The examples and perspective in this article may not represent a worldwide view of the subject.(September 2024) |
The ongoing youth mental health crisis refers to the significant rise in mental health challenges among adolescents and young adults in the US, [1] Canada, [2] the UK, [3] and Europe. [4] The trend began in the early 2010s and escalated during the COVID-19 pandemic. [5] Notable issues include increasing rates of depression, anxiety, self-harm, and suicide. Girls are particularly vulnerable. [6] [7]
In October 2021, the American Academy of Pediatrics (AAP), the American Academy of Child and Adolescent Psychiatry (AACAP), and the Children's Hospital Association (CHA) jointly declared a "national emergency in child and adolescent mental health." [8] Two months later, U.S. Surgeon General Vivek H. Murthy published a rare public health advisory, sounding alarm at a "devastating" decline in mental health faced by young people in America. [9] According to the report, while the COVID-19 pandemic accelerated the trend, the sharp drop in youth mental health had already begun ten years prior. [5]
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Between 2014 and 2024, the suicide rate for young Americans aged 10-24 years has risen by 56%, with Black youth experiencing a particularly sharp rise of 78%. [10] Among adolescents aged 10-14, the suicide rate surged by 167% for girls and 91% for boys between 2010 and 2020. [11] Other signs of mental health distress, such as self-harm episodes, major depressive episodes, anxiety, have also shown similar growth. [6] [11]
A 2021 report by the U.S. Surgeon General suggested that "messages through the media and popular culture that erode [adolescents'] sense of self-worth" may be responsible. [5] Similarly, in a 2023 statement, the European Economic and Social Committee (EESC) recognised the risks of "excessive use of social media", but also called attention to social and political malaise, as well as anxieties over climate change. [12]
The 2024 best-selling book The Anxious Generation by American social psychologist Jonathan Haidt, argued that the rise of "phone-based" childhood and overprotective parenting has disrupted social and neurological development of adolescents. The book highlighted several negative factors, including social anxiety, attention fragmentation, sleep deprivation, and addiction. [13] Others have disputed Haidt's theory. [14]
A survey conducted by Politico in April 2024, involving 1,400 medical and mental health professions, identified the following factors as the primary drivers of mental health issues in children: social media (cited by 28% respondents), external events such as school shootings, climate change, war, and political instability (14%), social isolation (13%), and lack of skills to be more independents (12%). [15]
David Wallace-Wells of The New York Times suggested that the spike may at least partly be attributed to "changing methods of measuring and addressing mental health and mental illness." [16]
The American Academy of Pediatrics (AAP) is the largest professional association of pediatricians in the United States. It is headquartered in Itasca, Illinois, and maintains an office in Washington, D.C. The AAP has published hundreds of policy statements, ranging from advocacy issues to practice recommendations.
According to a 2023 Centers for Disease Control and Prevention study, suicide is the second leading cause of death for adolescents between the ages of 10 and 14, and the third leading cause of death for those between 15 and 25
Child and Adolescent Mental Health Services (CAMHS) is the name for care provided by the NHS and other organisations in the United Kingdom for children, generally until school-leaving age, who have difficulties with their emotional well-being or are deemed to have persistent behavioural problems. The service is also known as Children and Young People’s Mental Health Services (CYPMHS). CAMHS offer children, young people and their families access to support for mental health issues from third sector (charity) organisations, school-based counselling, primary care as well as specialist mental health services. The exact services provided may vary, reflecting commissioning and providing arrangements agreed at local level.
Transitional age youth can reference both a developmental period and be a descriptor regarding eligibility for certain services. While there are variations in definitions, the age ranges do consistently overlap and include late adolescence to early adulthood. This range is considered a critical period in human development characterized by several changes socially, environmentally, and cognitively. During this time, individuals can experience changes in their social roles and function, family and peer supports, exposure to substance use, educational and vocational programs, as well as changes in healthcare providers from pediatric to adult settings.
Child and adolescent psychiatry is a branch of psychiatry that focuses on the diagnosis, treatment, and prevention of mental disorders in children, adolescents, and their families. It investigates the biopsychosocial factors that influence the development and course of psychiatric disorders and treatment responses to various interventions. Child and adolescent psychiatrists primarily use psychotherapy and/or medication to treat mental disorders in the pediatric population.
The Youth Risk Behavior Surveillance System (YRBSS) is an American biennial survey of adolescent health risk and health protective behaviors such as smoking, drinking, drug use, diet, and physical activity conducted by the Centers for Disease Control and Prevention. The YRBSS is a key public health monitoring program in the United States that tracks various health behaviors in high school students, including a comprehensive national Youth Risk Behavior Survey (YRBS) and local surveys conducted by states, tribes, territories, and school districts. It surveys students in grades 9–12 at their high schools. It is one of the major sources of information about these risk behaviors, and is used by federal agencies to track drug use, sexual behavior, and other risk behaviors.
Youth suicide is when a young person, generally categorized as someone below the legal age of majority, deliberately ends their own life. Rates of youth suicide and attempted youth suicide in Western societies and elsewhere are high. Female youth are more likely to attempt suicide than male youth but less likely to die from their attempt. For example, in Australia, suicide is second only to motor vehicle accidents as its leading cause of death for adolescents and young adults aged 15 to 25.
Major depressive disorder, often simply referred to as depression, is a mental disorder characterized by prolonged unhappiness or irritability. It is accompanied by a constellation of somatic and cognitive signs and symptoms such as fatigue, apathy, sleep problems, loss of appetite, loss of engagement, low self-regard/worthlessness, difficulty concentrating or indecisiveness, or recurrent thoughts of death or suicide.
Youth is an age group in the demographics of the United States. In 2010, it was estimated that 20.2% of the population of the United States were 0–14 years old.
The effects of climate change on mental health and wellbeing are being documented as the consequences of climate change become more tangible and impactful. This is especially the case for vulnerable populations and those with pre-existing serious mental illness. There are three broad pathways by which these effects can take place: directly, indirectly or via awareness. The direct pathway includes stress-related conditions caused by exposure to extreme weather events. These include post-traumatic stress disorder (PTSD). Scientific studies have linked mental health to several climate-related exposures. These include heat, humidity, rainfall, drought, wildfires and floods. The indirect pathway can be disruption to economic and social activities. An example is when an area of farmland is less able to produce food. The third pathway can be of mere awareness of the climate change threat, even by individuals who are not otherwise affected by it. This especially manifests in the form of anxiety over the quality of life for future generations.
Mental health in education is the impact that mental health has on educational performance. Mental health often viewed as an adult issue, but in fact, almost half of adolescents in the United States are affected by mental disorders, and about 20% of these are categorized as “severe.” Mental health issues can pose a huge problem for students in terms of academic and social success in school. Education systems around the world treat this topic differently, both directly through official policies and indirectly through cultural views on mental health and well-being. These curriculums are in place to effectively identify mental health disorders and treat it using therapy, medication, or other tools of alleviation. Students' mental health and well-being is very much supported by schools. Schools try to promote mental health awareness and resources. Schools can help these students with interventions, support groups, and therapies. These resources can help reduce the negative impact on mental health. Schools can create mandatory classes based on mental health that can help them see signs of mental health disorders.
Mental health in the United Kingdom involves state, private and community sector intervention in mental health issues. One of the first countries to build asylums, the United Kingdom was also one of the first countries to turn away from them as the primary mode of treatment for the mentally ill. The 1960s onwards saw a shift towards Care in the Community, which is a form of deinstitutionalisation. The majority of mental health care is now provided by the National Health Service (NHS), assisted by the private and the voluntary sectors.
Due to the increased vulnerability that lesbian, gay, bisexual, transgender and queer (LGBTQ) youth face compared to their non-LGBTQ peers, there are notable differences in the mental and physical health risks tied to the social interactions of LGBTQ youth compared to the social interactions of heterosexual youth. According to the article "Social Media: A double-edged sword for LGBTQ+ Youth", the study showed that "in comparison to cisgender youth, transgender and gender binary youth had a higher risk of depression and anxiety" from social media exposure. Youth of the LGBTQ community experience greater encounters with not only health risks, but also violence and bullying, due to their sexual orientation, self-identification, and lack of support from institutions in society.
The relationships between digital media use and mental health have been investigated by various researchers—predominantly psychologists, sociologists, anthropologists, and medical experts—especially since the mid-1990s, after the growth of the World Wide Web and rise of text messaging. A significant body of research has explored "overuse" phenomena, commonly known as "digital addictions", or "digital dependencies". These phenomena manifest differently in many societies and cultures. Some experts have investigated the benefits of moderate digital media use in various domains, including mental health, and treating mental health problems with novel technological solutions. Studies have also suggested that certain digital media use, such as online support communities, may offer mental health benefits, although the effects are quite complex.
The COVID-19 pandemic has impacted the mental health of people across the globe. The pandemic has caused widespread anxiety, depression, and post-traumatic stress disorder symptoms. According to the UN health agency WHO, in the first year of the COVID-19 pandemic, prevalence of common mental health conditions, such as depression and anxiety, went up by more than 25 percent.
The COVID-19 pandemic has had many impacts on global health beyond those caused by the COVID-19 disease itself. It has led to a reduction in hospital visits for other reasons. There have been 38 per cent fewer hospital visits for heart attack symptoms in the United States and 40 per cent fewer in Spain. The head of cardiology at the University of Arizona said, "My worry is some of these people are dying at home because they're too scared to go to the hospital." There is also concern that people with strokes and appendicitis are not seeking timely treatment. Shortages of medical supplies have impacted people with various conditions.
A systematic review notes that children with COVID-19 have milder effects and better prognoses than adults. However, children are susceptible to "multisystem inflammatory syndrome in children" (MIS-C), a rare but life-threatening systemic illness involving persistent fever and extreme inflammation following exposure to the SARS-CoV-2 virus.
The Anxious Generation: How the Great Rewiring of Childhood Is Causing an Epidemic of Mental Illness is a 2024 book by Jonathan Haidt which argues that the spread of smartphones, social media and overprotective parenting have led to a "rewiring" of childhood and a rise in mental illness.
Michael Anthony Lindsey is an American scholar, college administrator and researcher in social work and public health who specializes in child and adolescent mental health, and has conducted key research about Black teenage suicide in the United States and related behaviors in adolescents. He is dean of the New York University Silver School of Social Work, where he is also the Paulette Goddard Professor of Social Work. He was chair of the working group of experts who released the 2019 report for the Congressional Black Caucus Emergency Taskforce on Black Youth Suicide and Mental Health, titled “Ring the Alarm: The Crisis of Black Youth Suicide in America.” Lindsey is a member of the New York City Board of Health and president of the American Academy of Social Work and Social Welfare.