Evidence map›Paper›PMID 42714686›Full record

ArticleEuropean child & adolescent psychiatry2026

Global, regional and national burdens of schizophrenia in adolescents and young adults: a trend analysis and forecast from 1990 to 2021.

Bo Zhang, Gaoyuan Cui, Ziwei Teng, Caijuan Xu, Xi Chen, Dingwei Tan, Tianrong Liu, Xiangqin Wang, Yu Xiao, Xiaoyan Lei and 2 more

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In one paragraph

Article in European child & adolescent psychiatry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
4 · The record

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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

12 authors.

Bo ZhangDepartment of Psychiatry, The First Clinical Medical School, Hunan University of Chinese Medicine, Changsha, Hunan, China.
Gaoyuan CuiDepartment of Neurosurgery,Xiangya Hospital, Central South University, Changsha, Hunan, China.
Ziwei TengDepartment of Psychiatry, The Second People's Hospital of Hunan Province (Brain Hospital of Hunan Province), Changsha, Hunan, China.
Caijuan XuDepartment of Psychiatry, The Second People's Hospital of Hunan Province (Brain Hospital of Hunan Province), Changsha, Hunan, China.
Xi ChenDepartment of Psychiatry, The Second People's Hospital of Hunan Province (Brain Hospital of Hunan Province), Changsha, Hunan, China.
Dingwei TanDepartment of Psychiatry, The First Clinical Medical School, Hunan University of Chinese Medicine, Changsha, Hunan, China.
Tianrong LiuDepartment of Psychiatry, The First Clinical Medical School, Hunan University of Chinese Medicine, Changsha, Hunan, China.
Xiangqin WangDepartment of Psychiatry, The First Clinical Medical School, Hunan University of Chinese Medicine, Changsha, Hunan, China.
Yu XiaoDepartment of Psychiatry, The Second People's Hospital of Hunan Province (Brain Hospital of Hunan Province), Changsha, Hunan, China.
Xiaoyan LeiDepartment of Psychiatry, The First Clinical Medical School, Hunan University of Chinese Medicine, Changsha, Hunan, China.
Quan ChengDepartment of Neurosurgery,Xiangya Hospital, Central South University, Changsha, Hunan, China. chengquan@csu.edu.cn.
Hui CaoDepartment of Psychiatry, The First Clinical Medical School, Hunan University of Chinese Medicine, Changsha, Hunan, China. 330139@hnucm.edu.cn.ORCID http://orcid.org/0009-0008-9704-8559

Funding

General Project of Hunan Provincial Health Commission 20256153University-Hospital Union Fund of Hunan University of Chinese Medicine 2024XYLH236
6 · The paper itself

Abstract

Schizophrenia is a serious psychological illness that tends to occur during the teens or early adulthood years. It causes major disability and social impairment. However, few studies have examined its global burden among adolescents and young adults. This study utilised data from the 2021 Global Burden of Disease Study to evaluates long-term trends and forecasts the future burden in this age group. The global rate for age-standardized incidence rate (ASIR), Aprevalence rate (ASPR), and rate of disability-adjusted life years (ASDR) from 1990 to 2021 reduced gradually (AAPC < 0, p < 0.05). However, the actual number rose for incident from 0.41 million to 0.48 million, for prevalence from 1.71 million to 2.00 million, and for Disability-Adjusted Life Years(DALYs) from 1.14 million to 1.33 million. The rate for males was higher for both ASIR and ASDR for both sexes, and for both, the highest burden was in the group aged 20-24 years. Regionally, Australasia and East Asia showed the highest rates, while Eastern Europe reported the lowest. High-middle the Sociodemographic Index (SDI) countries carried the greatest burden. Inequality analyses indicated widening disparities, with greater concentration of burden in high-SDI regions. Decomposition analysis showed population growth as the main driver of increasing burden. Under the historical-trend continuation scenario, point estimates of ASIR, ASPR, and ASDR are projected to increase modestly through 2040, although prediction intervals widen substantially. Although age-standardized rates of schizophrenia among youth declined, the absolute burden increased due to demographic growth. The highest risks were observed in late adolescence and early adulthood, with males more affected than females. Regional and SDI disparities persist and may widen. Early detection and targeted interventions are needed to reduce the future burden of schizophrenia in young populations.

Indexed as

AdolescentForecast analysisGlobal burden of diseaseSchizophreniaSDI

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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.