Prevalence and impact of mental illness

1 in 5 Australians

aged 16–85 (22%, or 4.3 million) experienced a mental disorder.

17% of Australians experienced an Anxiety disorder

8% experienced an Affective disorder and 3% a Substance use disorder.

1 in 7 children and adolescents

aged 4–17 years experienced a mental illness.

Mental health is a key component of overall health and wellbeing (WHO 2021). A mental illness can be defined as ‘a clinically diagnosable disorder that significantly interferes with a person’s cognitive, emotional or social abilities’ (COAG Health Council 2017). However, a person does not need to meet the criteria for a mental illness to be negatively affected by their mental health (COAG Health Council 2017; Slade et al. 2009).

The terms ‘mental illness’, ‘mental disorder’, ‘mental health condition’ ‘psychiatric illness’ and other terms are used across a range of different studies and data sources to describe a range of mental health and behavioural disorders, which can vary in both severity and duration. For this report the term mental illness is used.

There are multiple surveys which collect information on the extent of mental illness in the Australian population. This page collates evidence on the prevalence and impact of mental illness. For more information about specific surveys, refer to data sources.

How many Australians have experienced mental illness?

The following estimates come from the 2020–2022 National Study of Mental Health and Wellbeing (NSMHW). It included an in-person interview using the World Health Organization’s Composite International Diagnostic Interview, version 3.0. This instrument indicates diagnoses, rather than relying on participant’s self-reporting of mental illness (ABS 2023b).

Based on the NSMHWB, of Australians aged 16–85, an estimated:

  • 8.5 million had experienced a mental illness at some time in their life (43% of the population).
  • 4.3 million had experienced a mental illness in the previous 12 months (22% of the population; Figure 1).

The most common mental illnesses in Australia, in the 12 months prior to the study, were:

  • Anxiety disorders (3.4 million people, or 17% of the population)
  • Affective disorders (1.5 million, or 8%)
  • Substance Use disorders (650,000, or 3%) (ABS 2023a).

Figure 1: Lifetime and 12-month mental illness, by type and sex, 2020 to 2022

Figure 1.1 Bar chart showing the estimated number of male and female Australians aged between 16 and 85 experiencing any of 12 mental illnesses, either over their lifetime or in the previous 12 months. An estimated 4,263,122 Australians in this age group (22% of this population) have experienced a mental illness over the previous 12 months.

Figure 1.2 Bar chart showing the estimated proportion of Australians who reported that they have been diagnosed with a serious mental illness in the previous 12 months, by sex and age group. Figures available for 2009, 2013, 2017, 2020 and 2021. The total proportion has risen from 11% in 2009 to 19% in 2021.

Figure 1.3 Line graph showing estimated proportion of Australians who report that they have a long-term mental illness, by sex and age group, 2003 to 2021. The total proportion of males has risen from 3% to 5% and females from 3% to 5%.

Sources: National Study of Mental Health and Wellbeing, 2020–2022; Household, Income and Labour Dynamics in Australia Survey 2021

The Australian Bureau of Statistics (ABS) National Health Survey (NHS) provides information on a range of health conditions, including self-reported mental illness. The NHS records a person as having a mental illness during the collection period only if the person reports that the condition had lasted, or was expected to last, 6 months or longer. According to the 2022 NHS, 26% of Australians aged 15 and over were estimated to have a mental illness during the collection period (January 2022 to April 2023) (ABS 2023e).

Based on the 2021 Census of Population and Housing (the Census) – which includes people of all ages – over 8 million Australians (32%) reported that they had been told by a doctor or nurse that they have a long-term health condition, with 2.2 million (9%) reporting a mental illness (including depression or anxiety) (ABS 2022a). Although the Census provides valuable information on the total population, the ABS recommends that the NSMHW be used as the reference source for mental illness prevalence data as it uses diagnostic criteria, rather than the self-reporting approach used in the Census and other surveys (ABS 2022b).

Similarly, the Household Income Labour Dynamics in Australia (HILDA) is a household-based panel study that collects information including health and wellbeing. The HILDA survey asks participants whether they have been told by a doctor or nurse that they have a serious mental illness, such as depression or anxiety, or a long-term mental illness. In 2021:

  • an estimated 19% of Australians reported being diagnosed with depression, anxiety or any other serious mental illness at some time in their life, an increase from 11% in 2009.
  • 6% of Australians reported having a long-term mental illness which requires help or supervision, or a nervous or emotional condition which requires treatment.

Mental illness includes conditions with relatively low prevalence and potentially severe consequences, such as psychotic illnesses (Department of Health and Ageing 2010). Psychotic illnesses may be characterised by symptoms including disordered thinking, hallucinations, delusions and disordered behaviour – although individual experiences vary greatly. Diagnoses include Schizophrenia, Schizoaffective disorder and Delusional disorder.

From the 2010 National Psychosis Survey it was estimated that 64,000 Australians aged 18–64 experienced a psychotic illness and were in contact with public specialised mental health services each year (referred to as the treated prevalence). This equates to 5 cases per 1,000 population. The survey found the most frequently recorded of these disorders was Schizophrenia which accounted for almost half of all diagnoses (47%) (Morgan et al. 2011).

Change over time

Prior to 2020–2022, the NSMHW was last undertaken in 2007. Estimates from the two surveys showed only minor differences in the overall prevalence of mental illness among the Australian population remained broadly similar, with 45% of Australians aged 16–85 years having a lifetime mental illness in 2007, compared with 43% in 2020–2022. In 2007, an estimated 20% of Australians had a 12-month mental illness, compared with 22% in 2020–2022. The prevalence of a 12-month mental illness remained the same among males (18% for both), but there was an increase among females (from 22% in 2007 to 25% in 2020–2022).

While the prevalence of a 12-month mental illness remained broadly similar between the two surveys for people aged 25–85, there was increased prevalence among young adults. In 2007, 26% of those aged 16–24 had a 12-month mental illness; in 2020–2022, this figure was 39%. This change is almost entirely driven by an increased prevalence among females in this age group: 30% of females aged 16–24 years in 2007 had a 12-month illness, compared with 46% in 2020–2022 (the prevalence for males of this age group increased from 23% to 32%).

Changes in methodology and diagnostic criteria mean that some comparisons between the 2007 and 2020–2022 studies should be made with caution. For more information, refer to Data interpretation.

Age and sex

The prevalence of mental illness varies by age and sex and has increased more rapidly than other serious illnesses – this increase has been more pronounced for young women (aged 15–34). In 2021, double the proportion of females aged 20–29 reported that they had been told by a doctor or nurse that they have a mental illness compared to males the same age (16% and 8%, respectively) (ABS 2022a)

According to the HILDA survey, in 2021, the estimated prevalence of depression or anxiety was highest among younger women and men (aged 15–34) at 22%, compared to 15% for people aged 55 and over. Since 2017, mental illness prevalence rates exceed asthma, which had been the most common serious illness for this age group (Figure 2).

Figure 2: Types of serious illness by age and sex, 2009 to 2021

Line graph showing estimated prevalence of serious illnesses in Australia by sex and age group. Figures available for 2009, 2013, 2017, 2020 and 2021. Depression or anxiety have the highest prevalence rate in Australia among all serious illnesses included in the HILDA survey in 2020 and 2021.

Source: Household, Income and Labour Dynamics in Australia Survey, 2021.

In addition to self-reported diagnoses, the HILDA Survey tracks the mental health of Australians based on the MHI-5 (Mental Health Inventory-5) mental health measure (a subscale of the SF-36 general health measure). This measure ranges from 0 to 100, with higher scores suggesting better mental health. The average score remained around 74 from 2001 to 2012. From 2013, it started decreasing until reaching 70 in 2021. Females maintained a lower average score than males over this time (Figure 3).

People aged 15–34 had lower mental health scores than those in older age groups. Moreover, this gap has been increasing as scores for younger people decrease at faster rates over the past 8 years. The average mental health score for people aged 15–34 decreased from 72 in 2001 to 65 in 2021. This difference is more pronounced for females, whose score decreased from 70 to 62 over this time. Females aged 55 and over recorded an average mental health score of 73 in 2021 compared with younger females (aged 15–34) who recorded an average score of 62.

Figure 3: Average mental health score of Australians aged 15 and over by sex, 2001–2021

Line graph showing average mental health score of Australians by sex and age group, 2001 to 2021. Australians aged 15–34 have the lowest average mental health score of all age groups.

Source: Household, Income and Labour Dynamics in Australia Survey, 2021.

Children and adolescents

The most recent Australian Child and Adolescent Survey of Mental Health and Wellbeing, also referred to as the Young Minds Matter Survey, was undertaken in 2013–14. Almost 3,000 people aged 4–17 participated and the survey included a structured diagnostic interview to assess young people against mental illness criteria (Lawrence et al. 2015).

About 14% of children and adolescents aged 4–17 years were estimated to have experienced mental illness in the previous 12 months, equivalent to about 628,000 people, which, assuming the same prevalence as 2013–14, would be equivalent to about 628,000 people based on the estimated 2022 population. The most common mental illnesses among children and adolescents were:

  • Attention Deficit Hyperactivity Disorder (7%, or about 334,000 people)
  • Anxiety disorders (7%, or about 312,000)
  • Major depressive disorder (3%, or about 126,000)
  • Conduct disorder (2%, or about 95,000).

About 30% of adolescents with a mental illness experienced 2 or more mental illnesses at some time in the previous 12 months.

Male children and adolescents (16%) were more likely than females (12%) to have experienced mental illness in the previous 12 months. The prevalence of mental illness was slightly higher for older females (13% for those aged 12–17) than younger (11% for those aged 4–11). The prevalence for males did not differ markedly between the younger and older age groups (17% and 16%, respectively) (Lawrence et al. 2015).

In 2021, HILDA estimates showed that around 7% of Australians aged 15–17 had a long-term mental health condition such as a nervous or emotional condition which requires treatment, or a mental illness which requires help or supervision. This proportion has increased from 2% in 2003. In addition, 19% of Australians in this age group were estimated to be diagnosed with depression, anxiety or any other mental illness, an increase from 6% in 2009.

Based on the 2021 HILDA survey, more adolescents reported frequently feeling ‘so down in the dumps nothing could cheer you up’ compared with 2008. The average score for this question has decreased from a high of 5.3 in 2008 to a low of 4.7 in 2021. The average score for the question ‘felt calm and peaceful’ has increased from 2.8 to 3.2, indicating that fewer adolescents report feeling calm and peaceful frequently (Figure 4).

Figure 4: Experience of mental health among people aged 15–17 years, 2003 to 2021

Line graph showing average mental health score and sub score of Australians aged 15–17, 2001 to 2021. The average mental health score of Australians ages 15–17 has decreased from a high of 76 in 2006 to a new low of 64 in 2021.

Source: Household, Income and Labour Dynamics in Australia Survey, 2021.

How does mental health differ across Australia?

In 2021, the Census included new questions on 10 common long-term health conditions. Some insights from the Census include:

  • 11% of people who usually reside in Tasmania have been told by a doctor or nurse that they have a mental illness, the highest proportion of any state or territory.
  • People who have no usual address tend to report a higher proportion of mental illnesses than people usually residing in fixed geographic areas (Figure 5).

Figure 5: Census data by states and territories, SA4 and PHN

Interactive data visualisation comparing reported mental illness between states and territories, Primary Health Networks and statistical areas.

Source: AIHW analysis of Australian Bureau of Statistics (2022) Census TableBuilder.

Note: Percentages may not sum to 100 due to due to rounding and confidentialisation. Refer to the data tables for more information.

Impact of mental illness

The HILDA survey collects information on the extent to which health conditions impact an individual’s everyday activities. In 2021, for people who reported having a long-term mental illness, an estimated:

  • 17% reported needing help or supervision due to their condition.
  • 59% of people aged less than 65 reported having difficulties with employment due to their condition. These difficulties included needing ongoing assistance or special equipment to work, having to restrict number of work hours or type of work they can do, among others.
  • 58% of students aged less than 65 had difficulties with education due to their condition.

HILDA also collects information on the degree to which health conditions limit the amount of work an individual can do (on a 0 to 10 scale, where 0 equals ‘not at all’ and 10 equals ‘unable to do any work’). In 2021, an estimated 68% of people reported that their condition limits the type or amount of work they can do, of these, about half reported a score higher or equal to 7, with 12% scoring 10.

Figure 6: Mental health of selected population groups by age and sex, 2003 to 2021

Line graphs comparing people not in education, employment or training and people living with disability with people not in these populations.

Source: Household, Income and Labour Dynamics in Australia Survey, 2021.

Burden of mental illness

Severity

Mental illness affects all Australians, either directly, for those who experience it or indirectly, such as family members, friends and carers. Mental illness can vary in severity and be episodic or persistent in nature. In most cases, the impact on the individual will be mild (9%, or an estimated 1.4 million people) or moderate (5%, or an estimated 710,000 people). It is estimated that around 3% (or an estimated 500,000 people) have a severe mental illness, of which 330,000 people have episodic mental illness and 170,000 have persistent mental illness (Whiteford et al. 2017).

Burden of disease

Mental health conditions and substance use disorders, such as Depression, Anxiety and Drug use, are substantial components of overall disability and morbidity. The Australian Burden of Disease Study 2023 examined the health loss due to disease and injury that is not improved by current treatment, rehabilitative and preventative efforts of the health system and society. For Australia, Mental and substance use disorders were estimated to be responsible for 15% of the total burden of disease, placing it second as a broad disease group after Cancer (17%) (AIHW 2023).

How many Australians experience psychological distress?

What is psychological distress?

Another insight into the mental health and wellbeing of Australians is provided by measures of psychological distress, which may include nervousness, agitation, psychological fatigue and depression. This distress can result in having negative views of the environment, others and oneself, and manifest as symptoms of mental illness, including anxiety and depression.

How is psychological distress measured?

Psychological distress is commonly measured using the Kessler 10 Psychological Distress Scale (K10), a scale based on questions regarding negative emotional states experienced in the past 30 days (ABS 2023d). Someone experiencing psychological distress will not necessarily be experiencing mental illness, although high scores on the K10 are strongly correlated with the presence of depressive or anxiety disorders (Andrews and Slade 2001). As it is relatively straightforward to measure, High and Very high levels of psychological distress are often used as a proxy for the presence of mental illness.

Surveys which measure psychological distress include the National Study of Mental Health and Wellbeing, the National Health Survey and the Household, Income and Labour Dynamics in Australia (HILDA) survey. Data presented here come from the National Study of Mental Health and Wellbeing 2020–2022 and National Health Survey.

Among Australians aged 16–85, as measured from late 2020 to late 2022, 17% experienced high or very high levels of psychological distress. A higher proportion of females aged 16–24 experienced psychological distress than males of this age group (34% compared with 18%) (Figure 7) (ABS 2023a). For more information on psychological distress, refer to the AIHW suicide and self-harm monitoring site.

Figure 7: Estimated number of Australians aged 16–85 experiencing psychological distress, 2020–2022

Bar chart showing the estimated number of male and female Australians aged between 16 and 85 experiencing high or very high psychological distress, by disorder group and age group.

Source: National Study of Mental Health and Wellbeing 2020–2022; National Health Survey 2011–12, 2020–21.

Data sources

Key concepts

Key concept

Description

Burden of disease

Burden of disease is measured in disability-adjusted life years (DALYs) – years of life lost due to premature mortality (fatal burden) and years of healthy life lost due to poor health (non-fatal burden).

Episodic mental illness

An episodic mental illness is characterised by acute episodes of symptoms, which may be severe and disabling, with periods of minimal symptoms or remission.

Long-term health condition

In the HILDA survey, a long-term health condition is one that restricts everyday activities and has lasted or is likely to last for six months or more.

Mental Health Inventory-5 (MHI-5)

The MHI-5 is a questionnaire used to screen for depressive and anxious symptoms. It consists of 5 questions about how people have been feeling during the past 4 weeks. Responses are recorded on a scale of 1 to 6, where 1 equates to ‘All of the time’ and 6 ‘None of the time’.

Persistent mental illness

In persistent mental illness, the severity and impact of symptoms may fluctuate but remain chronic and may be disabling.

Prevalence

Prevalence measures the proportion of a population with a particular condition during a specified period of time (period/point prevalence), usually measured over a 12-month period or over the lifetime of an individual (lifetime prevalence).

Psychosocial disability

Psychosocial disability within the Survey of Disability, Ageing and Carers refers to people who report:

  • A nervous or emotional condition which causes restrictions in everyday activities; or
  • A mental illness for which help or supervision is required; or
  • Memory problems or periods of confusion that restrict everyday activities; or
Social or behavioural difficulties that restrict everyday activities (ABS 2020).

Serious illness

In the HILDA survey, a serious illness is any illness which has lasted or is likely to last for six months or more.

Medical Outcomes Study Short Form (SF-36)

The SF-36 is a widely used 36 item questionnaire covering a range of physical health, mental health and wellbeing measures. It can be used to make comparisons between groups and quantify disease burden.


This section was last updated 30 April 2024.