Evidence map›Paper›PMID 41132160›Full record

ReviewThe Lancet regional health. Western Pacific2025

Child and adolescent mental health burden, policies, and services in high-income countries and areas in the Western Pacific Region.

Yi-An Hung, Minjae Choi, Yi-An Liao, Michael Bowden, Say How Ong, Tae-Yeon Hwang, Machi Kakimoto, Michael Y Ni, Akihiro Nishio, Juan Garcia-Quiroga and 3 more

Abstract readReview
In one paragraph

Review in The Lancet regional health. Western Pacific, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Not snowflakes: Gen Z reflections on rising youth mental ill-health.The Lancet regional health. Western Pacific · 2026
    Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Yi-An HungDepartment of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan.
Minjae ChoiInstitute for Future Public Health, Graduate School of Public Health, Korea University, Seoul, Republic of Korea.
Yi-An LiaoDepartment of Psychiatry, National Taiwan University Hospital, Taipei, Taiwan.
Michael BowdenSydney Medical School, Sydney University, New South Wales, Australia.
Say How OngDepartment of Developmental Psychiatry, Institute of Mental Health, Singapore.
Tae-Yeon HwangKorea Foundation for Suicide Prevention, Seoul, Republic of Korea.
Machi KakimotoChild Psychiatry Department of Mie Prefectural Medical Center for Child Growth and Development, Mie, Japan.
Michael Y NiSchool of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region of China.
Akihiro NishioHealth Administration Center, Gifu University, Gifu, Japan.
Juan Garcia-QuirogaSouthern District Health Board, New Zealand.
Corine Sau Man WongSchool of Public Health, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong Special Administrative Region of China.
Chunling LuDivision of Global Health Equity, Brigham & Women's Hospital, Boston, MA, USA.
Shu-Sen ChangInstitute of Health Behaviors and Community Sciences, College of Public Health, National Taiwan University, Taipei, Taiwan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study examined recent trends in the burden of mental disorders, substance use disorders, and suicide among children and adolescents, and reviewed child and adolescent mental health (CAMH) policies and services in eight high-income jurisdictions (Australia, Hong Kong, Japan, Macao, New Zealand, Singapore, South Korea, and Taiwan) in the Western Pacific Region. Data on disability-adjusted life years (DALYs) of mental and substance use disorders and suicide were extracted from global and national datasets. A narrative review on CAMH policies and services was conducted using English and local language sources. Mental and substance use disorders accounted for 14.9%-24.2% of total DALYs among individuals under 20 years, with suicide rates of 10-19-year-olds increasing in several jurisdictions since the early 2010s. While all jurisdictions had mental health laws addressing minors and legislated protections against harms, only Australia had a stand-alone CAMH policy, and large gaps in workforce and service data remained. Strengthening suicide prevention efforts, improving CAMH data systems, enhancing CAMH-focused legislation, and learning from best practices on youth engagement and cross-sector collaboration are recommended to advance CAMH systems in the region.

Indexed as

Child and adolescent mental healthDisease burdenHealth policyHealth servicesHigh-income countriesWestern Pacific region

Identifiers

PMID41132160
PMCPMC12541229

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.