Two decades of hospital admissions for adolescents with depression in Spain

IF 4.9 2区医学 Q1 CLINICAL NEUROLOGY

Journal of affective disorders Pub Date : 2025-06-16 DOI:10.1016/j.jad.2025.119672

Eduardo González-Fraile , Vicente Soriano , José Manuel Ramos , Lucía Gallego , María Pilar Berzosa-Grande , María Inés López-Ibor , Carlos Chiclana-Actis , Gemma Mestre-Bach , Manuel Faraco , Héctor Pinargote , Manuel Corpas , Octavio Corral , Hilario Blasco-Fontecilla

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引用次数: 0

Abstract

Background

Depression in children and adolescents is a common mental disorder that impacts both physical health and emotional well-being, often resulting in impaired social functioning and academic performance. Identifying key trends and determinants of depression in young people is essential for early detection and timely intervention.

Methods

We conducted a retrospective analysis of all hospitalizations for depression among individuals aged 11 to 18 years in Spain, using data from the Spanish National Registry of Hospital Discharges between 2000 and 2021.

Results

Over a 22-year period, 9881 hospitalizations for depression were recorded among adolescents aged 11 to 18-years-old in Spain. Depression-related hospitalizations rose steadily, particularly over the last decade. From 2000 to 2021, the incidence increased by 1217 % (p < 0.001), peaking at 1779 admissions in 2021. Girls accounted for 74.3 % of all depression-related admissions. Depression was significantly associated with in-hospital suicidal behavior (OR 1.51 [1.35–1.69]). The median age at hospitalization was 16 years, though a shift toward younger ages was observed in 2021 (p < 0.001). Older age was the only significant predictor of in-hospital mortality (p = 0.043).

Conclusion

The number of adolescent hospitalizations for depression has increased sharply in Spain. Strengthening early detection in schools and ensuring timely intervention should be prioritized to mitigate the growing burden of youth mental health disorders.

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二十年来西班牙青少年抑郁症的住院情况

背景：儿童和青少年抑郁症是一种常见的精神障碍，影响身体健康和情绪健康，通常导致社会功能和学习成绩受损。确定年轻人抑郁症的主要趋势和决定因素对于早期发现和及时干预至关重要。方法：我们对西班牙11至18岁 年龄的所有抑郁症住院患者进行了回顾性分析，使用了2000年至2021年西班牙国家医院出院登记处的数据。结果：在22年的时间里，西班牙11至18岁的青少年中记录了9881例抑郁症住院治疗。与抑郁症相关的住院治疗稳步上升，尤其是在过去十年。从2000年到2021年，发病率增加了1217 % （p ）。结论：西班牙青少年因抑郁症住院的人数急剧增加。应优先加强学校的早期发现和确保及时干预，以减轻青少年心理健康障碍日益增加的负担。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of affective disorders 医学-精神病学

CiteScore

10.90

自引率

6.10%

发文量

1319

审稿时长

9.3 weeks

期刊介绍： The Journal of Affective Disorders publishes papers concerned with affective disorders in the widest sense: depression, mania, mood spectrum, emotions and personality, anxiety and stress. It is interdisciplinary and aims to bring together different approaches for a diverse readership. Top quality papers will be accepted dealing with any aspect of affective disorders, including neuroimaging, cognitive neurosciences, genetics, molecular biology, experimental and clinical neurosciences, pharmacology, neuroimmunoendocrinology, intervention and treatment trials.