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

作者：Giulio Castelpietra, Ann Kristin Knudsen, Emilie Agardh, Benedetta Armocida, Massimiliano Beghi, Kim Moesgaard Iburg, Giancarlo Logroscino, Rui Ma, Fabrizio Starace, Nicholas Steel, Giovanni Addolorato, Cătălina Liliana Andrei, Tudorel Andrei, José Luís Ayuso‐Mateos, Maciej Banach, Till Bärnighausen, Francesco Barone‐Adesi, Akshaya Srikanth Bhagavathula, Félix Carvalho, Márcia Carvalho, Joht Singh Chandan, Vijay Kumar Chattu, Rosa A S Couto, Natália Martins, Paul I. Dargan, Keshab Deuba, Diana Dias da Silva, Adeniyi Francis Fagbamigbe, Eduarda Fernandes, Pietro Ferrara, Florian Fischer, Péter Gaál, Alessandro Gialluisi, Juanita A. Haagsma, Josep María Haro, M. Tasdik Hasan, Syed Shahzad Hasan, Sorin Hostiuc, Licia Iacoviello, Ivo Iavicoli, Elham Jamshidi, Jost B Jonas, Tamás Joó, Jacek Jerzy Jozwiak, Srinivasa Vittal Katikireddi, Joonas H. Kauppila, Moien AB Khan, Adnan Kısa, Sezer Kısa, 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 Madureira-Carvalho, José Martı́nez-Raga, Manu Raj Mathur, John J. McGrath, Enkeleint A. Mechili, Alexios‐Fotios A. Mentis, Tomislav Meštrović, Bartosz Miazgowski, Andreea Mirică, Antonio Mirijello, Babak Moazen, Shafiu Mohammed, Francesk Mulita, Gabriele Nagel, Ionuţ Negoi, Ruxandra Irina Negoi, Vincent Ebuka Nwatah, Alicia Padrón‐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 Dóra Sigfúsdóttir, João Pedro Silva, Renata Silva, Bogdan Socea, Miklós Szócska, Rafael Tabarés‐Seisdedos, Marco Torrado, Marcos Roberto Tovani‐Palone, Tommi Vasankari, Massimiliano Veroux, Russell Viner, Andrea Werdecker, Andrea Sylvia Winkler, Simon I Hay, Alize J Ferrari, Mohsen Naghavi, Peter Allebeck, Lorenzo Monasta · 发表于：The Lancet Regional Health - Europe · 年份：2022 · DOI：10.1016/j.lanepe.2022.100341 · 被引用次数：356 · 研究领域：Suicide and Self-Harm Studies、Child and Adolescent Psychosocial and Emotional Development、Mental Health Treatment and Access

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 countrie...