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Over a billion people living with mental health conditions – services require urgent scale-up

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More than 1 billion people are living with mental health disorders, according to new data released by the World Health Organization (WHO), with conditions such as anxiety and depression inflicting immense human and economic tolls. While many countries have bolstered their mental health policies and programmes, greater investment and action are needed globally to scale up services to protect and promote people’s mental health.

Mental health conditions such as anxiety and depression are highly prevalent in all countries and communities, affecting people of all ages and income levels. They represent the second biggest reason for long-term disability, contributing to loss of healthy life. They drive up health-care costs for affected people and families while inflicting substantial economic losses on a global scale.

The new findings published in two reports – World mental health today and Mental Health Atlas 2024 – highlight some areas of progress while exposing significant gaps in addressing mental health conditions worldwide. The reports serve as critical tools to inform national strategies and shape global dialogue ahead of the 2025 United Nations High-Level Meeting on noncommunicable diseases and promotion of mental health and well-being, taking place in New York on 25 September 2025.

“Transforming mental health services is one of the most pressing public health challenges,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “Investing in mental health means investing in people, communities, and economies – an investment no country can afford to neglect. Every government and every leader has a responsibility to act with urgency and to ensure that mental health care is treated not as a privilege, but as a basic right for all.”

Key data from World mental health today

The report shows that while prevalence of mental health disorders can vary by sex, women are disproportionately impacted overall. Anxiety and depressive disorders are the most common types of mental health disorders among both men and women.

Suicide remains a devastating outcome, claiming an estimated 727 000 lives in 2021 alone. It is a leading cause of death among young people across all countries and socioeconomic contexts. Despite global efforts, progress in reducing suicide mortality is too low to meet the United Nations Sustainable Development Goal (SDG) of a one-third reduction in suicide rates by 2030. On the current trajectory, only a 12% reduction will be achieved by that deadline.

The economic impact of mental health disorders is staggering. While health-care costs are substantial, the indirect costs – particularly in lost productivity – are far greater. Depression and anxiety alone cost the global economy an estimated US$ 1 trillion each year.

These findings underscore the urgent need for sustained investment, stronger prioritization, and multi-sectoral collaboration to expand access to mental health care, reduce stigma, and tackle the root causes of mental health conditions.

Key findings from the 2024 Mental Health Atlas

Since 2020, countries have been making significant strides in strengthening their mental health policies and planning. Many have updated their policies, adopted rights-based approaches, and enhanced preparedness for mental health and psychosocial support during health emergencies.

However, this momentum has not translated into legal reform. Fewer countries have adopted or enforced rights-based mental health legislation, and only 45% of countries evaluated laws in full compliance with international human rights standards.

The report reveals a concerning stagnation in mental health investment. Median government spending on mental health remains at just 2% of total health budgets – unchanged since 2017. Disparities between countries are stark; while high-income countries spend up to US$ 65 per person on mental health, low-income countries spend as little as US$ 0.04. The global median number of mental health workers stands at 13 per 100 000 people, with extreme shortages in low- and middle-income countries.

Reform and development of mental health services is progressing slowly. Fewer than 10% of countries have fully transitioned to community-based care models, with most countries still in the early stages of transition. Inpatient care continues to rely heavily on psychiatric hospitals, with nearly half of admissions occurring involuntarily and over 20% lasting longer than a year.

Integration of mental health into primary care is advancing, with 71% of countries meeting at least three of five WHO criteria. However, data gaps remain; only 22 countries provided sufficient data to estimate service coverage for psychosis. In low-income countries fewer than 10% of affected individuals receive care, compared to over 50% in higher-income nations – highlighting an urgent need to expand access and strengthen service delivery.

Encouragingly, most countries report having functional mental health promotion initiatives such as early childhood development, school-based mental health and suicide prevention programmes. Over 80% of countries now offer mental health and psychosocial support as part of emergency responses, up from 39% in 2020. Outpatient mental health services and telehealth are becoming more available, though access remains uneven.

Global call to scale up action on mental health

While there have been some encouraging developments, the latest data shows that countries remain far off track to achieve the targets set in WHO’s Comprehensive Mental Health Action Plan.

WHO calls on governments and global partners to urgently intensify efforts toward systemic transformation of mental health systems worldwide. This includes:

  • equitable financing of mental health services;
  • legal and policy reform to uphold human rights;
  • sustained investment in the mental health workforce; and
  • expansion of community-based, person-centered care.

Note for editors

The World mental health today publication is a timely update to the data chapter of the 2022 World Mental Health Report: Transforming Mental Health for All. As mental health transformation continues to be needed worldwide, this latest release brings together the most up-to-date global data on the prevalence, burden, and economic cost of mental health conditions.

The Mental Health Atlas survey assesses the state of mental health services and systems across the world. This latest edition compiles findings from 144 countries and provides the most comprehensive representation of the world’s response to the challenge of mental ill-health through implementation of mental health policies, legislation, financing, human resources, availability and utilization of services and data collection systems. This latest edition includes new sections on tele mental health and mental health and psychosocial support preparedness and response in emergencies, which reflect the changing landscape of mental health and associated data gaps or information needs. 

 

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Press Release OHCAR annual report 2024

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Bystander CPR in cases of out-of-hospital cardiac arrest in this country increased by 24 per cent between 2012 and 2024.  Bystander CPR happens when someone who has witnessed or comes across a cardiac arrest steps in to provide CPR. 

Overall, in 2024 there were 2,885 cases of out-of-hospital cardiac arrests where resuscitation continued after the arrival of the Emergency Medical Services.

The figures are contained in the 2024 annual report of the Out-of-Hospital Cardiac Arrest Register (OHCAR) which has been published by the National Ambulance Service.

Of the 2,885 patients, 68 per cent were male and the median age was 68 years – patients ranged in age from less than one year to over 100 years of age. Women who suffered a cardiac arrest were on average older by 5 years than men (71 years vs. 66) and the majority or 68 per cent of all cardiac arrests happened in the home.

Of the 2,885 people who suffered an out-of-hospital cardiac arrest where resuscitation was attempted, 232 individuals or 8.0 per cent survived to leave hospital alive, according to the report.

Bystander CPR was attempted in 84% of cardiac arrests in 2024 which were not witnessed by members of the Emergency Medical Services.

Attempted defibrillation before the arrival of Emergency Medical Services has increased to 12% of all patients (n=339/2,885).

Latest figures show that defibrillation was attempted in 962 cases last year and that 35% of those attempts were made prior to the arrival of the Emergency Medical Services (n=339/962), highlighting the valuable life-saving work of First Responders in the community.

First Responders can include members of the general public, off-duty healthcare workers, members of Community First Responder groups, Local Authority Fire Services, voluntary organisations (such as the Irish Red Cross, Order of Malta, St. John Ambulance, and the Irish Coast Guard), auxiliary services such as Civil Defence and members of An Garda Síochána.

Community First Responders and other First Responders play a very important role in supporting the delivery of prehospital emergency care in local communities.

Professor Conor Deasy, Chair of the OHCAR said: “It’s great to see that bystander CPR in cases of out-of-hospital cardiac arrest in this country increased by 24 per cent between 2012 and 2023.  In line with previous years, surviving patients were more likely to be younger and have been witnessed to collapse in a public urban location. Knowing what to do; ring 999/112, put your phone on a speaker while speaking to the 999 Call Taker and start chest compressions.’’

“Members of the public defibrillated 339 patients, of whom 90 survived (27%). This achievement emphasises the importance of Community First Responders and Public Access Defibrillators in saving lives.”

The OHCAR is hosted and funded by the National Ambulance Service (NAS) and captures the work of EMTs, Paramedics and Advanced Paramedics working for the National Ambulance Service, Dublin Fire Brigade and Airport Fire and Rescue Service, Dublin Airport – aiming to improve outcomes in Ireland for this extreme emergency by continuous evidence based performance measurement and feedback to service providers and the broader community.

Last updated on: 24 / 09 / 2025

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2024 OHCAR Infographic

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OHCAR Annual Report 2024

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