Mental health problems in Austrian adolescents: a nationwide, two-stage epidemiological study applying DSM-5 criteria
Open accessAbstract
This is a nationwide epidemiological study using DSM-5 criteria to assess the prevalence of mental disorders in a large sample of Austrian adolescents between 10 and 18 years including hard-to-reach samples. A sample of 3615 adolescents from four cohorts (school grades 5, 7, 9, 11; age range 10-18 years) was recruited from 261 schools, samples of unemployed adolescents (n = 39) and adolescents from mental health institutions (n = 137) were added. The Youth Self-Report and SCOFF were used to screen for mental health problems. In a second phase, the Childrens' Diagnostic Interview for Mental Disorders was used to make point and lifetime psychiatric diagnoses. Mental health service use was also assessed. Point prevalence and lifetime prevalence rates for at least one psychiatric disorder were 23.9% and 35.8%. The highest lifetime prevalence rates were found for anxiety disorders (15.6%), neurodevelopmental disorders (9.3%; ADHD 5.2%) and depressive disorders (6.2%). Forty-seven percent of adolescents with a lifetime psychiatric disorder had a second diagnosis. Internalising disorders were more prevalent in girls, while neurodevelopmental disorders and disruptive, impulse control and conduct disorders were more prevalent in boys. Of those with a lifetime psychiatric disorder, 47.5% had contacted mental health services. Of the residual 52.5% who had not contacted mental health services, 18.1% expressed an interest in treatment. DSM-5 mental health disorders are highly prevalent among Austrian adolescents. Over 50% had or were interested in accessing treatment. Early access to effective interventions for these problems is needed to reduce burden due to mental health disorders.
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Anxiety disorders are the most common mental health conditions during adolescence.
“Research consistently shows that anxiety disorders (ADs) are the most common mental health conditions during adolescence [2–8]”
From Acceptance and commitment therapy as a transdiagnostic approach to adolescents with different anxiety disorders: study protocol. (2025) · cites this paper as [8]
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“The scarcity of treatment in our setting matches previous reports, indicating a significant discrepancy between the need for help and the available services (Micali et al., 2017; Solmi et al., 2016; Smink et al., 2014; Wagner et al., 2017).”
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“(20) confirmed this percentage, with the most common mental issues being anxiety or developmental disorders.”
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“7%) also presented significant amounts (2).”
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- Authors
- Wagner, G., Zeiler, M., Waldherr, K., Philipp, J., Truttmann, S., Dür, W., Treasure, J. L., & Karwautz, A. F. K.
- Affiliations
- Medical University of Vienna (AT)
- Ludwig Boltzmann Institut Health Promotion Research (AT)
- King's College London (GB)
- Corresponding author
- Wagner, Gudrun
- Karwautz, Andreas F. K.
- ORCID
- Venue
- European Child & Adolescent Psychiatry
- Published
- 2017-05-24
- Volume
- 26
- Issue
- 12
- Pages
- 1483-1499
- ISSN
- 1018-8827 (ISSN-L)
- 1435-165X
- PMC
- PMC5701961
- OpenAlex
- W2619347777
- Cited by
- 151
- References
- 48
- Citations by year
- 2026: 4 · 2025: 11 · 2024: 20 · 2023: 21 · 2022: 31 · 2021: 26 · 2020: 10 · 2019: 9 · 2018: 12 · 2017: 6
- FWCI
- 14.48
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- European Child & Adolescent Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion, cc-by)
- Funders
- Gemeinsame Gesundheitsziele – Pharma Master Agreement (99901001300)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Health Sciences › Health Professions › General Health Professions › Health and Medical Studies
- Keywords
- adolescent mental health, mental illness, prevalence, anxiety disorders, neurodevelopmental disorders, attention deficit hyperactivity disorder, depressive disorders, internalizing disorders, mental health service utilization, treatment seeking, sex differences
- MeSH terms
- Adolescent, Austria, Mental Disorders, Child, Female, Humans, Male, Mental Health, Epidemiologic Studies, Diagnostic and Statistical Manual of Mental Disorders
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