[Articles] Emotional distress in adolescents in 2018 and 2022: a comparison of cross-sectional national probabilistic samples from six countries

Emotional distress among adolescents in most participating countries was higher in 2022 than in 2018, with disproportionate increases in the number of those reporting high degrees of distress. This pattern suggests a widening of vulnerabilities and highlights an urgent need for scalable and context-sensitive responses, such as strengthening school-based supports, integrating mental health into primary care, and expanding digital and community-based interventions.