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Age, period, and cohort trends in mood disorder indicators and suicide-related outcomes in a nationally representative dataset, 2005-2017
Open accessAbstract
Drawing from the National Survey on Drug Use and Health (NSDUH; N = 611,880), a nationally representative survey of U.S. adolescents and adults, we assess age, period, and cohort trends in mood disorders and suicide-related outcomes since the mid-2000s. Rates of major depressive episode in the last year increased 52% 2005-2017 (from 8.7% to 13.2%) among adolescents aged 12 to 17 and 63% 2009-2017 (from 8.1% to 13.2%) among young adults 18-25. Serious psychological distress in the last month and suicide-related outcomes (suicidal ideation, plans, attempts, and deaths by suicide) in the last year also increased among young adults 18-25 from 2008-2017 (with a 71% increase in serious psychological distress), with less consistent and weaker increases among adults ages 26 and over. Hierarchical linear modeling analyses separating the effects of age, period, and birth cohort suggest the trends among adults are primarily due to cohort, with a steady rise in mood disorder and suicide-related outcomes between cohorts born from the early 1980s (Millennials) to the late 1990s (iGen). Cultural trends contributing to an increase in mood disorders and suicidal thoughts and behaviors since the mid-2000s, including the rise of electronic communication and digital media and declines in sleep duration, may have had a larger impact on younger people, creating a cohort effect. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
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In the citing paper
“the National Survey on Drug Use and Health (N=611,880), which found an increase in the depressive episode rates by 63% from 2009 to 2017 [2]”
From Online Mindfulness-Based Cognitive Behavioral Therapy Intervention for Youth With Major Depressive Disorders: Randomized Controlled Trial. (2021) · cites this paper as [2]
In the citing paper
“Although the study sample size did not allow for mediation analyses [46], the between-group difference observed suggests that the mindfulness component of the CBT-M intervention was likely involved in the modification of depressogenic cognitions [2].”
From Online Mindfulness-Based Cognitive Behavioral Therapy Intervention for Youth With Major Depressive Disorders: Randomized Controlled Trial. (2021) · cites this paper as [2]
In the citing paper
“Studies in Australia, Canada, the UK and USA indicate that the rises in suicide in young people have occurred in parallel with other signals of deteriorating youth mental health, including rises in self-reported depression symptoms, suicide attempts and hospital admissions for self-harm (McManus et al., 2016; Mitchell et al., 2018; Twenge et al., 2019; Wiens et al., 2020).”
From Social media use, economic recession and income inequality in relation to trends in youth suicide in high-income countries: a time trends analysis (2020) · cites this paper as Twenge et al., 2019
In the citing paper
“These increases appear to have been accompanied by other signals of deteriorating mental health among young people (McManus et al., 2014; McManus et al., 2019; Twenge et al., 2019).”
From Social media use, economic recession and income inequality in relation to trends in youth suicide in high-income countries: a time trends analysis (2020) · cites this paper as Twenge et al., 2019
In the citing paper
“Layered atop these well-known developmental trajectories, a series of new findings indicate that rates of these adolescent-emergent mental health problems (depressive and anxiety disorders, NSSI, and suicidal thoughts and behaviors) have been increasing worldwide -- especially over the past decade, and most notably amongst girls.(2,20–23)”
From Puberty Initiates Cascading Relationships Between Neurodevelopmental, Social, and Internalizing Processes Across Adolescence (2021) · cites this paper as [23]
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Warikoo, N. K. (2020) · American Journal of Sociology · doi:10.1086/712820 · Cited by 22
Social-Emotional Learning Interventions in Youth Sport: What Matters in Design?
Anderson‐Butcher, D., Bates, S. M., Amorose, A. J., Wade-Mdivanian, R., & Lower‐Hoppe, L. M. (2021) · Child and Adolescent Social Work Journal · doi:10.1007/s10560-021-00773-w · Cited by 22
Why consumers have everything but happiness: An evolutionary mismatch perspective
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Vila-Merkle, H., González-Martínez, A., Campos-Jiménez, R., Martínez‐Ricós, J., Teruel‐Martí, V., Lloret, A., Blasco‐Serra, A., & Cervera‐Ferri, A. (2023) · Frontiers in Behavioral Neuroscience · doi:10.3389/fnbeh.2023.1122163 · Cited by 29
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Lifestyle and Mental Health Disruptions During COVID-19Preprint
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Declining Life Satisfaction and Happiness Among Young Adults in Six English-speaking Countries
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Self-citationLearning outcomes in primary school children with emotional problems: a prospective cohort study
Mundy, L. K., Canterford, L. D., Moreno‐Betancur, M., Hoq, M., Viner, R., Bayer, J. K., Lietz, P. N., Redmond, G., & Patton, G. C. (2022) · Child and Adolescent Mental Health · doi:10.1111/camh.12607 · Cited by 23
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Metadata
- Authors
- Twenge, J. M., Cooper, A. B., Joiner, T. E., Duffy, M. E., & Binau, S. G.
- Affiliations
- San Diego State University (US)
- Lynn University (US)
- Florida State University (US)
- Pomona College (US)
- Venue
- Journal of Abnormal Psychology
- Published
- 2019-04
- Volume
- 128
- Issue
- 3
- Pages
- 185-199
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- OpenAlex
- W2921393753
- Cited by
- 1,469
- References
- 44
- Citations by year
- 2026: 150 · 2025: 196 · 2024: 193 · 2023: 284 · 2022: 206 · 2021: 201 · 2020: 198 · 2019: 38
- FWCI
- 187.80
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Abnormal Psychology (publishedVersion, other-oa)
- PubMed (publishedVersion)
- Funders
- National Science Foundation (NSF 1449440)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- mood disorders, major depressive episode, suicide, suicidal ideation, suicide attempts, serious psychological distress, age-period-cohort analysis, birth cohort effects, adolescents, young adults, digital media use, sleep duration, cultural trends, National Survey on Drug Use and Health
- MeSH terms
- Adolescent, Adult, Aged, Major Depressive Disorder, Female, Humans, Male, Middle Aged, Suicide, Suicide, Attempted, United States, Cohort Studies, Age Distribution, Mood Disorders, Substance-Related Disorders, Internet, Young Adult, Suicidal Ideation
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
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