The past decade saw a worsening mental health crisis among youth nationally and in California. Marked by an increase in the number of mental health hospitalizations, deaths by suicide, and increases in depression and anxiety, the situation has been compounded by COVID-19 and measures taken to prevent its spread. This crisis is heightened for youth of color, who experience historic systemic racism and discrimination, impacting their behavioral health and access to care and preventive services. One in 13 youth in California has a serious emotional disturbance, with Black and Latino/x youth having higher rates compared with other racial and ethnic groups statewide. California’s youth mental health crisis is underscored by recent statistics: (1) More than 15% of youth report suicidal ideation, and since 2007, there has been a 30% increase in youth age 15 to 24 dying by suicide. Over 40% of LGBTQ youth have seriously considered attempting suicide in 2020. (2) Emergency department utilization nearly doubled for eating disorders among teenagers and young women since 2019. (3) Since 2016, there has been a 70% increase among California’s children age 3 to 17 who are diagnosed with depression or anxiety, with 66% of children with depression not receiving treatment. In addition to these troubling behavioral health trends, youth are also experiencing an increase in traumatic events as COVID-19 roils everyday patterns. Since the start of the pandemic through December 2021, more than 16,000 California youth have lost at least one parent/caregiver due to the pandemic and two out of three of the parents/caregivers who died were Latino/x. Given these stresses and the historic racism and discrimination that youth and families in communities of color are experiencing, the American Academy of Pediatrics, the American Academy of Child and Adolescent Psychiatry, and the Children’s Hospital Association declared a national state of emergency in child and adolescent mental health in October 2021.
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