Youth mental health crisis

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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]

Contents

History

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]

Prevalence

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]

Possible causes

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]

See also

Related Research Articles

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

<span class="mw-page-title-main">Suicide prevention</span> Collective efforts to reduce the incidence of suicide

Suicide prevention is a collection of efforts to reduce the risk of suicide. Suicide is often preventable, and the efforts to prevent it may occur at the individual, relationship, community, and society level. Suicide is a serious public health problem that can have long-lasting effects on individuals, families, and communities. Preventing suicide requires strategies at all levels of society. This includes prevention and protective strategies for individuals, families, and communities. Suicide can be prevented by learning the warning signs, promoting prevention and resilience, and committing to social change.

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.

Gender is correlated with the prevalence of certain mental disorders, including depression, anxiety and somatic complaints. For example, women are more likely to be diagnosed with major depression, while men are more likely to be diagnosed with substance abuse and antisocial personality disorder. There are no marked gender differences in the diagnosis rates of disorders like schizophrenia and bipolar disorder. Men are at risk to suffer from post-traumatic stress disorder (PTSD) due to past violent experiences such as accidents, wars and witnessing death, and women are diagnosed with PTSD at higher rates due to experiences with sexual assault, rape and child sexual abuse. Nonbinary or genderqueer identification describes people who do not identify as either male or female. People who identify as nonbinary or gender queer show increased risk for depression, anxiety and post-traumatic stress disorder. People who identify as transgender demonstrate increased risk for depression, anxiety, and post-traumatic stress disorder.

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.

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 other countries are high. Youth suicide attempts are more common among girls, but adolescent males are the ones who usually carry out suicide. Suicide rates in youths have nearly tripled between the 1960s and 1980s. For example, in Australia suicide is second only to motor vehicle accidents as its leading cause of death for people aged 15 to 25.

<span class="mw-page-title-main">Depression in childhood and adolescence</span> Pediatric depressive disorders

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.

<span class="mw-page-title-main">Effects of climate change on mental health</span>

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.

<span class="mw-page-title-main">Mental health in education</span>

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, and transgender (LGBT) youth face compared to their non-LGBT peers, there are notable differences in the mental and physical health risks tied to the social interactions of LGBT youth compared to the social interactions of heterosexual youth. Youth of the LGBT 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 in mental health, and the treatment of mental health problems with novel technological solutions.

<span class="mw-page-title-main">Mental health during the COVID-19 pandemic</span> Psychological aspect of viral outbreak

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 pandemic has damaged social relationships, trust in institutions and in other people, has caused changes in work and income, and has imposed a substantial burden of anxiety and worry on the population. Women and young people face the greatest risk of depression and anxiety. According to The Centers for Disease Control and Prevention study of Mental Health, Substance Use, and Suicidal Ideation During the COVID-19 Pandemic, "63 percent of young people reported experiencing substantial symptoms of anxiety and depression".

<span class="mw-page-title-main">Impact of the COVID-19 pandemic on other health issues</span> Health consequences of outbreak beyond the COVID-19 disease itself

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.

<span class="mw-page-title-main">Impact of the COVID-19 pandemic on children</span>

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.

<span class="mw-page-title-main">Impact of the COVID-19 pandemic on suicide rates</span>

Suicide cases have remained constant or decreased since the outbreak of the COVID-19 pandemic. According to a study done on twenty-one high and upper-middle-income countries in April–July 2020, the number of suicides has remained static. These results were attributed to a variety of factors, including the composition of mental health support, financial assistance, having families and communities work diligently to care for at-risk individuals, discovering new ways to connect through the use of technology, and having more time spent with family members which aided in the strengthening of their bonds. Despite this, there has been an increase in isolation, fear, stigma, abuse, and economic fallout as a result of COVID-19. Self-reported levels of depression, anxiety, and suicidal thoughts were elevated during the initial stay-at-home periods, according to empirical evidence from several countries, but this does not appear to have translated into an increase in suicides.

<i>The Anxious Generation</i> 2024 book by Jonathan Haidt

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.

References

  1. Payne, Daniel (10 April 2024). "Anxiety and depression is spiking among young people. No one knows why". Politico. Retrieved 11 September 2024.
  2. Northcott, Alison (26 February 2023). "Canadian teens still struggling with mental health even as pandemic wanes". CBC. Retrieved 11 September 2024.
  3. Davey, Melissa (14 August 2024). "'Alarming' surge in mental ill health among young people in face of 'unprecedented' challenges, experts warn". The Guardian. ISSN   0261-3077 . Retrieved 11 September 2024.
  4. "Children's Mental Health across Europe" (PDF). Eurochild. March 2024. Retrieved 11 September 2024.
  5. 1 2 3 Richtel, Matt (7 December 2021). "Surgeon General Warns of Youth Mental Health Crisis". The New York Times. Archived from the original on 1 May 2023. Retrieved 10 September 2024.
  6. 1 2 Terry, Ken (7 May 2024). "Teen Mental Health Crisis Deepens: What to Know". WebMD. Retrieved 10 September 2024.
  7. Radhakrishnan, Lakshmi (2022). "Pediatric Emergency Department Visits Associated with Mental Health Conditions Before and During the COVID-19 Pandemic — United States, January 2019–January 2022". MMWR. Morbidity and Mortality Weekly Report. 71. doi:10.15585/mmwr.mm7108e2. ISSN   0149-2195.
  8. "AAP-AACAP-CHA Declaration of a National Emergency in Child and Adolescent Mental Health". American Academy of Pediatrics. 19 October 2021. Retrieved 10 September 2024.
  9. "Protecting Youth Mental Health: The U.S. Surgeon General's Advisory" (PDF). U.S. Department of Health and Human Services. December 2021.
  10. Ajluni, Victor; Amarasinghe, Daniel (2024-05-23). "Youth suicide crisis: identifying at-risk individuals and prevention strategies". Child and Adolescent Psychiatry and Mental Health. 18 (1): 58. doi: 10.1186/s13034-024-00753-9 . ISSN   1753-2000. PMC   11119010 . PMID   38783338.
  11. 1 2 Haidt, Jonathan (2024). The anxious generation: how the great rewiring of childhood is causing an epidemic of mental illness. New York: Penguin Press. ISBN   978-0593655030.
  12. "Young people's mental health problems are deeply rooted in political decisions". European Economic and Social Committee. 2023-11-13. Retrieved 2024-09-10.
  13. Remnick, David (April 20, 2024). "Jonathan Haidt Wants You to Take Away Your Kid's Phone". The New Yorker .
  14. Odgers, Candice L. (March 29, 2024). "The great rewiring: is social media really behind an epidemic of teenage mental illness?". Nature . 628 (8006): 29–30. Bibcode:2024Natur.628...29O. doi:10.1038/d41586-024-00902-2. Archived from the original on September 10, 2024. Retrieved April 21, 2024.
  15. Smith, Erin; Payne, Daniel (10 April 2024). "What's driving the youth mental health crisis? We asked 1,400 clinicians". Politico. Retrieved 11 September 2024.
  16. Wallace-Wells, David (1 May 2024). "Are Smartphones Driving Our Teens to Depression?". The New York Times. Archived from the original on 26 May 2024. Retrieved 10 September 2024.