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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

Authors :
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
Márcia 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
Ionut 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
Source :
The Lancet Regional Health. Europe, Vol 16, Iss , Pp 100341- (2022)
Publication Year :
2022
Publisher :
Elsevier, 2022.

Abstract

Summary: 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

Details

Language :
English
ISSN :
26667762
Volume :
16
Issue :
100341-
Database :
Directory of Open Access Journals
Journal :
The Lancet Regional Health. Europe
Publication Type :
Academic Journal
Accession number :
edsdoj.6f65bb3de4744dba95238ff8cb7aca42
Document Type :
article
Full Text :
https://doi.org/10.1016/j.lanepe.2022.100341