Almost 1 in 4 Aussie high schoolers report mental health problems, and it's worse for girls and gender diverse teens

Publicly released:
Australia; NSW
Photo by Meg on Unsplash
Photo by Meg on Unsplash

***This media release contains information some readers may find distressing as it refers to data about mental health. If you or anyone you know needs help, support is available now. Call Lifeline (Aus) on 131 114 or Beyond Blue on 1300 22 4636, or Lifeline (NZ) on 0800 543 354. ***

Teenage girls and gender diverse teens are more likely to experience worsening depression and anxiety over their high school years, according to Australian research, which found high rates of depression, distress and anxiety across the board. Over 6500 teens from 71 Australian schools were surveyed annually about their mental health from Year 7 to Year 10.  The researchers say by Year 10, almost one in four participants reported high psychological distress,  with similar rates for moderate-to-severe anxiety. Three in ten participants reported probable major depression.  Compared with cisgender boys, cisgender girls reported higher mental health problems at Year 7 and a steeper increase in symptoms over time, and gender diverse teens had even higher baseline symptoms and an even steeper increase.

Media release

From: Public Health Association of Australia

New Study Finds Highest Rates of Anxiety and Depression Among Gender-Diverse Teens and Girls Living With Disadvantage

New research published today shows that female teenagers – especially those from lower-socio economic backgrounds – and gender-diverse adolescents are significantly more likely to experience worsening mental health symptoms over their high school years.

The study of over 6,600 Australian teenagers and published today in the Australian and New Zealand Journal of Public Health, is the largest of its kindandprovides new insights into Australian adolescents’ mental health.

Researchers surveyed teenagers’ multiple times from years 7 to year 10, allowing them to track how mental health symptoms developed over time.

Lead author Dr Scarlett Smout, Postdoctoral Research Associate at the Matilda Centre for Research in Mental Health and Substance Use at the University of Sydney, says that mental health symptoms were alarmingly common and increased as teenagers aged.

“By year 10, nearly 3 in 10 teens in this sample had probable major depression, almost 1 in 4 reported high mental distress and nearly 1 in 4 had moderate-to-severe anxiety symptoms.

“We were very concerned to find that mental health symptoms were so widespread in this large cohort of Aussie teens. While our sample wasn’t representative, it provides further evidence that current generations of teenagers are suffering more than those before them.”

Co-author Dr Katrina Champion, a Senior Research Fellow from the Matilda Centre, said that knowing which groups were most at risk was vital to help inform what support and programs were offered.

“Compared to males, females and gender diverse teens experienced greater symptoms of distress, anxiety and depression, especially those from less affluent backgrounds.

“More work needs to be done directly with teenagers in these vulnerable groups to develop tailored mental health prevention and support programs,” Dr Champion says.

Adjunct Prof Terry Slevin, CEO, Public Health Association of Australia says that more also needs to be done to understand what is driving poor mental health amongst teens and how good mental health can be protected and promoted.

“Adolescent mental health is a hugely concerning and growing public health issue. The teenage years are a foundational time in our children’s lives, setting up their mental wellbeing for the future.

“This study shows that mental health symptoms in our younger generation are disturbingly common, deteriorate over time and are affecting some of the more vulnerable segments of our community. We need more research to better understand what’s driving these trends, as well as how we can invest in prevention to protect the mental health of teenagers.”

In recognition of growing concerns about mental health as a public health issue, The Public Health Association of Australia will run a new three-day Mental Health Prevention and Promotion conference in March 2026 in Parramatta. The inaugural event will bring together experts to understand and discuss how mental health conditions, particularly in young people, can be better understood and prevented.

If you’re a young person and would like help with mental health concerns, you can access free confidential support through the Kids Helpline (KidsHelpLine.com.au or Free call: 1800 55 1800) or ReachOut (Reachout.com.au)

ENDS

“All things being equal? Longitudinal patterns of mental disorder symptoms and associations with key social determinants in a large cohort of Australian adolescents” will be published in the Australian and New Zealand Journal of Public Health on the 18th June 2025here.

Please credit the Australian and New Zealand Journal of Public Health as the source of the research.  

The Journal is the official publication of the Public Health Association of Australia. 

All articles are open access and can be found here:  https://www.journals.elsevier.com/australian-and-new-zealand-journal-of-public-health

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Research Australian and New Zealand Journal of Public Health, Web page The URL will go live after the embargo ends
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Australian and New Zealand Journal of Public Health
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Organisation/s: The University of Sydney
Funder: The Health4Life study was funded by the Paul Ramsay Foundation and the Australian National Health and Medical Research Council via Fellowships (KC, APP1120641; and NN, APP1166377) and via a Centre of Research Excellence in the Prevention and Early Intervention in Mental Illness and Substance Use (PREMISE; APP11349009). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
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