Psychiatry

Mental health and adolescence: hospital admissions in Tuscany have doubled in 10 years

In addition to the official figures, the widespread but unacknowledged distress among young people is compounded by waiting lists and local services that are ‘out of step’ with specialist care

 (AdobeStock)

3' min read

Translated by AI
Versione italiana

3' min read

Translated by AI
Versione italiana

In Tuscany, over the course of ten years, psychiatric admissions among the 0–19 age group have almost doubled, rising from 37.5 per 10,000 inhabitants in 2016 to 73.4 in 2025. In the same year, visits to A&E for psychiatric reasons reached 50.9 cases per 10,000 inhabitants – the highest figure since 2016 – with a higher incidence among girls (58.7) than among boys (43.7). These figures paint a picture that can no longer be ignored.

 

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The hidden distress

Alongside the cases that come to the attention of hospital services, there is a hidden level of distress that emerges clearly from surveys carried out in schools. Out of a sample of 4,927 secondary school pupils, 44.2 per cent of girls and 16.1 per cent of boys show high levels of psychological distress attributable to anxiety and depression; 12.7% reported episodes of self-harm at some point in their lives, a figure that rises to 18.8% among girls and stands at 7.2% among boys; furthermore, 28.9% are at risk of developing eating disorders.

 

Doctors’ warning

General practitioners and paediatricians chosen by patients are the first line of defence against this growing vulnerability. The Adolescent Mental Health Commission of the Florence Medical Association, in collaboration with the Epidemiology Observatory of the Ars Toscana, has launched a survey to gather the first-hand experiences of these professionals. 89 per cent of the doctors involved report treating adolescents with symptoms of mental distress, ranging from anxiety and depression to self-harming behaviour. However, 62 per cent report that access to public specialist services is difficult or only partially available.

 

Institutional “loneliness”

These figures paint a picture of a genuine clinical and social emergency. GPs are often the first line of defence capable of identifying distress, but they report a widespread sense of institutional isolation. Waiting lists for child neuropsychiatric services hinder the ongoing dialogue between primary and specialist care that is essential for early intervention.

 

The survey also highlights the need to invest in training. Many professionals are calling for specific training programmes and CME courses that will enable them to use standardised tools for psychopathological screening and the management of adolescent crises.

 

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Over the last twenty years, the world of teenagers has changed profoundly. The proportion of teenagers obtaining a driving licence has fallen from 62.5 per cent in 2005 to 31.1 per cent in 2025. 36.2 per cent of teenagers use their smartphones for more than five hours a day. 76.5 per cent of total alcohol consumption takes place at the weekend. It would be simplistic to attribute an automatic cause-and-effect relationship to these factors, but to ignore the changes in lifestyles would mean failing to understand the context in which these problems develop.

 

Services to be improved

Local healthcare services have the expertise and observational skills to identify situations of vulnerability at an early stage. However, without strengthening the network of specialist services and without an effective channel of communication between GPs and specialists, there is a real risk that these problems will become chronic or that people will make inappropriate use of hospital A&E departments.

 

The findings of this study provide regional health planning with a clear roadmap of the priorities on which to focus investment, starting with support for GPs and paediatricians, who form the first line of defence in the network safeguarding our children’s mental health.

 

* President of OMCeO Florence
** Coordinator of the ‘Adolescent Mental Health’ Committee at OMCeO Florence
*** Ars Toscana

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