Disorders such as anxiety and depression are exacting a heavy toll on individuals, families and economies, yet most countries are failing to provide adequate support.

Mental health problems are widespread across every society and age group and remain the second leading cause of long-term disability. They drive up healthcare costs for families and governments while costing the global economy an estimated $1 trillion each year in lost productivity, UN health experts said.

Way off track

The findings are detailed in two new reports: World mental health today and the Mental Health Atlas 2024.

Together, they show that while there has been some progress since 2020, the world is still far off track in tackling the scale of the crisis. The reports will help to inform debate at a UN high-level meeting on noncommunicable diseases and mental health, to be held late this month in New York.

“Transforming mental health services is one of the most pressing public health challenges,” said WHO Director-General Dr Tedros Adhanom Ghebreyesus.

“Investing in mental health means investing in people, communities and economies, an investment no country can afford to neglect. Every leader has a responsibility to act urgently and to ensure mental health care is treated not as a privilege, but as a basic right.”

Troubling gaps, uneven progress

The reports highlight several stark findings:

• Women are disproportionately affected by mental health conditions, with anxiety and depression most common among both sexes.
• Suicide claimed an estimated 727,000 lives in 2021 and is a leading cause of death among young people. On current trends, the world will fall far short of the UN target to reduce suicide deaths by a third by 2030, managing only a 12 per cent reduction.
• Median government spending on mental health remains at just two per cent of health budgets, unchanged since 2017. While high-income countries spend up to $65 per person on mental health, low-income countries spend as little as four cents.
• The mental health workforce is dangerously thin in many regions. There are just 13 mental health workers for every 100,000 people worldwide.
• Fewer than one in 10 countries has fully moved to community-based care, with most still relying heavily on psychiatric hospitals. Almost half of inpatient admissions are involuntary, and more than one in five patients remain hospitalised for over a year.

Despite these challenges, there have been some positive developments. More countries are integrating mental health into primary healthcare and expanding early intervention programmes in schools and communities.

Over 80 per cent of countries now include mental health and psychosocial support in emergency response, up from less than 40 per cent in 2020. Telehealth services are also becoming more widely available, though access is still uneven.

Call for systemic change

WHO is urging governments to step up investment and reform, warning that the current pace of progress is too slow to meet global goals. Key priorities include:

• Fairer financing of mental health services
• Stronger legal protection and rights-based legislation
• Greater investment in the mental health workforce
• Accelerated shift towards community-based, person-centred care

The UN health agency stresses that mental health should be treated as a fundamental human right. Without urgent action, millions will continue to suffer without support, and societies will bear rising social and economic costs.

For more information on how the UN overall is advocating for more resources to support mental health and wellbeing, check out this story from our colleagues at www.un.org.