Social Psychiatry and Psychiatric Epidemiology最新文献

{"title":"Perinatal risk factors for young adults to be not engaged in employment, education or training (NEET) and its mediators: longitudinal analysis of the QLSCD cohort study.","authors":"Rebecca Falutz, Massimiliano Orri, Michel Boivin, Richard E Tremblay, Sylvana M Côté, Marilyn N Ahun","doi":"10.1007/s00127-025-02841-3","DOIUrl":"10.1007/s00127-025-02841-3","url":null,"abstract":"<p><strong>Purpose: </strong>In 2019, 31% and 14% of young women and men worldwide - respectively - reported being not engaged in employment, education, or training (NEET), an important indicator of long-term socioeconomic vulnerability. This study examined the developmental pathways leading to NEET status in young adulthood by investigating the association between perinatal adversities and NEET status and the mediating role of adolescent externalizing behaviours.</p><p><strong>Methods: </strong>Data were from the Québec Longitudinal Study of Child Development (QLSCD, n = 974). Latent class analysis identified four profiles of exposures to 30 perinatal adversities: Low adversity, the reference group; Fetal growth adversity, which includes participants experiencing adversity related to growth problems in utero and after birth; Delivery complications, which includes participants - or their mothers - who experience complications during birth; and Familial adversity, which includes participants who experienced adversity related to their family life. The associations between the perinatal profiles, NEET status - which was self-reported at age 21 years - and the putative mediating role of externalizing behavioural problems (self-reported at ages 15 and 17) were investigated using structural equation modeling.</p><p><strong>Results: </strong>The risk of becoming NEET at age 21 was higher for children who experienced familial (OR = 3.19 [95% CI: 2.31-4.40], p < 0.001) and fetal growth (2.03 [1.11-3.71], p = 0.022) adversity. Externalizing behaviour problems mediated the association between familial adversity and NEET status (1.17 [1.05-1.30], p = 0.004).</p><p><strong>Conclusion: </strong>Interventions targeting perinatal risk factors and adolescent mental health can contribute to efforts to prevent NEET status in young adulthood.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2213-2222"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient experiences of crisis home treatment teams: a systematic review and thematic synthesis.","authors":"Jialin Yang, Naomi Glover, Lisa Wood","doi":"10.1007/s00127-025-02830-6","DOIUrl":"10.1007/s00127-025-02830-6","url":null,"abstract":"<p><strong>Purpose: </strong>Crisis home treatment teams (CHTTs) provide rapid at-home assessments and crisis support to individuals experiencing mental health crises. Exploring patient feedback on CHTTs can provide policymakers and service planners useful insight regarding service enhancements and improvements in care quality. The current systematic review aims to explore patient experiences on CHTTs, to inform policy decision-making and care quality.</p><p><strong>Method: </strong>The current review synthesised ten eligible qualitative studies (from Medline, PsycINFO, Embase and CINAHL) on patient experiences of CHTTs using thematic synthesis. Adult patients with a past or current experience of CHTTs, as well as a mental health diagnosis were included in the review.</p><p><strong>Results: </strong>The current review revealed that patients valued the rapid accessibility of services and positive characteristics of staff that contributed to cultivating strong therapeutic relationships. Patients also appreciated having equal power in treatment decision-making. However, concerns were raised regarding staff timekeeping, receiving generic treatment not well-tailored to patient's unique circumstances, and inconsistencies in continuity of service delivery and smooth transition to other services.</p><p><strong>Conclusions: </strong>Patient feedback on service improvements are useful for service planners and policymakers to improve CHTT services. Based on the results of this study, the importance of staff timeliness, having a smooth transition during the end of care, and tailored staff training for various demographics can improve CHTT service quality and delivery. Further qualitative research is needed to gain a comprehensive understanding of patient needs and experiences in various regions and demographics.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2035-2047"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence estimates of depression and anxiety symptoms among adolescents in Bermuda, according to age, gender and race.","authors":"Daniel Cavanagh, Laura M Hart, Shawnee Basden, Shurong Lu, Nicola Reavley","doi":"10.1007/s00127-025-02829-z","DOIUrl":"10.1007/s00127-025-02829-z","url":null,"abstract":"<p><strong>Purpose: </strong>Common mental disorders (CMDs) among adolescents, such as anxiety and depression, are associated with significant impairment and have been exacerbated by the COVID-19 pandemic. The Caribbean, including Bermuda, lacks sufficient CMD prevalence data to inform policy and service provision for adolescent mental health. This study sought to estimate the prevalence of depression and anxiety symptoms among adolescents in Bermuda.</p><p><strong>Methods: </strong>This cross-sectional study surveyed middle and high school students aged 10-18 years in Bermuda. 15 schools participated in data collection. Online surveys conducted between November 2022 - June 2023 gathered demographic data and assessed depression symptoms using the PHQ-8, anxiety symptoms using the GAD-7, and impairment across daily activities, school/work and relationships.</p><p><strong>Results: </strong>Of a total of 2,526 adolescents in Bermuda who self-reported depression and anxiety symptoms, the estimate prevalence of moderate to severe depression symptoms was 31.3%. Prevalence was significantly higher among older adolescents, females and those that identified as Black or Minority. Among the 25.2% who reported moderate to severe anxiety symptoms, prevalence was significantly higher among older adolescents, females and those who did not identify as Minority. Furthermore, 65.6% of adolescents self-reporting moderate to severe depression symptoms reported comorbid moderate to severe anxiety symptoms. The rates of impairment for depression and anxiety were 22.6% and 19.1%, respectively.</p><p><strong>Conclusion: </strong>The prevalence of depressive and anxiety symptoms among Bermuda's adolescents is high, surpassing post-pandemic global averages. Findings improve our understanding of CMDs in the Caribbean and provide direction for improved policy and service provision in Bermuda.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2189-2200"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A machine learning language model approach to evaluating mental health awareness content across Spanish- and English-language social media posts on Twitter.","authors":"Melissa J DuPont-Reyes, Wenxue Zou, Jinxu Li, Alice P Villatoro, Lu Tang","doi":"10.1007/s00127-025-02870-y","DOIUrl":"10.1007/s00127-025-02870-y","url":null,"abstract":"<p><strong>Purpose: </strong>Mental health information appears on social media in varying levels of quality and may or may not be productive information to users, particularly in relation to healthcare decision-making and community living among diverse populations coping with mental health problems. To better understand the mental health landscape on social media, this study validated a language model approach to evaluating the availability and sentiment of mental health awareness content across Spanish- and English-language social media posts on Twitter (currently X) to inform future mental health communication guidelines.</p><p><strong>Methods: </strong>A comprehensive list of mental health awareness hashtags in Spanish and English was developed by bilingual investigators to download tweets containing these hashtags in both languages from the Twitter Academic API from 09/19/22 - 10/10/22. Data extraction and cleaning of duplicate tweets resulted in a final sample of 28,268 Spanish and 205,774 English tweets for sentiment and structural topic analysis across the two languages.</p><p><strong>Results: </strong>Fifteen unique topics emerged for both Spanish and English tweets including overlapping themes of awareness, self-care, lived experience, and service providers. Topics in Spanish tweets were more often significantly associated with negative emotions compared to English tweets. Yet English tweets also included misappropriation of mental health labels to make political statements and market products.</p><p><strong>Conclusions: </strong>Mental health awareness content on Twitter appears not to be consistently available or aligned with clinical values, disadvantaging Spanish-language social media users, possibly leading to divergent priorities concerning population mental health. Nevertheless, natural language processing techniques offers a viable method to further understand unequal mental health awareness content across various language and cultural social media.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2249-2259"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143568673","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of common mental disorder severity with treatment contact and treatment intensity, and its changes over twelve years.","authors":"J Nuyen, S van Dorsselaer, M Tuithof, A I Luik, H Kroon, M Ten Have","doi":"10.1007/s00127-025-02869-5","DOIUrl":"10.1007/s00127-025-02869-5","url":null,"abstract":"<p><strong>Purpose: </strong>To guide formal healthcare resource allocation for common mental disorders (CMDs), this study updates and expands earlier findings on the associations of CMD severity with treatment contact and intensity.</p><p><strong>Methods: </strong>Baseline data (2019-2022) of NEMESIS-3, a prospective study of a representative cohort of Dutch adults (18-75 years), were used. Severity of 12-month CMDs was assessed with the CIDI 3.0. Using multivariate analyses, its associations with 12-month treatment contact and intensity for emotional/substance-use problems were examined, both for general medical care (GMC) only and mental health care (MHC). Changes over time were identified by making comparisons with baseline data (2007-2009) of NEMESIS-2.</p><p><strong>Results: </strong>Persons with severe CMDs were more likely to have made contact with GMC only or MHC compared to persons without CMDs. Between 2007-2009 and 2019-2022 there was a greater increase in the contact rate with GMC only for moderate cases compared to persons without CMDs, while the increasing contact rate with MHC did not vary by CMD severity. Both among users of GMC only and MHC, receiving high-intensity treatment was more likely among severe cases compared to persons without CMDs. Between 2007-2009 and 2019-2022 there was a greater increase in the rate of high-intensity treatment for severe cases using GMC only, while results tentatively indicate that this rate declined among severe cases using MHC.</p><p><strong>Conclusion: </strong>Evidence was found that treatment of CMDs in GMC has been strengthened in the past twelve years. No indications were found that allocation of MHC resources to severe cases has improved.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2163-2173"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Factors influencing the length of stay in the psychiatric unit of a Ghanaian teaching hospital: a retrospective study.","authors":"Stephen Wemakor, Kwabena Kusi-Mensah, John-Paul Omuojine, Richard Mensah, Ruth Owusu-Antwi","doi":"10.1007/s00127-025-02889-1","DOIUrl":"10.1007/s00127-025-02889-1","url":null,"abstract":"<p><strong>Purpose: </strong>The psychiatric length of stay (LOS) in community-based hospital facilities in sub-Saharan Africa reflects the quality of service delivery and the presence of resource challenges. This study aimed to determine the average LOS and identify factors associated with prolonged LOS in the psychiatric unit of a Ghanaian teaching hospital.</p><p><strong>Methods: </strong>The study analysed 1143 hospital discharge records of psychiatric inpatients at Komfo Anokye Teaching Hospital Psychiatric Unit from January 2016 to October 2020. LOS greater than the median of 10 days was classified as prolonged. We performed multivariable logistic regression to determine factors associated with prolonged LOS.</p><p><strong>Results: </strong>The mean LOS was 12 days, and the median LOS was 10 days. Bipolar and related disorders (aOR = 1.68 95% CI (1.28-2.21)), substance use disorders (aOR = 1.98 95% CI (1.19-3.30)), co-occurring mental health and substance use disorders (aOR = 2.30 95% CI (1.20-4.56)), and being discharged home directly (aOR = 1.91 95% CI (1.03-3.69)) was associated with a longer hospital stay, while suicide-related behaviour (aOR = 0.27 95% CI (0.09-0.72)) was associated with decreased odds of prolonged hospital stay.</p><p><strong>Conclusion: </strong>Possible interventions to reduce the length of psychiatric stay in the general hospital setting include improving functional integration of mental health into primary care and implementing transitional treatment programmes like partial hospitalisation and intensive outpatient treatment programmes. Improving access to residential substance use treatment is another intervention that can help decrease the burden of prolonged psychiatric stays.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2089-2097"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethnicity and involuntary hospitalisation: a study of intersectional effects.","authors":"Rooble Ali, Susan Walker, Patrick Nyikavaranda, Johnny Downs, Rashmi Patel, Mizanur Khondoker, Kamaldeep Bhui, Richard D Hayes, Daniela Fonseca de Freitas","doi":"10.1007/s00127-025-02898-0","DOIUrl":"10.1007/s00127-025-02898-0","url":null,"abstract":"<p><strong>Purpose: </strong>Studies have found that the Mental Health Act is used disproportionally among minoritised ethnicities. Yet, little research has been conducted to understand how the intersectionality of ethnicity with sociodemographic factors relates to involuntary admission. This study aimed to investigate whether an association between ethnicity and involuntary hospitalisation is altered by variations in service-users' sociodemographic positions.</p><p><strong>Methods: </strong>A retrospective cohort study using records from the South London and Maudsley identified 18,569 service-users with a first episode of hospitalisation in a 13-year period. Logistic regression was used to calculate odds ratios for involuntary hospitalisation across ethnicities while adjusting for sociodemographic (age, gender, area-level deprivation, homelessness, and migration) and clinical factors (psychiatric diagnosis and HoNOS scores). Interaction analysis was conducted to identify intersectional effects between ethnicity and sociodemographic variables, potentially modifying the odds ratios of involuntary admission across ethnic groups.</p><p><strong>Results: </strong>Increased odds of involuntary hospitalisation compared to White British service-users were observed among 10 of the 14 ethnicities, with around, or just under twice the odds observed for Asian Chinese, Black African, and Black Caribbean. Women were found to have increased odds of involuntary admission. Significant interactions were present between ethnicity and age, area-level deprivation, homelessness, and migration in the unadjusted models. These effect modifications were not significant after adjustment for confounders.</p><p><strong>Conclusions: </strong>Ethnic inequalities were observed in involuntary hospitalisation among service-users on first admission. No evidence of intersectional effects was present when adjusting for sociodemographic and clinical factors. Further research needs to identify the mechanisms causing the inequalities.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2061-2075"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059319","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The interplay of alcohol use symptoms and sociodemographic factors in the HELIUS study: A network perspective.","authors":"Karoline B S Huth, Orestis Zavlis, Judy Luigjes, Henrike Galenkamp, Anja Lok, Karien Stronks, Claudi L H Bockting, Anneke Goudriaan, Maarten Marsman, Ruth J van Holst","doi":"10.1007/s00127-025-02954-9","DOIUrl":"https://doi.org/10.1007/s00127-025-02954-9","url":null,"abstract":"<p><strong>Purpose: </strong>Research on alcohol use disorder has exclusively focused on either its symptom-level mechanisms-the network perspective or sociodemographic determinants-epidemiological research. Moreover, such research failed to stratify analyses for important person-level factors (e.g., sex or ethnicity). Here, we combine network and epidemiological research and stratify analyses by person-level factors.</p><p><strong>Method: </strong>Using Bayesian inference, we estimated (1) a logistic regression model predicting past-year alcohol consumption from various sociodemographic factors within a large, multiethnic, urban sample in the Netherlands (complete sample: N = 22,164), (2) a cross-sectional network model of alcohol use symptoms and sociodemographic factors among alcohol drinkers of the same sample (drinkers: N = 10,877), and (3) stratified networks at the sex- and ethnic- levels in the same drinkers subsample.</p><p><strong>Results: </strong>All of our examined sociodemographic factors predicted past-year alcohol consumption (in order of magnitude: religion, sex, education, employment, perceived ethnic discrimination, and age). Our Bayesian analysis of networks revealed three notable patterns. First, religion was uniquely and negatively related to adverse alcohol use problems (such as having an injury due to drinking). Second, socioeconomic proxies (education and employment) were positively related to binge drinking, but negatively related to its adverse effects (such as 'needing a drink in the morning'). Finally, employment and education were particularly negatively related to alcohol use symptoms within male and female networks, respectively.</p><p><strong>Conclusion: </strong>Our results suggest that alcohol use symptoms are differentially related to sociodemographic factors and that these effects are moderated by sex and ethnicity. Our highlighted network links and Bayesian methodologies could prove useful for future research and prevention and intervention efforts on alcohol use disorders.Word count: 4198 words.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144976425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The prospective association of adolescent loneliness and low resilience with anxiety and depression in young adulthood: The HUNT study.","authors":"Nayan Parlikar, Linn Beate Strand, Kirsti Kvaløy, Geir Arild Espnes, Unni Karin Moksnes","doi":"10.1007/s00127-025-02888-2","DOIUrl":"10.1007/s00127-025-02888-2","url":null,"abstract":"<p><strong>Background: </strong>Loneliness is a recognized risk factor for anxiety and depression, yet research on its interaction with low resilience remains sparse, particularly across the adolescent-to-adult transition. This study investigates how adolescent loneliness, both independently and in interaction with low resilience, influences anxiety and depression in young adulthood.</p><p><strong>Methods: </strong>This study utilized longitudinal data from The Trøndelag Health Study (HUNT) to track adolescents (13-19 years) from Young-HUNT3 (2006-08) through to HUNT4 (2017-19). Loneliness was assessed via a single-item measure, while resilience was estimated using the Resilience Scale for Adolescents. Anxiety and depression outcomes at the 11-year follow-up were measured using the Hospital Anxiety and Depression Scale. Multivariable logistic regression analyses were done to analyze the associations. Moreover, interaction effects were evaluated using relative excess risk due to interaction (RERI).</p><p><strong>Results: </strong>Loneliness during adolescence independently predicted anxiety and depression in young adulthood. Adolescents experiencing both loneliness and low resilience showed notably higher risks compared to other groups (highly resilient adolescents without loneliness [reference], highly resilient adolescents with loneliness, and adolescents with low resilience and low loneliness). The combined effect of loneliness and low resilience exhibited a synergistic interaction on the additive scale, although it was not statistically significant (RERI 0.13, 95% CI -2.39-2.65).</p><p><strong>Conclusion: </strong>Adolescent loneliness and low resilience independently predict anxiety and depression in young adulthood. The interaction between loneliness and low resilience further heightens these risks. This underscores the importance of early interventions that focus on resilience-building during adolescence and reducing the impacts of loneliness on mental health.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2223-2235"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social inequalities in youth mental health in Canada, 2007-2022: a population-based repeated cross-sectional study.","authors":"Britt McKinnon, Rabina Jahan, Julia Mazza","doi":"10.1007/s00127-025-02813-7","DOIUrl":"10.1007/s00127-025-02813-7","url":null,"abstract":"<p><strong>Purpose: </strong>Rising concern surrounds youth mental health in Canada, with growing disparities between females and males. However, less is known about recent trends by other sociodemographic factors, including sexual orientation, ethnocultural background, and socioeconomic status.</p><p><strong>Methods: </strong>This study analyzed data from 96 683 youths aged 15-24 who participated in the nationally representative Canadian Community Health Survey (CCHS) between 2007 and 2022. Trends in absolute and relative inequalities in poor/fair self-rated mental health (SRMH) by sex, sexual orientation, racialized and Indigenous identity, and socioeconomic conditions were assessed.</p><p><strong>Results: </strong>The percent of youths reporting poor/fair SRMH quadrupled from 4.3% in 2007-08 to 20.1% in 2021-22. During the same period, absolute inequalities in SRMH increased by 9.9% points (95% CI: 6.6, 12.9) for females compared to males, 11.4% points (95% CI: 4.6, 18.2) for Indigenous versus non-racialized youth, and 15.4% points (95% CI: 5.7, 25.1) for youth (aged 18-24) identifying as lesbian, gay, or bisexual (LGB) compared to heterosexual.</p><p><strong>Conclusion: </strong>The sustained deterioration in youth SRMH over the past decade and a half has been accompanied by widening inequalities across several dimensions important for health equity in Canada. Action is needed to identify and implement effective programs and policies to support youth mental health and address disparities.</p>","PeriodicalId":49510,"journal":{"name":"Social Psychiatry and Psychiatric Epidemiology","volume":" ","pages":"2261-2266"},"PeriodicalIF":3.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12378166/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}