TY - JOUR
PY - 2022//
TI - 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
JO - Lancet regional health. Europe
A1 - Castelpietra, Giulio
A1 - Knudsen, Ann Kristin Skrindo
A1 - Agardh, Emilie E.
A1 - Armocida, Benedetta
A1 - Beghi, Massimiliano
A1 - Iburg, Kim Moesgaard
A1 - Logroscino, Giancarlo
A1 - Ma, Rui
A1 - Starace, Fabrizio
A1 - Steel, Nicholas
A1 - Addolorato, Giovanni
A1 - Andrei, Catalina Liliana
A1 - Andrei, Tudorel
A1 - Ayuso-Mateos, José L.
A1 - Banach, Maciej
A1 - Bärnighausen, Till Winfried
A1 - Barone-Adesi, Francesco
A1 - Bhagavathula, Akshaya Srikanth
A1 - Carvalho, Felix
A1 - Carvalho, Márcia
A1 - Chandan, Joht Singh
A1 - Chattu, Vijay Kumar
A1 - Couto, Rosa A. S.
A1 - Cruz-Martins, Natália
A1 - Dargan, Paul I.
A1 - Deuba, Keshab
A1 - da Silva, Diana Dias
A1 - Fagbamigbe, Adeniyi Francis
A1 - Fernandes, Eduarda
A1 - Ferrara, Pietro
A1 - Fischer, Florian
A1 - Gaal, Peter Andras
A1 - Gialluisi, Alessandro
A1 - Haagsma, Juanita A.
A1 - Haro, Josep Maria
A1 - Hasan, M. Tasdik
A1 - Hasan, Syed Shahzad
A1 - Hostiuc, Sorin
A1 - Iacoviello, Licia
A1 - Iavicoli, Ivo
A1 - Jamshidi, Elham
A1 - Jonas, Jost B.
A1 - Joo, Tamas
A1 - Jozwiak, Jacek Jerzy
A1 - Katikireddi, Srinivasa Vittal
A1 - Kauppila, Joonas H.
A1 - Khan, Moien A. B.
A1 - Kisa, Adnan
A1 - Kisa, Sezer
A1 - Kivimaki, Mika
A1 - Koly, Kamrun Nahar
A1 - Koyanagi, Ai
A1 - Kumar, Manasi
A1 - Lallukka, Tea
A1 - Langguth, Berthold
A1 - Ledda, Caterina
A1 - Lee, Paul H.
A1 - Lega, Ilaria
A1 - Linehan, Christine
A1 - Loureiro, Joana A.
A1 - Madureira-Carvalho, Áurea M.
A1 - Martinez-Raga, Jose
A1 - Mathur, Manu Raj
A1 - McGrath, John J.
A1 - Mechili, Enkeleint A.
A1 - Mentis, Alexios-Fotios A.
A1 - Mestrovic, Tomislav
A1 - Miazgowski, Bartosz
A1 - Mirica, Andreea
A1 - Mirijello, Antonio
A1 - Moazen, Babak
A1 - Mohammed, Shafiu
A1 - Mulita, Francesk
A1 - Nagel, Gabriele
A1 - Negoi, Ionut
A1 - Negoi, Ruxandra Irina
A1 - Nwatah, Vincent Ebuka
A1 - Padrón-Monedero, Alicia
A1 - Panda-Jonas, Songhomitra
A1 - Pardhan, Shahina
A1 - Pasovic, Maja
A1 - Patel, Jay
A1 - Petcu, Ionela-Roxana
A1 - Pinheiro, Marina
A1 - Pollok, Richard Charles G.
A1 - Postma, Maarten J.
A1 - Rawaf, David Laith
A1 - Rawaf, Salman
A1 - Romero-Rodriguez, Esperanza
A1 - Ronfani, Luca
A1 - Sagoe, Dominic
A1 - Sanmarchi, Francesco
A1 - Schaub, Michael P.
A1 - Sharew, Nigussie Tadesse
A1 - Shiri, Rahman
A1 - Shokraneh, Farhad
A1 - Sigfusdottir, Inga Dora
A1 - Silva, João Pedro
A1 - Silva, Renata
A1 - Socea, Bogdan
A1 - Szócska, Miklós
A1 - Tabarés-Seisdedos, Rafael
A1 - Torrado, Marco
A1 - Tovani-Palone, Marcos Roberto
A1 - Vasankari, Tommi Juhani
A1 - Veroux, Massimiliano
A1 - Viner, Russell M.
A1 - Werdecker, Andrea
A1 - Winkler, Andrea Sylvia
A1 - Hay, Simon I.
A1 - Ferrari, Alize J.
A1 - Naghavi, Mohsen
A1 - Allebeck, Peter
A1 - Monasta, Lorenzo
SP - e100341
EP - e100341
VL - 16
IS -
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.
Language: en
LA - en SN - 2666-7762 UR - http://dx.doi.org/10.1016/j.lanepe.2022.100341 ID - ref1 ER -