Evidence map›Paper›PMID 40924101›Full record

ArticleEuropean archives of psychiatry and clinical neuroscience2026

Global, regional and national burdens of mental disorders, substance use disorders and self-harm among adolescents and young adults, 1990-2021: a systematic analysis for the Global Burden of Diseases Study 2021.

Siwei Sun, Qiqi Chen, Guoping Li, Hui Yang, Wenqing Cai, Yunning Hu, Yuxi Zhang, Xin Yang, Yan Liu, Le Zhang and 2 more

Abstract read
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In one paragraph

Article in European archives of psychiatry and clinical neuroscience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Siwei Sun *Peking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China.
Qiqi Chen *Department of Paediatrics, Second Affiliated Hospital of Shandong First Medical University, Tai'an, Shandong, China.
Guoping Li *Department of Otorhinolaryngology and Head-Neck Surgery, Second Affiliated Hospital of Shandong First Medical University, Tai'an, Shandong, China.
Hui YangSchool of Public Health, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China.
Wenqing CaiSchool of Public Health, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China.
Yunning HuSchool of Public Health, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China.
Yuxi ZhangSchool of Public Health, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China.
Xin YangSchool of Public Health, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China.
Yan LiuSchool of Public Health, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China.
Le ZhangSchool of Public Health, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China. sdzhangle@163.com.
Kai YuanPeking University Sixth Hospital, Peking University Institute of Mental Health, NHC Key Laboratory of Mental Health (Peking University), National Clinical Research Center for Mental Disorders (Peking University Sixth Hospital), Beijing, China. yuankai@pku.edu.cn.
Yang DengSchool of Public Health, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, Shandong, China. dengyang3417@126.com.ORCID http://orcid.org/0000-0003-0082-1493

Funding

Key Technologies Research and Development Program 2023YFC2506800National Natural Science Foundation of China 82204111Natural Science Foundation of Shandong Province ZR2024MH198
6 · The paper itself

Abstract

Concerns over the mental health among young people have been increasing recently. We aimed to estimate the burdens of mental disorders, substance use disorders (SUDs), and self-harm at global, regional and national levels among adolescents and young adults aged 10-24 years from 1990 to 2021. Incidence, prevalence, and disability-adjusted life years (DALYs) of mental disorders, SUDs, and self-harm among young people were examined by age, sex, region, and country/territory. Average annual percentage changes (AAPCs) were utilized to assess the temporal trends of age-standardized rates during 1990-2021. Spearman rank-correlation analysis was used to analyze the correlation between age-standardized rates for incidence, prevalence, and DALYs and Socio-demographic Index (SDI). In 2021, there were 36.32 million DALYs due to mental disorders, 4.37 million DALYs due to SUDs, and 8.00 million DALYs due to self-harm among adolescents and young adults aged 10-24 years globally. Age-standardized DALY rate of mental disorders exhibited a slightly increasing trend, whereas DALY rates of SUDs and self-harm decreased from 1990 to 2021. Age-standardized incidence, prevalence, and DALY rates for depressive and anxiety disorders in 2020 and 2021 were approximately 20% higher than those observed in the pre-pandemic period. The burdens of mental disorders, SUDs, and self-harm were higher in high SDI countries such as New Zealand, Australia, Greenland, United States of America, and Canada. Global burdens due to mental disorders, mainly included anxiety and depressive disorders among adolescents and young adults markedly increased from 1990 to 2021, with a significant increase coinciding with the COVID-19 pandemic.

Indexed as

Disability-Adjusted Life YearsGlobal Burden of DiseaseGlobal HealthMental DisordersSelf-Injurious BehaviorSubstance-Related DisordersAdolescentChildFemaleHumansIncidenceMalePrevalenceYoung AdultAdolescents and young adultsCOVID-19Disease burdenMental disordersSubstance useTrend

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.