Global burden of mental disorders in 204 countries and territories results from the Global Burden of Disease Study 2021

Table 2 Disability-adjusted life-years of mental disorders in 2021, and percentage change of age-standardized rates by Global Burden of Disease region

World region	Number of DALYs in 1990	ASDR per 100000 in 1990	Number of DALYS in 2019	ASDR per 100000 in 2019	Number of DALYS in 2021	ASDR per 100000 in 2021	1990-20211	2019-20211
Global	89567098.53	1745.15 (1314.32, 2214.47)	138453210.63	1738.12 (1308.29, 2210.63)	155418118.96	1909.14 (1440.15, 2437.87)	73.52 (70.24, 76.71)	12.25 (10.88, 13.56)
Low SDI	7645111.92	1861.88 (1395.11, 2401.28)	16805738.54	1836.88 (1373.03, 2359.95)	19117471.85	1964.32 (1463.82, 2530.28)	150.06 (144.44, 155.66)	13.75 (11.25, 16.24)
Low-middle SDI	18719851.28	1838.15 (1375.03, 2356.10)	32748795.18	1791.40 (1342.03, 2288.04)	37352846.13	1968.25 (1480.56, 2533.15)	99.53 (93.01, 105.74)	14.05 (11.57, 16.58)
Middle SDI	26700052.22	1627.38 (1225.92, 2063.50)	41930137.62	1650.13 (1242.47, 2095.44)	47067856.90	1816.49 (1369.70, 2310.33)	76.28 (71.26, 80.68)	12.25 (10.52, 13.87)
High-middle SDI	18211388.79	1671.33 (1260.67, 2122.96)	23521925.81	1648.84 (1243.62, 2094.28)	25764094.81	1806.88 (1364.02, 2290.90)	41.47 (37.83, 45.76)	9.53 (7.29, 11.81)
High SDI	18207904.56	1956.55 (1480.64, 2473.36)	23336865.32	2027.55 (1534.76, 2566.03)	18207904.56	2276.02 (1710.69, 2886.64)	42.75 (39.46, 46.12)	11.38 (9.41, 13.46)
Andean Latin America	630276.18	1828.65 (1375.57, 2339.06)	1181926.22	1825.23 (1364.44, 2329.47)	1470467.74	2175.32 (1597.74, 2830.02)	133.31 (116.82, 152.38)	24.41 (16.09, 34.41)
Australasia	554993.60	2609.71 (1950.75, 3349.12)	821429.23	2681.89 (2016.93, 3442.45)	880845.84	2787.87 (2088.14, 3552.40)	58.71 (46.94, 72.04)	7.23 (-0.87, 16.22)
Caribbean	656305.57	1934.62 (1436.83, 2484.77)	910312.46	1866.16 (1394.07, 2396.41)	1029437.01	2082.12 (1548.02, 2715.62)	56.85 (49.28, 64.92)	13.08 (8.06, 18.66)
Central Asia	944337.44	1484.65 (1119.71, 1902.71)	1364943.75	1466.30 (1104.34, 1871.73)	1535701.79	1603.18 (1206.41, 2060.86)	62.62 (55.31, 70.73)	12.51 (7.54, 17.23)
Central Europe	2017814.13	1528.92 (1169.19, 1927.43)	1960653.20	1498.25 (1142.11, 1886.92)	2182318.13	1712.83 (1297.62, 2176.20)	8.15 (4.91, 11.74)	11.31 (8.06, 14.58)
Central Latin America	2480053.55	1673.34 (1263.96, 2140.13)	4586287.69	1774.05 (1330.82, 2273.49)	5247771.46	1993.08 (1480.80, 2558.59)	111.59 (103.28, 120.61)	14.42 (11.24, 17.98)
Central sub-Saharan Africa	942596.08	2118.47 (1564.97, 2752.91)	2308899.09	2110.82 (1586.14,2 739.58)	2616800.70	2233.63 (1647.69, 2950.03)	177.61 (159.16, 199.37)	13.33 (6.08, 21.79)
East Asia	17695221.64	1450.67 (1095.61, 1834.85)	22909872.70	1398.13 (1058.68, 1770.21)	24029128.42	1447.28 (1103.83, 1825.01)	35.79 (30.35, 41.71)	4.88 (2.76, 7.29)
Eastern Europe	4019810.84	1668.96 (1248.15, 2119.26)	3814347.83	1635.43 (1221.57, 2074.01)	4340593.41	1910.06 (1423.91, 2436.16)	7.98 (4.89, 11.88)	13.79 (10.43, 17.73)
Eastern sub-Saharan Africa	2962956.97	1990.29 (1482.98, 2575.21)	6612095.91	1960.51 (1459.54, 2525.98)	7679754.06	2126.41 (1586.72, 2744.99)	159.19 (151.63, 167.12)	16.14 (12.82, 19.41)
High-income Asia Pacific	2863618.83	1554.80 (1179.04, 1932.41)	3068965.68	1577.35 (1195.17, 1960.64)	3286395.26	1721.55 (1305.43, 2154.41)	14.76 (11.66, 18.46)	7.08 (4.55, 10.39)
High-income North America	6387812.05	2152.02 (1621.42, 2726.69)	8831876.25	2319.04 (1737.27, 2926.87)	10106540.71	2662.06 (1977.68, 3399.24)	58.21 (53.49,63.42)	14.43 (11.90, 17.34)
North Africa and Middle East	6564776.37	2131.18 (1595.27, 2757.58)	13138710.18	2151.24 (1610.31, 2784.08)	14960229.40	2359.65 (1745.61, 3049.99)	127.88 (119.60, 136.42)	13.86 (10.55, 17.32)
Oceania	89588.18	1522.16 (1149.14, 1956.12)	188766.03	1517.06 (1141.30, 1932.53)	208647.58	1591.91 (1175.71, 2085.55)	132.89 (114.45, 151.51)	10.53 (1.91, 19.29)
South Asia	17712064.43	1834.57 (1375.65, 2335.07)	31453176.96	1749.41 (1311.92, 2219.26)	35948513.77	1925.51 (1447.69, 2471.47)	102.96 (95.43, 110.67)	14.29 (11.64, 16.95)
Southeast Asia	6243886.07	1438.95 (1090.28, 1812.42)	10204058.52	1434.00 (1091.84, 1816.59)	6243886.07	1588.29 (1206.94, 2022.22)	85.73 (79.51, 92.35)	13.65 (11.06, 16.66)
Southern Latin America	993417.81	2018.97 (1526.97, 2568.90)	1372828.90	1968.57 (1490.93, 2510.91)	1591300.65	2249.71 (1653.51, 2928.35)	60.18 (48.05, 73.33)	15.91 (7.09, 26.69)
Southern sub-Saharan Africa	833002.08	1805.43 (1353.31, 2309.14)	1394612.85	1800.76 (1349.52, 2297.27)	1659943.92	2073.72 (1548.89, 2686.33)	99.27 (91.67, 107.60)	19.02 (14.68, 23.54)
Tropical Latin America	3088703.74	2145.85 (1602.80, 2762.53)	5399427.95	2256.85 (1665.95, 2895.97)	6336302.74	2601.75 (1916.60, 3349.09)	105.14 (95.88, 114.65)	17.35 (13.32, 21.59)
Western Europe	9197288.60	2243.61 (1676.13, 2871.42)	10401818.91	2240.86 (1676.53, 2874.71)	11520859.82	2522.52 (1872.21, 3250.66)	25.26 (20.91, 29.65)	10.75 (7.31, 14.25)
Western sub-Saharan Africa	2688574.39	1709.71 (1277.72, 2177.53)	6528200.33	1703.06 (1275.72, 2175.80)	7189409.23	1755.29 (1304.72, 2236.64)	167.41 (162.07, 172.36)	10.13 (7.97, 12.22)

¹Percentage change of age-standardized disability-adjusted life-year rate.

DALY: Disability-adjusted life-year; ASDR: Age-standardized disability-adjusted life-year rate; SDI: Socio-demographic index.