Population level of unmet need for mental healthcare in Europe
Open accessAbstract
Background: The high prevalence of mental disorders has fuelled controversy about the need for mental health services. Aims: To estimate unmet need for mental healthcare at the population level in Europe. Method: As part of the European Study of Epidemiology of Mental Disorders (ESEMeD) project, a cross-sectional survey was conducted of representative samples of the adult general population of Belgium, France, Germany, Italy, The Netherlands and Spain ( n =8796). Mental disorders were assessed with the Composite International Diagnostic Interview 3.0. Individuals with a 12-month mental disorder that was disabling or that had led to use of services in the previous 12 months were considered in need of care. Results: About six per cent of the sample was defined as being in need of mental healthcare. Nearly half (48%) of these participants reported no formal healthcare use. In contrast, only 8% of the people with diabetes had reported no use of services for their physical condition. In total, 3.1% of the adult population had an unmet need for mental healthcare. About 13% of visits to formal health services were made by individuals without any mental morbidity. Conclusions: There is a high unmet need for mental care in Europe, which may not be eliminated simply by reallocating existing healthcare resources.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Both over- and undertreatment of mental illness can be harmful.
“since both over- and undertreatment of mental illness can be harmful [39, 40]”
From Measuring the Effect of the Early assessment Team (MEET) for patients referred to outpatient mental health care: a study protocol for a randomised controlled trial (2024) · cites this paper as [39]
The Implications section says the treatment gap calls for action to control mental disorders, supporting concern about undertreatment. The Increase service provision section describes some visits by people without mental morbidity as probably unnecessary, but does not say that overtreatment of mental illness is harmful. (LLM, conf=0.81)
Experimental — accuracy not yet measuredUnmet mental health needs are associated with greater levels of disability, reduced quality of life, and an increased likelihood of suicidal ideation and suicide attempts.
“Unmet mental health needs not only extend the period in which someone lives with the burden of ill mental health, but are also associated with greater levels of disability, reduced quality of life, and an increased likelihood of suicidal ideation and suicide attempts [4, 5].”
From Explaining adults’ mental health help-seeking through the lens of the theory of planned behavior: A scoping review (2022) · cites this paper as [5]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
WARE, J. E., KOSINSKI, M., & KELLER, S. D. (1996) · Medical Care · doi:10.1097/00005650-199603000-00003 · Cited by 17,392 · see citing works
Revisiting the Behavioral Model and Access to Medical Care: Does it Matter?
Andersen, R. M. (1995) · Journal of Health and Social Behavior · doi:10.2307/2137284 · Cited by 9,831 · see citing works
Kessler, R. C., Berglund, P., Demler, O., Jin, R., Koretz, D., Merikangas, K. R., Rush, A. J., Walters, E. E., & Wang, P. S. (2003) · JAMA · doi:10.1001/jama.289.23.3095 · Cited by 7,988 · see citing works
Kessler, R. C., & Üstün, T. B. (2004) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.168 · Cited by 4,771 · see citing works
Wittchen, H.-U. (1994) · Journal of Psychiatric Research · doi:10.1016/0022-3956(94)90036-1 · Cited by 2,348 · see citing works
The de Facto US Mental and Addictive Disorders Service System
Regier, D. A. (1993) · Archives of General Psychiatry · doi:10.1001/archpsyc.1993.01820140007001 · Cited by 1,988 · see citing works
Prevalence and Treatment of Mental Disorders, 1990 to 2003
Kessler, R. C., Demler, O., Frank, R. G., Olfson, M., Pincus, H. A., Walters, E. E., Wang, P., Wells, K. B., & Zaslavsky, A. M. (2005) · New England Journal of Medicine · doi:10.1056/nejmsa043266 · Cited by 1,910 · see citing works
SUDAAN User's Manual, Release 7.5,
Bieler, G. S., Barnwell, B., & Shah, B. V. (1997) · Cited by 1,285 · see citing works
Andrade, L., Caraveo‐anduaga, J. J., Berglund, P., Bijl, R. V., Graaf, R. D., Vollebergh, W., Dragomirecka, E., Kohn, R., Keller, M., Kessler, R. C., et al. (2003) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.138 · Cited by 1,068 · see citing works
The quality of care for depressive and anxiety disorders in the United States
Young, A. S., Klap, R., Sherbourne, C. D., & Wells, K. B. (2001) · Archives of General Psychiatry · doi:10.1001/archpsyc.58.1.55 · Cited by 1,061 · see citing works
Andrews, G., Henderson, S., & Hall, W. (2001) · British Journal of Psychiatry · doi:10.1192/bjp.178.2.145 · Cited by 933 · see citing works
Revised Prevalence Estimates of Mental Disorders in the United States
Narrow, W. E., Rae, D. S., Robins, L. N., & Regier, D. A. (2002) · Archives of General Psychiatry · doi:10.1001/archpsyc.59.2.115 · Cited by 807 · see citing works
Alonso, J., Angermeyer, M. C., & Lépine, J. P. (2004) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0047.2004.00325.x · Cited by 758 · see citing works
Self-citationPerceived Need and Help-Seeking in Adults With Mood, Anxiety, or Substance Use Disorders
Mojtabai, R., Olfson, M., & Mechanic, D. (2002) · Archives of General Psychiatry · doi:10.1001/archpsyc.59.1.77 · Cited by 710 · see citing works
Prevalence and Treatment of Mental Disorders
MacKenzie, T. D., Kolpak, S. J., & Mehler, P. S. (2005) · New England Journal of Medicine · doi:10.1056/nejmc051936 · Cited by 650 · see citing works
Adequacy of Treatment for Serious Mental Illness in the United States
Wang, P. S., Demler, O., & Kessler, R. C. (2002) · American Journal of Public Health · doi:10.2105/ajph.92.1.92 · Cited by 581 · see citing works
The ESEMeD/MHEDEA 2000 investigators, Alonso, J., Angermeyer, M. C., Bernert, S., Bruffaerts, R., Brugha, T. S., Bryson, H., de Girolamo, G., de Graaf, R., Demyttenaere, K., et al. (2004) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0047.2004.00330.x · Cited by 519 · see citing works
Self-citationJenkins, R., Lewis, G., Bebbington, P., Brugha, T. S., Farrell, M., GILL, B., & Meltzer, H. (1997) · Psychological Medicine · doi:10.1017/s0033291797005308 · Cited by 430 · see citing works
Self-citationShortfall in mental health service utilisation
Andrews, G., Issakidis, C., & Carter, G. (2001) · British Journal of Psychiatry · doi:10.1192/bjp.179.5.417 · Cited by 420 · see citing works
Self-reports of health care utilization compared to provider records
Ritter, P. L., Stewart, A. L., Kaymaz, H., Sobel, D. S., Block, D. A., & Lorig, K. R. (2001) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(00)00261-4 · Cited by 401 · see citing works
Bijl, R. V., & Ravelli, A. (2000) · American Journal of Public Health · doi:10.2105/ajph.90.4.602 · Cited by 360 · see citing works
de Graaf, R., Bijl, R. V., Smit, F., Ravelli, A., & Vollebergh, W. (2000) · American Journal of Epidemiology · doi:10.1093/aje/152.11.1039 · Cited by 355 · see citing works
‘Subthreshold’ mental disorders
Pincus, H. A., Davis, W., & McQueen, L. E. (1999) · The British Journal of Psychiatry · doi:10.1192/bjp.174.4.288 · Cited by 283 · see citing works
Disability in depression and back pain
Chwastiak, L. A., & Von Korff, M. (2003) · Journal of Clinical Epidemiology · doi:10.1016/s0895-4356(03)00051-9 · Cited by 280 · see citing works
The Use of Mental Health Services in Ontario: Epidemiologic Findings
Lin, E. H. B., Goering, P. N., Offord, D. R., Campbell, D., & Boyle, M. H. (1996) · The Canadian Journal of Psychiatry · doi:10.1177/070674379604100905 · Cited by 211 · see citing works
Sampling and methods of the European Study of the Epidemiology of Mental Disorders (ESEMeD) project
The ESEMeD/MHEDEA 2000 investigators, Alonso, J., Angermeyer, M. C., Bernert, S., Bruffaerts, R., Brugha, T. S., Bryson, H., de Girolamo, G., de Graaf, R., Demyttenaere, K., et al. (2004) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0047.2004.00326 · Cited by 210 · see citing works
Self-citation(2000) · Cambridge University Press eBooks · doi:10.1017/cbo9780511543562 · Cited by 154 · see citing works
Is The Prevalence Of Mental Disorders A Good Measure Of The Need For Services?
Mechanic, D. (2003) · Health Affairs · doi:10.1377/hlthaff.22.5.8 · Cited by 126 · see citing works
Assessing Population Need for Mental Health Care: A Review of Approaches and Predictors
Aoun, S. M., Pennebaker, D., & Wood, C. (2004) · Mental Health Services Research · doi:10.1023/b:mhsr.0000011255.10887.59 · Cited by 82 · see citing works
Self‐reported use of mental health services versus administrative records: should we care?
Rhodes, A. E., Lin, E. H. B., & Mustard, C. (2002) · International Journal of Methods in Psychiatric Research · doi:10.1002/mpr.130 · Cited by 78 · see citing works
Prevalence of psychiatric disorder and the need for psychiatric care in Northern Ireland
Mcconnell, P., Bebbington, P., McClelland, R. J., Gillespie, K., & Houghton, S. (2002) · The British Journal of Psychiatry · doi:10.1192/bjp.181.3.214 · Cited by 71 · see citing works
Outcomes and costs of a community support worker service for the severely mentally ill
Clarkson, P., McCrone, P., Sutherby, K., Johnson, C., Johnson, S., & Thornicroft, G. (1999) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.1999.tb00976.x · Cited by 22 · see citing works
The need for psychiatric treatment in the general population
Bebbington, P. (2000) · Cambridge University Press eBooks · doi:10.1017/cbo9780511543562.008 · Cited by 17 · see citing works
Flagged first, then by citations
3 of the 37 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Our future: a Lancet commission on adolescent health and wellbeing
Patton, G. C., Sawyer, S. M., Santelli, J. S., Ross, D. A., Afifi, R., Allen, N. B., Arora, M., Azzopardi, P., Baldwin, W., Bonell, C., et al. (2016) · The Lancet · doi:10.1016/s0140-6736(16)00579-1 · Cited by 3,785 · see citing works
Barriers to mental health treatment: results from the WHO World Mental Health surveys
Andrade, L. H., Alonso, J., Mneimneh, Z., Wells, J. E., Al-Hamzawi, A., Borges, G., Bromet, E., Bruffaerts, R., de Girolamo, G., de Graaf, R., et al. (2014) · Psychological Medicine · doi:10.1017/s0033291713001943 · Cited by 1,289 · see citing works
Self-citationClinical diagnosis of depression in primary care: a meta-analysis
Mitchell, A. J., Vaze, A., & Rao, S. (2009) · The Lancet · doi:10.1016/s0140-6736(09)60879-5 · Cited by 1,251 · see citing works
Stigma and its impact on help-seeking for mental disorders: what do we know?
Schomerus, G., & Angermeyer, M. C. (2008) · Epidemiologia e Psichiatria Sociale · doi:10.1017/s1121189x00002669 · Cited by 340 · see citing works
Self-citationClement, S., Brohan, E., Jeffery, D., Henderson, C., Hatch, S. L., & Thornicroft, G. (2012) · BMC Psychiatry · doi:10.1186/1471-244x-12-36 · Cited by 314 · see citing works
Prevalence and comorbidity of common mental disorders in primary care
Roca, M., Gili, M., Garcia-Garcia, M., Salva, J., Vives, M., Garcia Campayo, J., & Comas, A. (2009) · Journal of Affective Disorders · doi:10.1016/j.jad.2009.03.014 · Cited by 311 · see citing works
van der Zwan, J. E., de Vente, W., Huizink, A. C., Bögels, S. M., & de Bruin, E. I. (2015) · Applied Psychophysiology and Biofeedback · doi:10.1007/s10484-015-9293-x · Cited by 338 · see citing works
Trotzek, M., Koitka, S., & Friedrich, C. M. (2018) · IEEE Transactions on Knowledge and Data Engineering · doi:10.1109/tkde.2018.2885515 · Cited by 299 · see citing works
Sartorius, N. (2018) · Dialogues in Clinical Neuroscience · doi:10.31887/dcns.2018.20.1/nsartorius · Cited by 292 · see citing works
The stigma of psychiatric treatment and help-seeking intentions for depression
Schomerus, G., Matschinger, H., & Angermeyer, M. C. (2009) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-009-0870-y · Cited by 287 · see citing works
Self-citationMost people with mental illness are not treated
Thornicroft, G. (2007) · The Lancet · doi:10.1016/s0140-6736(07)61392-0 · Cited by 285 · see citing works
Mental Health Literacy: A Review of What It Is and Why It Matters
Furnham, A. F., & Swami, V. (2018) · International Perspectives in Psychology · doi:10.1037/ipp0000094 · Cited by 284 · see citing works
the ESEMeD/MHEDEA 2000 Investigators, ten Have, M., de Graaf, R., Ormel, J., Vilagut, G., Kovess, V., & Alonso, J. (2010) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-009-0050-4 · Cited by 266 · see citing works
Self-citationKnowledge and Attitudes as Predictors of Intentions to Seek Help for and Disclose a Mental Illness
Rüsch, N., Evans-Lacko, S. E., Henderson, C., Flach, C., & Thornicroft, G. (2011) · Psychiatric Services · doi:10.1176/ps.62.6.pss6206_0675 · Cited by 246 · see citing works
Alonso, J., Burón, A., Bruffaerts, R., He, Y., Posada-Villa, J., Lépine, J. P., Angermeyer, M. C., Levinson, D., de Girolamo, G., Tachimori, H., et al. (2008) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2008.01241.x · Cited by 244 · see citing works
Self-citationPattyn, E., Verhaeghe, M., Sercu, C., & Bracke, P. (2013) · Psychiatric Services · doi:10.1176/appi.ps.201200561 · Cited by 219 · see citing works
Alonso, J., Vilagut, G., Mortier, P., Ferrer, M., Alayo, I., Peña, A. A., Aragonès, E., Campos, M., del Cura-González, I., Emparanza, J. I., et al. (2020) · Revista de Psiquiatría y Salud Mental · doi:10.1016/j.rpsm.2020.12.001 · Cited by 207 · see citing works
Self-citationKnudsen, A. K., Harvey, S. B., Mykletun, A., & Øverland, S. N. (2012) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2012.01902.x · Cited by 186 · see citing works
Public Beliefs and Attitudes towards Depression in Italy: A National Survey
Munizza, C., Argentero, P., Coppo, A., Tibaldi, G., Giannantonio, M. D., Picci, R. L., & Rucci, P. (2013) · PLoS ONE · doi:10.1371/journal.pone.0063806 · Cited by 181 · see citing works
Swami, V. (2012) · PLoS ONE · doi:10.1371/journal.pone.0049779 · Cited by 166 · see citing works
Dahlberg, K., Wærn, M., & Runeson, B. (2008) · BMC Public Health · doi:10.1186/1471-2458-8-8 · Cited by 148 · see citing works
Health services use in eating disorders
Striegel-Moore, R., DeBar, L. L., Wilson, G., Dickerson, J., Rosselli, F., Perrin, N. A., Lynch, F. L., & Kraemer, H. (2007) · Psychological Medicine · doi:10.1017/s0033291707001833 · Cited by 133 · see citing works
Unmet health care needs of people with disabilities: population level evidence
McColl, M. A., Jarzynowska, A., & Shortt, S. E. D. (2010) · Disability & Society · doi:10.1080/09687590903537406 · Cited by 132 · see citing works
The balanced care model for global mental health
Thornicroft, G., & Tansella, M. (2013) · Psychological Medicine · doi:10.1017/s0033291712001420 · Cited by 162 · see citing works
EPA guidance on mental health and economic crises in Europe
Martı́n-Carrasco, M., Evans-Lacko, S. E., Dom, G., Christodoulou, G. N., Samochowiec, J., González–Fraile, E., Bieńkowski, P., Gómez-Beneyto, M., Santos, M. J. H. D., & Wasserman, D. (2016) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-016-0681-x · Cited by 124 · see citing works
Discrimination against people with mental illness: what can psychiatrists do?
Thornicroft, G., Rose, D. S., & Mehta, N. (2010) · Advances in Psychiatric Treatment · doi:10.1192/apt.bp.107.004481 · Cited by 124 · see citing works
Folker, A. P., Mathiasen, K., Lauridsen, S. M., Stenderup, E., Dozeman, E., & Folker, M. P. (2018) · Internet Interventions · doi:10.1016/j.invent.2018.02.001 · Cited by 116 · see citing works
“cognitive behavior therapy (CBT) or Interpersonal Psychotherapy (IPT)), and psychopharmacology, a substantial proportion of people suffering from mental disorders go untreated (Demyttenaere et al., 2004; Thornicroft et al., 2017; Alonso et al., 2007).”
BackgroundCapacity Building in Global Mental Health Research
Thornicroft, G., Cooper, S., Bortel, T. V. V., Kakuma, R., & Lund, C. (2012) · Harvard Review of Psychiatry · doi:10.3109/10673229.2012.649117 · Cited by 118 · see citing works
Help-seeking and receipt of treatment among UK service personnel
Iversen, A. C., van Staden, L. N., Hughes, J. H., Browne, T., Greenberg, N. L., Hotopf, M. H., Rona, R. J., Wessely, S. C., Thornicroft, G., & Fear, N. T. (2010) · The British Journal of Psychiatry · doi:10.1192/bjp.bp.109.075762 · Cited by 112 · see citing works
Adams, C., Gringart, E., & Strobel, N. (2022) · Systematic Reviews · doi:10.1186/s13643-022-02034-y · Cited by 115 · see citing works
Urbanoski, K. A., Cairney, J., Bassani, D. G., & Rush, B. R. (2008) · Psychiatric Services · doi:10.1176/ps.2008.59.3.283 · Cited by 111 · see citing works
Brown, M. C., Creel, A. H., Engel, C. C., Herrell, R. K., & Hoge, C. W. (2011) · The Journal of Nervous and Mental Disease · doi:10.1097/nmd.0b013e31822fc9bf · Cited by 101 · see citing works
Thornicroft, G., & Tansella, M. (2008) · Cambridge University Press eBooks · doi:10.1017/cbo9780511544347 · Cited by 103 · see citing works
Codony, M., Alonso, J., Almansa, J., Bernert, S., de Girolamo, G., de Graaf, R., Haro, J. M., Kovess–Masféty, V., Vilagut, G., & Kessler, R. C. (2009) · Psychiatric Services · doi:10.1176/ps.2009.60.8.1051 · Cited by 102 · see citing works
Self-citationBruwer, B. R., Sorsdahl, K. R., Harrison, J. R., Stein, D. J., Williams, D. R., & Seedat, S. (2011) · Psychiatric Services · doi:10.1176/ps.62.7.pss6207_0774 · Cited by 96 · see citing works
Applications of blood-based protein biomarker strategies in the study of psychiatric disorders
Chan, M. K., Gottschalk, M. G., Haenisch, F., Tomasik, J., Ruland, T., Rahmoune, H., Guest, P. C., & Bahn, S. (2014) · Progress in Neurobiology · doi:10.1016/j.pneurobio.2014.08.002 · Cited by 94 · see citing works
Kovess–Masféty, V., Boyd, A. C., de Velde, S. M. V., de Graaf, R., Vilagut, G., Haro, J. M., Florescu, S., O’Neill, S. M., Weinberg, L., Alonso, J., et al. (2014) · Journal of Epidemiology & Community Health · doi:10.1136/jech-2013-202962 · Cited by 81 · see citing works
Self-citationMental Health Help-Seeking Intentions and Preferences of Rural Chinese Adults
Yu, Y., Liu, Z.-W., Hu, M., Liu, H.-M., Yang, J. P., Zhou, L., & Xiao, S.-Y. (2015) · PLOS ONE · doi:10.1371/journal.pone.0141889 · Cited by 79 · see citing works
Stevelink, S. A. M., Jones, N., Jones, M., Dyball, D. M., Khera, C. K., Pernet, D., MacCrimmon, S., Murphy, D., Hull, L., Greenberg, N. L., et al. (2019) · European Journal of Psychotraumatology · doi:10.1080/20008198.2018.1556552 · Cited by 79 · see citing works
Moock, J. (2014) · Frontiers in Public Health · doi:10.3389/fpubh.2014.00065 · Cited by 79 · see citing works
PTSD, stigma and barriers to help-seeking within the UK Armed Forces
Murphy, D., & Busuttil, W. (2014) · Journal of the Royal Army Medical Corps · doi:10.1136/jramc-2014-000344 · Cited by 78 · see citing works
Samari, E., Teh, W. L., Roystonn, K., Devi, F., Cetty, L., Shahwan, S., & Subramaniam, M. (2022) · BMC Psychiatry · doi:10.1186/s12888-022-03754-0 · Cited by 75 · see citing works
Perceived need for mental health care and barriers to care in the Netherlands and Australia
Prins, M., Meadows, G., Bobevski, I., Graham, A., Verhaak, P., van der Meer, K., Penninx, B., & Bensing, J. (2011) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-010-0266-3 · Cited by 74 · see citing works
Treatment gap in common mental disorders: the Singapore perspective
Chong, S. A., Abdin, E., Sherbourne, C., Vaingankar, J., Heng, D., Yap, M., & Subramaniam, M. (2012) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796011000771 · Cited by 71 · see citing works
Kargarandehkordi, A., Li, S., Lin, K., Phillips, K. T., Benzo, R. M., & Washington, P. Y. (2025) · Biosensors · doi:10.3390/bios15040202 · Cited by 72 · see citing works
Marrie, R. A., Walker, J. R., Graff, L. A., Lix, L. M., Bolton, J. M., Nugent, Z. J., Targownik, L. E., & Bernstein, C. N. (2016) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2016.08.014 · Cited by 69 · see citing works
Wearable Sensing Systems for Monitoring Mental Health
Kang, M., & Chai, K. (2022) · Sensors · doi:10.3390/s22030994 · Cited by 70 · see citing works
Mitchell, A. J., Rao, S., & Vaze, A. (2011) · British Journal of General Practice · doi:10.3399/bjgp11x556227 · Cited by 68 · see citing works
Baumann, M., Bihan, E. L., Chau, K., & Chau, N. (2014) · BMC Neurology · doi:10.1186/1471-2377-14-92 · Cited by 69 · see citing works
Non-professional-help-seeking among young people with depression: a qualitative study
Hernáez, Á. M., DiGiacomo, S. M., Maicas, N. C., Urquiza, M. C., & Martorell‐Poveda, M. (2014) · BMC Psychiatry · doi:10.1186/1471-244x-14-124 · Cited by 66 · see citing works
EPA guidance on the quality of mental health services
Gäebel, W., Becker, T. M., Janssen, B., Munk‐Jørgensen, P., Musalek, M., Wulf Rössler, A., Sommerlad, K., Tansella, M., Thornicroft, G., & Zielasek, J. (2012) · European Psychiatry · doi:10.1016/j.eurpsy.2011.12.001 · Cited by 65 · see citing works
Bothe, T., Jacob, J., Kröger, C. B., & Walker, J. (2020) · The European Journal of Health Economics · doi:10.1007/s10198-020-01184-x · Cited by 64 · see citing works
Kensbock, J. M., Alkærsig, L., & Lomberg, C. (2021) · Administrative Science Quarterly · doi:10.1177/00018392211014819 · Cited by 63 · see citing works
Prevalence and profiles of unmet healthcare need in Thailand
Thammatacharee, N., Tisayaticom, K., Suphanchaimat, R., Limwattananon, S., Putthasri, W., Netsaengtip, R., & Tangcharoensathien, V. (2012) · BMC Public Health · doi:10.1186/1471-2458-12-923 · Cited by 58 · see citing works
Recent trends in the rural–urban suicide disparity among veterans using VA health care
Shiner, B. R., Peltzman, T., Cornelius, S. L., Gui, J., Forehand, J. A., & Watts, B. V. (2020) · Journal of Behavioral Medicine · doi:10.1007/s10865-020-00176-9 · Cited by 57 · see citing works
Bracke, P., Colman, E., Symoens, S., & PRAAG, L. V. (2010) · BMC Public Health · doi:10.1186/1471-2458-10-224 · Cited by 54 · see citing works
Brandstetter, S., Dodoo‐Schittko, F., Speerforck, S., Apfelbacher, C., Grabe, H. J., Jacobi, F., Hapke, U., Schomerus, G., & Baumeister, S. E. (2017) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-017-1384-y · Cited by 55 · see citing works
Green, A. C., Hunt, C., & Stain, H. J. (2012) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-011-0453-x · Cited by 53 · see citing works
Exploring Professional Help-Seeking for Mental Disorders
Savage, H., Murray, J., Hatch, S. L., Hotopf, M. H., Evans-Lacko, S. E., & Brown, J. S. L. (2015) · Qualitative Health Research · doi:10.1177/1049732315591483 · Cited by 50 · see citing works
Under the face mask: Racial-ethnic minority student-athletes and mental health use
Ballesteros, J. L., & Tran, A. G. T. T. (2018) · Journal of American College Health · doi:10.1080/07448481.2018.1536663 · Cited by 50 · see citing works
Prins, M., Verhaak, P. F. M., Hilbink, M., Laurant, M. G. H., van der Meer, K., Spreeuwenberg, P. M. M., van Marwijk, H., Penninx, B. W. J. H., & Bensing, J. M. (2010) · Journal of General Internal Medicine · doi:10.1007/s11606-009-1216-1 · Cited by 51 · see citing works
Werlen, L., Puhan, M. A., Landolt, M. A., & Mohler‐Kuo, M. (2020) · BMC Public Health · doi:10.1186/s12889-020-09577-6 · Cited by 51 · see citing works
Where do People with Mental Disorders in Singapore go to for Help?
Chong, S. A., Abdin, E., Vaingankar, J. A., Kwok, K. W., & Subramaniam, M. (2012) · Annals of the Academy of Medicine Singapore · doi:10.47102/annals-acadmedsg.v41n4p154 · Cited by 48 · see citing works
Effectiveness of collaborative care for depression in Italy. A randomized controlled trial
Menchetti, M., Sighinolfi, C., Michele, V. D., Peloso, P. F., Nespeca, C., Bandieri, P. V., Bologna, M., Fioritti, A., Fravega, R., Ghio, L., et al. (2013) · General Hospital Psychiatry · doi:10.1016/j.genhosppsych.2013.07.009 · Cited by 47 · see citing works
Buffel, V., van de Straat, V., & Bracke, P. (2015) · International Journal for Equity in Health · doi:10.1186/s12939-015-0153-3 · Cited by 47 · see citing works
Chikovani, I., Makhashvili, N., Gotsadze, G., Patel, V., McKee, M., Uchaneishvili, M., Rukhadze, N., & Roberts, B. (2015) · PLoS ONE · doi:10.1371/journal.pone.0122673 · Cited by 46 · see citing works
Mathiasen, K., Riper, H., Andersen, T. E., & Roessler, K. K. (2018) · Journal of Medical Internet Research · doi:10.2196/10927 · Cited by 45 · see citing works
Global research activity on mental health literacy
Sweileh, W. M. (2021) · Middle East Current Psychiatry · doi:10.1186/s43045-021-00125-5 · Cited by 45 · see citing works
Yu, Y., Hu, M., Liu, Z.-W., Liu, H., Yang, J. P., Zhou, L., & Xiao, S. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-0802-0 · Cited by 45 · see citing works
Strawbridge, R., McCrone, P., Ulrichsen, A., Zahn, R., Eberhard, J., Wasserman, D., Brambilla, P., Schiena, G., Hegerl, U., Balázs, J., et al. (2022) · European Psychiatry · doi:10.1192/j.eurpsy.2022.28 · Cited by 45 · see citing works
Blended CBT versus face-to-face CBT: a randomised non-inferiority trial
Mathiasen, K., Andersen, T. E., Riper, H. M., Kleiboer, A. M., & Roessler, K. K. (2016) · BMC Psychiatry · doi:10.1186/s12888-016-1140-y · Cited by 42 · see citing works
Agreement between survey‐ and register‐based measures of depression in Denmark
Weye, N., McGrath, J. J., Lasgaard, M., Momen, N. C., Knudsen, A. K., Musliner, K. L., & Plana‐Ripoll, O. (2023) · Acta Psychiatrica Scandinavica · doi:10.1111/acps.13555 · Cited by 41 · see citing works
Treatment of mental disorders for adolescents in Mexico City
Borges, G. L. G. (2008) · Bulletin of the World Health Organization · doi:10.2471/blt.07.047696 · Cited by 39 · see citing works
Correlates of Use of Health Care Services by Children and Adolescents From 11 European Countries
Berra, S., Tebé, C., Erhart, M., Ravens‐Sieberer, U., Auquier, P., Detmar, S. B., Herdman, M., Alonso, J., & Rajmil, L. (2009) · Medical Care · doi:10.1097/mlr.0b013e3181844e09 · Cited by 41 · see citing works
Self-citationTünneßen, M., Hiligsmann, M., Stock, S., & Vennedey, V. (2020) · Journal of Medical Economics · doi:10.1080/13696998.2020.1725022 · Cited by 43 · see citing works
Prevalence of psychiatric morbidity in the primary health clinic attendees in Kuwait
AlKhadhari, S., Alsabbrri, A. O., Mohammad, I., Atwan, A. A., Alqudaihi, F., & Zahid, M. A. (2016) · Journal of Affective Disorders · doi:10.1016/j.jad.2016.01.037 · Cited by 38 · see citing works
Larisch, A., Heuft, G., Engbrink, S., Brähler, E., Herzog, W., & Kruse, J. (2013) · Zeitschrift für psychosomatische Medizin und Psychotherapie · doi:10.13109/zptm.2013.59.2.153 · Cited by 37 · see citing works
Murphy, D., Palmer, E., & Busuttil, W. (2016) · Journal of Clinical Medicine · doi:10.3390/jcm5080068 · Cited by 36 · see citing works
Nübel, J., Guhn, A., Müllender, S., Le, H., Cohrdes, C., & Köhler, S. (2020) · BMC Psychiatry · doi:10.1186/s12888-020-2460-5 · Cited by 42 · see citing works
Mental health literacy of maternal and paternal postnatal (postpartum) depression in British adults
Swami, V., Barron, D. S., Smith, L., & Furnham, A. F. (2019) · Journal of Mental Health · doi:10.1080/09638237.2019.1608932 · Cited by 38 · see citing works
Mathiasen, K., Andersen, T. E., Lichtenstein, M. B., Ehlers, L. H., Riper, H., Kleiboer, A., & Roessler, K. K. (2022) · Journal of Medical Internet Research · doi:10.2196/36577 · Cited by 34 · see citing works
Global mental health: the role of psychiatry
Saraceno, B., & Dua, T. (2009) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-009-0059-4 · Cited by 35 · see citing works
Health Care Utilization in Germany
Janßen, C., von Lengerke, T., & Swart, E. (2013) · Springer eBooks · doi:10.1007/978-1-4614-9191-0 · Cited by 34 · see citing works
Rens, E., Dom, G., Remmen, R., Michielsen, J., & den Broeck, K. V. (2020) · International Journal for Equity in Health · doi:10.1186/s12939-020-01287-0 · Cited by 33 · see citing works
Access to VA Services for Returning Veterans With PTSD
Shiner, B. R., Drake, R. E., Watts, B. V., Desai, R. A., & Schnurr, P. P. (2012) · Military Medicine · doi:10.7205/milmed-d-12-00009 · Cited by 34 · see citing works
Wang, Y., Filho, A. D. P. C., Campanha, A. M., Malik, A. M., Mogadouro, M., Cambraia, M., Viana, M. C., & Andrade, L. H. (2016) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796016000202 · Cited by 34 · see citing works
Murphy, A., Chikovani, I., Uchaneishvili, M., Makhashvili, N., & Roberts, B. (2018) · BMC Health Services Research · doi:10.1186/s12913-018-3113-y · Cited by 31 · see citing works
Unmet need for mental health care among adolescents in Asia and Europe
Mori, Y., Sourander, A., Mishina, K. E., Ståhlberg, T., Klomek, A. B., Kolaitis, G. A., Kaneko, H., Li, L., Huong, M. N., Praharaj, S. K., et al. (2024) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-024-02472-0 · Cited by 33 · see citing works
Psychiatric symptoms and risk of victimisation: a population-based study from Southeast London
Bhavsar, V., Dean, K., Hatch, S. L., MacCabe, J. H., & Hotopf, M. H. (2018) · Epidemiology and Psychiatric Sciences · doi:10.1017/s2045796018000537 · Cited by 32 · see citing works
Simo, B., Bamvita, J., Caron, J., & Fleury, M. (2018) · Psychiatry Research · doi:10.1016/j.psychres.2018.10.019 · Cited by 24 · see citing works
Are Occupational Factors and Mental Difficulty Associated With Occupational Injury?
Chau, N., Lemogne, C., Legleye, S., Choquet, M., Falissard, B., & Fossati, P. (2011) · Journal of Occupational and Environmental Medicine · doi:10.1097/jom.0b013e318237a14b · Cited by 32 · see citing works
TRANSDIAGNOSTIC INTERNET TREATMENT FOR ANXIETY AND DEPRESSION
Titov, N., Dear, B. F., Johnston, L., & Terides, M. D. (2012) · Revista de Psicopatología y Psicología Clínica · Cited by 31 · see citing works
Lu, J., Jamani, S., Benjamen, J., Agbata, E. N., Magwood, O., & Pottie, K. C. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17228627 · Cited by 31 · see citing works
Zinken, J., Zinken, K., Wilson, J., Butler, L., & Skinner, T. (2010) · Psychiatry Research · doi:10.1016/j.psychres.2010.04.011 · Cited by 31 · see citing works
Dezetter, A., Briffault, X., Alonso, J., Angermeyer, M., Bruffaerts, R., de Girolamo, G., de Graaf, R., Haro, J. M., König, H., & Kovess–Masféty, V. (2011) · Psychiatric Services · doi:10.1176/ps.62.2.pss6202_0143 · Cited by 31 · see citing works
Self-citationGäebel, W., Kowitz, S., & Zielasek, J. (2012) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/s00406-012-0363-2 · Cited by 31 · see citing works
Castro-Rodríguez, J. I., Olariu, E., Garnier, C., Martín‐Lopez, L. M., Pérez, V., Alonso, J., & Forero, C. G. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.10.020 · Cited by 29 · see citing works
Self-citationPrins, M. A., Verhaak, P. F., Hilbink-Smolders, M., Spreeuwenberg, P., Laurant, M. G., van der Meer, K., van Marwijk, H. W., Penninx, B. W., & Bensing, J. M. (2011) · BMC Psychiatry · doi:10.1186/1471-244x-11-180 · Cited by 28 · see citing works
Tackling Neglect and Mental Health Reform in a Devolved System of Welfare Governance
Costa‐Font, J., Salvador‐Carulla, L., Hita, J. M. C., Alonso, J., & McDaid, D. (2010) · Journal of Social Policy · doi:10.1017/s0047279410000553 · Cited by 28 · see citing works
Self-citationBuffel, V., de Velde, S. M. V., & Bracke, P. (2014) · Social Psychiatry and Psychiatric Epidemiology · doi:10.1007/s00127-014-0879-z · Cited by 28 · see citing works
- Authors
- Alonso, J., Codony, M., Kovess, V., Angermeyer, M. C., Katz, S. J., Haro, J. M., De Girolamo, G., De Graaf, R., Demyttenaere, K., Vilagut, G., Almansa, J., Lépine, J. P., & Brugha, T. S.
- Affiliations
- Hospital Del Mar (ES)
- Leipzig University (DE)
- University of Michigan (US)
- Hospital Sant Joan de Déu Barcelona (ES)
- Universitair Ziekenhuis Leuven (BE)
- University of Leicester (GB)
- Corresponding author
- Alonso, Jordi
- ORCID
- Venue
- British Journal of Psychiatry
- Publisher
- Royal College of Psychiatrists
- Published
- 2007-04
- Volume
- 190
- Issue
- 4
- Pages
- 299-306
- ISSN
- 0007-1250 (ISSN-L)
- 1472-1465
- OpenAlex
- W2112911661
- Cited by
- 299
- References
- 37
- Citations by year
- 2026: 4 · 2025: 11 · 2024: 14 · 2023: 13 · 2022: 23 · 2021: 11 · 2020: 23 · 2019: 8 · 2018: 17 · 2017: 10 · 2016: 14 · 2015: 13 · 2014: 21 · 2013: 15 · 2012: 32
- FWCI
- 20.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- The British Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Lirias (submittedVersion, other-oa)
- Leicester Research Archive (University of Leicester) (submittedVersion)
- Funders
- GlaxoSmithKline
- World Health Organization
- European Commission (1999-01042, QLG5–1999-01042, SANCO2004123, 2004123)
- Generalitat de Catalunya (01042)
- Regione Piemonte (00/0028)
- Instituto de Salud Carlos III (FIS 00/0028)
- Departament de Salut, Generalitat de Catalunya
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Health Sciences › Health Professions › General Health Professions › Health and Medical Studies
- Keywords
- mental illness, mental health service utilization, psychiatric morbidity, health care utilization, disability, Europe
- MeSH terms
- Adolescent, Adult, Aged, Mental Disorders, Cross-Sectional Studies, Europe, Female, Health Services Needs and Demand, Humans, International Cooperation, Male, Mental Health Services, Middle Aged, Psychiatric Status Rating Scales
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.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
