionela Roxana Petcu; Marina Pinheiro; Richard Charles G. Pollok; Maarten J. Postma; David Laith Rawaf; Salman Rawaf; Esperanza Romero-Rodríguez; Luca Ronfani; Dominic Sagoe; Francesco Sanmarchi; Michael P. Schaub; Nigussie Tadesse Sharew; Rahman Shiri; Farhad Shokraneh; Inga Dora Sigfusdottir; João Pedro Silva; Renata Silva; Bogdan Socea; Miklós Szócska; Rafael Tabarés-Seisdedos; Marco Torrado; Marcos Roberto Tovani-Palone; Tommi Juhani Vasankari; Massimiliano Veroux; Russell M. Viner; Andrea Werdecker; Andrea Sylvia Winkler; Simon I. Hay; Alize J. Ferrari; Mohsen Naghavi; Peter Allebeck; Lorenzo Monasta

doi:10.1016/j.lanepe.2022.100341

The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990–2019: Findings from the Global Burden of Disease Study 2019

Giulio Castelpietra^*, Ann Kristin Skrindo Knudsen, Emilie E. Agardh, Benedetta Armocida, Massimiliano Beghi, Kim Moesgaard Iburg, Giancarlo Logroscino, Rui Ma, Fabrizio Starace, Nicholas Steel, Giovanni Addolorato, Catalina Liliana Andrei, Tudorel Andrei, Jose L. Ayuso-Mateos, Maciej Banach, Till Winfried Bärnighausen, Francesco Barone-Adesi, Akshaya Srikanth Bhagavathula, Felix Carvalho, Áurea M. Madureira-CarvalhoJoht Singh Chandan, Vijay Kumar Chattu, Rosa A.S. Couto, Natália Cruz-Martins, Paul I. Dargan, Keshab Deuba, Diana Dias da Silva, Adeniyi Francis Fagbamigbe, Eduarda Fernandes, Pietro Ferrara, Florian Fischer, Peter Andras Gaal, Alessandro Gialluisi, Juanita A. Haagsma, Josep Maria Haro, M. Tasdik Hasan, Syed Shahzad Hasan, Sorin Hostiuc, Licia Iacoviello, Ivo Iavicoli, Elham Jamshidi, Jost B. Jonas, Tamas Joo, Jacek Jerzy Jozwiak, Srinivasa Vittal Katikireddi, Joonas H. Kauppila, Moien A.B. Khan, Adnan Kisa, Sezer Kisa, Mika Kivimäki, Kamrun Nahar Koly, Ai Koyanagi, Manasi Kumar, Tea Lallukka, Berthold Langguth, Caterina Ledda, Paul H. Lee, Ilaria Lega, Christine Linehan, Joana A. Loureiro, Áurea M. Madureira-Carvalho, Jose Martinez-Raga, Manu Raj Mathur, John J. McGrath, Enkeleint A. Mechili, Alexios Fotios A. Mentis, Tomislav Mestrovic, Bartosz Miazgowski, Andreea Mirica, Antonio Mirijello, Babak Moazen, Shafiu Mohammed, Francesk Mulita, Gabriele Nagel, Ruxandra Irina Negoi, Ruxandra Irina Negoi, Vincent Ebuka Nwatah, Alicia Padron-Monedero, Songhomitra Panda-Jonas, Shahina Pardhan, Maja Pasovic, Jay Patel, Ionela Roxana Petcu, Marina Pinheiro, Richard Charles G. Pollok, Maarten J. Postma, David Laith Rawaf, Salman Rawaf, Esperanza Romero-Rodríguez, Luca Ronfani, Dominic Sagoe, Francesco Sanmarchi, Michael P. Schaub, Nigussie Tadesse Sharew, Rahman Shiri, Farhad Shokraneh, Inga Dora Sigfusdottir, João Pedro Silva, Renata Silva, Bogdan Socea, Miklós Szócska, Rafael Tabarés-Seisdedos, Marco Torrado, Marcos Roberto Tovani-Palone, Tommi Juhani Vasankari, Massimiliano Veroux, Russell M. Viner, Andrea Werdecker, Andrea Sylvia Winkler, Simon I. Hay, Alize J. Ferrari, Mohsen Naghavi, Peter Allebeck, Lorenzo Monasta

^*Corresponding author for this work

Research output: Contribution to journal › Article (Academic Journal) › peer-review

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Abstract

Background: Mental health is a public health issue for European young people, with great heterogeneity in resource allocation. Representative population-based studies are needed. The Global Burden of Disease (GBD) Study 2019 provides internationally comparable information on trends in the health status of populations and changes in the leading causes of disease burden over time. Methods: Prevalence, incidence, Years Lived with Disability (YLDs) and Years of Life Lost (YLLs) from mental disorders (MDs), substance use disorders (SUDs) and self-harm were estimated for young people aged 10-24 years in 31 European countries. Rates per 100,000 population, percentage changes in 1990-2019, 95% Uncertainty Intervals (UIs), and correlations with Sociodemographic Index (SDI), were estimated. Findings: In 2019, rates per 100,000 population were 16,983 (95% UI 12,823 – 21,630) for MDs, 3,891 (3,020 - 4,905) for SUDs, and 89·1 (63·8 - 123·1) for self-harm. In terms of disability, anxiety contributed to 647·3 (432–912·3) YLDs, while in terms of premature death, self-harm contributed to 319·6 (248·9–412·8) YLLs, per 100,000 population. Over the 30 years studied, YLDs increased in eating disorders (14·9%;9·4-20·1) and drug use disorders (16·9%;8·9-26·3), and decreased in idiopathic developmental intellectual disability (–29·1%;23·8-38·5). YLLs decreased in self-harm (–27·9%;38·3-18·7). Variations were found by sex, age-group and country. The burden of SUDs and self-harm was higher in countries with lower SDI, MDs were associated with SUDs. Interpretation: Mental health conditions represent an important burden among young people living in Europe. National policies should strengthen mental health, with a specific focus on young people. Funding: The Bill and Melinda Gates Foundation

Original language	English
Article number	100341
Number of pages	18
Journal	The Lancet Regional Health - Europe
Volume	16
Early online date	1 Apr 2022
DOIs	https://doi.org/10.1016/j.lanepe.2022.100341
Publication status	Published - 1 May 2022

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© 2022 The Author(s).

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Castelpietra, G., Knudsen, A. K. S., Agardh, E. E., Armocida, B., Beghi, M., Iburg, K. M., Logroscino, G., Ma, R., Starace, F., Steel, N., Addolorato, G., Andrei, C. L., Andrei, T., Ayuso-Mateos, J. L., Banach, M., Bärnighausen, T. W., Barone-Adesi, F., Bhagavathula, A. S., Carvalho, F., ... Monasta, L. (2022). The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990–2019: Findings from the Global Burden of Disease Study 2019. The Lancet Regional Health - Europe, 16, Article 100341. https://doi.org/10.1016/j.lanepe.2022.100341

@article{049144833de84e29942525e95737d628,

title = "The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990–2019: Findings from the Global Burden of Disease Study 2019",

abstract = "Background: Mental health is a public health issue for European young people, with great heterogeneity in resource allocation. Representative population-based studies are needed. The Global Burden of Disease (GBD) Study 2019 provides internationally comparable information on trends in the health status of populations and changes in the leading causes of disease burden over time. Methods: Prevalence, incidence, Years Lived with Disability (YLDs) and Years of Life Lost (YLLs) from mental disorders (MDs), substance use disorders (SUDs) and self-harm were estimated for young people aged 10-24 years in 31 European countries. Rates per 100,000 population, percentage changes in 1990-2019, 95% Uncertainty Intervals (UIs), and correlations with Sociodemographic Index (SDI), were estimated. Findings: In 2019, rates per 100,000 population were 16,983 (95% UI 12,823 – 21,630) for MDs, 3,891 (3,020 - 4,905) for SUDs, and 89·1 (63·8 - 123·1) for self-harm. In terms of disability, anxiety contributed to 647·3 (432–912·3) YLDs, while in terms of premature death, self-harm contributed to 319·6 (248·9–412·8) YLLs, per 100,000 population. Over the 30 years studied, YLDs increased in eating disorders (14·9%;9·4-20·1) and drug use disorders (16·9%;8·9-26·3), and decreased in idiopathic developmental intellectual disability (–29·1%;23·8-38·5). YLLs decreased in self-harm (–27·9%;38·3-18·7). Variations were found by sex, age-group and country. The burden of SUDs and self-harm was higher in countries with lower SDI, MDs were associated with SUDs. Interpretation: Mental health conditions represent an important burden among young people living in Europe. National policies should strengthen mental health, with a specific focus on young people. Funding: The Bill and Melinda Gates Foundation",

author = "Giulio Castelpietra and Knudsen, {Ann Kristin Skrindo} and Agardh, {Emilie E.} and Benedetta Armocida and Massimiliano Beghi and Iburg, {Kim Moesgaard} and Giancarlo Logroscino and Rui Ma and Fabrizio Starace and Nicholas Steel and Giovanni Addolorato and Andrei, {Catalina Liliana} and Tudorel Andrei and Ayuso-Mateos, {Jose L.} and Maciej Banach and B{\"a}rnighausen, {Till Winfried} and Francesco Barone-Adesi and Bhagavathula, {Akshaya Srikanth} and Felix Carvalho and Madureira-Carvalho, {{\'A}urea M.} and Chandan, {Joht Singh} and Chattu, {Vijay Kumar} and Couto, {Rosa A.S.} and Nat{\'a}lia Cruz-Martins and Dargan, {Paul I.} and Keshab Deuba and Silva, {Diana Dias da} and Fagbamigbe, {Adeniyi Francis} and Eduarda Fernandes and Pietro Ferrara and Florian Fischer and Gaal, {Peter Andras} and Alessandro Gialluisi and Haagsma, {Juanita A.} and Haro, {Josep Maria} and Hasan, {M. Tasdik} and Hasan, {Syed Shahzad} and Sorin Hostiuc and Licia Iacoviello and Ivo Iavicoli and Elham Jamshidi and Jonas, {Jost B.} and Tamas Joo and Jozwiak, {Jacek Jerzy} and Katikireddi, {Srinivasa Vittal} and Kauppila, {Joonas H.} and Khan, {Moien A.B.} and Adnan Kisa and Sezer Kisa and Mika Kivim{\"a}ki and Koly, {Kamrun Nahar} and Ai Koyanagi and Manasi Kumar and Tea Lallukka and Berthold Langguth and Caterina Ledda and Lee, {Paul H.} and Ilaria Lega and Christine Linehan and Loureiro, {Joana A.} and Madureira-Carvalho, {{\'A}urea M.} and Jose Martinez-Raga and Mathur, {Manu Raj} and McGrath, {John J.} and Mechili, {Enkeleint A.} and Mentis, {Alexios Fotios A.} and Tomislav Mestrovic and Bartosz Miazgowski and Andreea Mirica and Antonio Mirijello and Babak Moazen and Shafiu Mohammed and Francesk Mulita and Gabriele Nagel and Negoi, {Ruxandra Irina} and Negoi, {Ruxandra Irina} and Nwatah, {Vincent Ebuka} and Alicia Padron-Monedero and Songhomitra Panda-Jonas and Shahina Pardhan and Maja Pasovic and Jay Patel and Petcu, {Ionela Roxana} and Marina Pinheiro and Pollok, {Richard Charles G.} and Postma, {Maarten J.} and Rawaf, {David Laith} and Salman Rawaf and Esperanza Romero-Rodr{\'i}guez and Luca Ronfani and Dominic Sagoe and Francesco Sanmarchi and Schaub, {Michael P.} and Sharew, {Nigussie Tadesse} and Rahman Shiri and Farhad Shokraneh and Sigfusdottir, {Inga Dora} and Silva, {Jo{\~a}o Pedro} and Renata Silva and Bogdan Socea and Mikl{\'o}s Sz{\'o}cska and Rafael Tabar{\'e}s-Seisdedos and Marco Torrado and Tovani-Palone, {Marcos Roberto} and Vasankari, {Tommi Juhani} and Massimiliano Veroux and Viner, {Russell M.} and Andrea Werdecker and Winkler, {Andrea Sylvia} and Hay, {Simon I.} and Ferrari, {Alize J.} and Mohsen Naghavi and Peter Allebeck and Lorenzo Monasta",

note = "Publisher Copyright: {\textcopyright} 2022 The Author(s).",

year = "2022",

month = may,

day = "1",

doi = "10.1016/j.lanepe.2022.100341",

language = "English",

volume = "16",

journal = "The Lancet Regional Health - Europe",

issn = "2666-7762",

publisher = "Elsevier Limited",

}

Castelpietra, G, Knudsen, AKS, Agardh, EE, Armocida, B, Beghi, M, Iburg, KM, Logroscino, G, Ma, R, Starace, F, Steel, N, Addolorato, G, Andrei, CL, Andrei, T, Ayuso-Mateos, JL, Banach, M, Bärnighausen, TW, Barone-Adesi, F, Bhagavathula, AS, Carvalho, F, Madureira-Carvalho, ÁM, Chandan, JS, Chattu, VK, Couto, RAS, Cruz-Martins, N, Dargan, PI, Deuba, K, Silva, DDD, Fagbamigbe, AF, Fernandes, E, Ferrara, P, Fischer, F, Gaal, PA, Gialluisi, A, Haagsma, JA, Haro, JM, Hasan, MT, Hasan, SS, Hostiuc, S, Iacoviello, L, Iavicoli, I, Jamshidi, E, Jonas, JB, Joo, T, Jozwiak, JJ, Katikireddi, SV, Kauppila, JH, Khan, MAB, Kisa, A, Kisa, S, Kivimäki, M, Koly, KN, Koyanagi, A, Kumar, M, Lallukka, T, Langguth, B, Ledda, C, Lee, PH, Lega, I, Linehan, C, Loureiro, JA, Madureira-Carvalho, ÁM, Martinez-Raga, J, Mathur, MR, McGrath, JJ, Mechili, EA, Mentis, AFA, Mestrovic, T, Miazgowski, B, Mirica, A, Mirijello, A, Moazen, B, Mohammed, S, Mulita, F, Nagel, G, Negoi, RI, Negoi, RI, Nwatah, VE, Padron-Monedero, A, Panda-Jonas, S, Pardhan, S, Pasovic, M, Patel, J, Petcu, IR, Pinheiro, M, Pollok, RCG, Postma, MJ, Rawaf, DL, Rawaf, S, Romero-Rodríguez, E, Ronfani, L, Sagoe, D, Sanmarchi, F, Schaub, MP, Sharew, NT, Shiri, R, Shokraneh, F, Sigfusdottir, ID, Silva, JP, Silva, R, Socea, B, Szócska, M, Tabarés-Seisdedos, R, Torrado, M, Tovani-Palone, MR, Vasankari, TJ, Veroux, M, Viner, RM, Werdecker, A, Winkler, AS, Hay, SI, Ferrari, AJ, Naghavi, M, Allebeck, P & Monasta, L 2022, 'The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990–2019: Findings from the Global Burden of Disease Study 2019', The Lancet Regional Health - Europe, vol. 16, 100341. https://doi.org/10.1016/j.lanepe.2022.100341

The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990–2019: Findings from the Global Burden of Disease Study 2019. / Castelpietra, Giulio; Knudsen, Ann Kristin Skrindo; Agardh, Emilie E. et al.
In: The Lancet Regional Health - Europe, Vol. 16, 100341, 01.05.2022.

Research output: Contribution to journal › Article (Academic Journal) › peer-review

TY - JOUR

T1 - The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990–2019

T2 - Findings from the Global Burden of Disease Study 2019

AU - Castelpietra, Giulio

AU - Knudsen, Ann Kristin Skrindo

AU - Agardh, Emilie E.

AU - Armocida, Benedetta

AU - Beghi, Massimiliano

AU - Iburg, Kim Moesgaard

AU - Logroscino, Giancarlo

AU - Ma, Rui

AU - Starace, Fabrizio

AU - Steel, Nicholas

AU - Addolorato, Giovanni

AU - Andrei, Catalina Liliana

AU - Andrei, Tudorel

AU - Ayuso-Mateos, Jose L.

AU - Banach, Maciej

AU - Bärnighausen, Till Winfried

AU - Barone-Adesi, Francesco

AU - Bhagavathula, Akshaya Srikanth

AU - Carvalho, Felix

AU - Madureira-Carvalho, Áurea M.

AU - Chandan, Joht Singh

AU - Chattu, Vijay Kumar

AU - Couto, Rosa A.S.

AU - Cruz-Martins, Natália

AU - Dargan, Paul I.

AU - Deuba, Keshab

AU - Silva, Diana Dias da

AU - Fagbamigbe, Adeniyi Francis

AU - Fernandes, Eduarda

AU - Ferrara, Pietro

AU - Fischer, Florian

AU - Gaal, Peter Andras

AU - Gialluisi, Alessandro

AU - Haagsma, Juanita A.

AU - Haro, Josep Maria

AU - Hasan, M. Tasdik

AU - Hasan, Syed Shahzad

AU - Hostiuc, Sorin

AU - Iacoviello, Licia

AU - Iavicoli, Ivo

AU - Jamshidi, Elham

AU - Jonas, Jost B.

AU - Joo, Tamas

AU - Jozwiak, Jacek Jerzy

AU - Katikireddi, Srinivasa Vittal

AU - Kauppila, Joonas H.

AU - Khan, Moien A.B.

AU - Kisa, Adnan

AU - Kisa, Sezer

AU - Kivimäki, Mika

AU - Koly, Kamrun Nahar

AU - Koyanagi, Ai

AU - Kumar, Manasi

AU - Lallukka, Tea

AU - Langguth, Berthold

AU - Ledda, Caterina

AU - Lee, Paul H.

AU - Lega, Ilaria

AU - Linehan, Christine

AU - Loureiro, Joana A.

AU - Madureira-Carvalho, Áurea M.

AU - Martinez-Raga, Jose

AU - Mathur, Manu Raj

AU - McGrath, John J.

AU - Mechili, Enkeleint A.

AU - Mentis, Alexios Fotios A.

AU - Mestrovic, Tomislav

AU - Miazgowski, Bartosz

AU - Mirica, Andreea

AU - Mirijello, Antonio

AU - Moazen, Babak

AU - Mohammed, Shafiu

AU - Mulita, Francesk

AU - Nagel, Gabriele

AU - Negoi, Ruxandra Irina

AU - Nwatah, Vincent Ebuka

AU - Padron-Monedero, Alicia

AU - Panda-Jonas, Songhomitra

AU - Pardhan, Shahina

AU - Pasovic, Maja

AU - Patel, Jay

AU - Petcu, Ionela Roxana

AU - Pinheiro, Marina

AU - Pollok, Richard Charles G.

AU - Postma, Maarten J.

AU - Rawaf, David Laith

AU - Rawaf, Salman

AU - Romero-Rodríguez, Esperanza

AU - Ronfani, Luca

AU - Sagoe, Dominic

AU - Sanmarchi, Francesco

AU - Schaub, Michael P.

AU - Sharew, Nigussie Tadesse

AU - Shiri, Rahman

AU - Shokraneh, Farhad

AU - Sigfusdottir, Inga Dora

AU - Silva, João Pedro

AU - Silva, Renata

AU - Socea, Bogdan

AU - Szócska, Miklós

AU - Tabarés-Seisdedos, Rafael

AU - Torrado, Marco

AU - Tovani-Palone, Marcos Roberto

AU - Vasankari, Tommi Juhani

AU - Veroux, Massimiliano

AU - Viner, Russell M.

AU - Werdecker, Andrea

AU - Winkler, Andrea Sylvia

AU - Hay, Simon I.

AU - Ferrari, Alize J.

AU - Naghavi, Mohsen

AU - Allebeck, Peter

AU - Monasta, Lorenzo

PY - 2022/5/1

Y1 - 2022/5/1

N2 - Background: Mental health is a public health issue for European young people, with great heterogeneity in resource allocation. Representative population-based studies are needed. The Global Burden of Disease (GBD) Study 2019 provides internationally comparable information on trends in the health status of populations and changes in the leading causes of disease burden over time. Methods: Prevalence, incidence, Years Lived with Disability (YLDs) and Years of Life Lost (YLLs) from mental disorders (MDs), substance use disorders (SUDs) and self-harm were estimated for young people aged 10-24 years in 31 European countries. Rates per 100,000 population, percentage changes in 1990-2019, 95% Uncertainty Intervals (UIs), and correlations with Sociodemographic Index (SDI), were estimated. Findings: In 2019, rates per 100,000 population were 16,983 (95% UI 12,823 – 21,630) for MDs, 3,891 (3,020 - 4,905) for SUDs, and 89·1 (63·8 - 123·1) for self-harm. In terms of disability, anxiety contributed to 647·3 (432–912·3) YLDs, while in terms of premature death, self-harm contributed to 319·6 (248·9–412·8) YLLs, per 100,000 population. Over the 30 years studied, YLDs increased in eating disorders (14·9%;9·4-20·1) and drug use disorders (16·9%;8·9-26·3), and decreased in idiopathic developmental intellectual disability (–29·1%;23·8-38·5). YLLs decreased in self-harm (–27·9%;38·3-18·7). Variations were found by sex, age-group and country. The burden of SUDs and self-harm was higher in countries with lower SDI, MDs were associated with SUDs. Interpretation: Mental health conditions represent an important burden among young people living in Europe. National policies should strengthen mental health, with a specific focus on young people. Funding: The Bill and Melinda Gates Foundation

AB - Background: Mental health is a public health issue for European young people, with great heterogeneity in resource allocation. Representative population-based studies are needed. The Global Burden of Disease (GBD) Study 2019 provides internationally comparable information on trends in the health status of populations and changes in the leading causes of disease burden over time. Methods: Prevalence, incidence, Years Lived with Disability (YLDs) and Years of Life Lost (YLLs) from mental disorders (MDs), substance use disorders (SUDs) and self-harm were estimated for young people aged 10-24 years in 31 European countries. Rates per 100,000 population, percentage changes in 1990-2019, 95% Uncertainty Intervals (UIs), and correlations with Sociodemographic Index (SDI), were estimated. Findings: In 2019, rates per 100,000 population were 16,983 (95% UI 12,823 – 21,630) for MDs, 3,891 (3,020 - 4,905) for SUDs, and 89·1 (63·8 - 123·1) for self-harm. In terms of disability, anxiety contributed to 647·3 (432–912·3) YLDs, while in terms of premature death, self-harm contributed to 319·6 (248·9–412·8) YLLs, per 100,000 population. Over the 30 years studied, YLDs increased in eating disorders (14·9%;9·4-20·1) and drug use disorders (16·9%;8·9-26·3), and decreased in idiopathic developmental intellectual disability (–29·1%;23·8-38·5). YLLs decreased in self-harm (–27·9%;38·3-18·7). Variations were found by sex, age-group and country. The burden of SUDs and self-harm was higher in countries with lower SDI, MDs were associated with SUDs. Interpretation: Mental health conditions represent an important burden among young people living in Europe. National policies should strengthen mental health, with a specific focus on young people. Funding: The Bill and Melinda Gates Foundation

UR - https://kclpure.kcl.ac.uk/portal/en/publications/0afee1b7-5bd3-489d-bf3c-67b48843f5db

U2 - 10.1016/j.lanepe.2022.100341

DO - 10.1016/j.lanepe.2022.100341

M3 - Article (Academic Journal)

C2 - 35392452

SN - 2666-7762

VL - 16

JO - The Lancet Regional Health - Europe

JF - The Lancet Regional Health - Europe

M1 - 100341

ER -

The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990–2019: Findings from the Global Burden of Disease Study 2019

Abstract

Bibliographical note

UN SDGs

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