In 2020, there were 193 893 deaths in the EU resulting from mental and behavioural disorders, representing 3.7% of all deaths in the EU. Mental and behavioural disorders include dementia, schizophrenia, and also disorders related to psychoactive substance use, such as alcohol or drug dependence. 

The EU’s standardised death rate for mental and behavioural disorders was 39.1 deaths per 100 000 people in 2020 (from 28.6 deaths in 2011), with a higher death rate among males (40.1) than females (36.8). 

When it comes to deaths due to disorders related to alcohol use, in 2020, the EU’s standardised death rate was 3.6 deaths per 100 000 people, up from 3.2 deaths in 2011. 

This rate was notably high in some EU countries: Slovenia (17.3 deaths per 100 000 inhabitants), Poland (10.1), Denmark (7.3), Croatia (6.5), Austria and Latvia (both 6.2). At the other end of the scale, the rate was at its lowest in Greece, Italy, Malta (all with 0.4 deaths per 100 000 people), Spain and Cyprus (both 0.5).

 

Bar chart: Deaths caused by mental and behavioural disorders due to use of alcohol in the EU, rate of deaths

Source dataset: hlth_cd_asdr2

 

Dementia death rates on the rise in the EU

Dementia stands out in the total number of deaths related to mental and behavioural disorders. In 2020, among all deaths due to mental and behavioural disorders, dementia was responsible for 32.6 deaths per 100 000 inhabitants, a notable uptick when compared with 2011 (23.3 deaths per 100 000 inhabitants). This is influenced by age, with dementia being the leading cause of death due to mental and behavioural disorders among people aged 65 and older. Among the EU members, the standardised death rate due to dementia was significantly high in Malta (80.1 deaths per 100 000 inhabitants), the Netherlands (68.0), Sweden (57.5), Denmark (53.3) and Germany (52.3). Conversely, the lowest death rates due to dementia were recorded in Romania (0.03 deaths per 100 000 inhabitants), Slovenia (0.5), Bulgaria (1.0) and Poland (1.2). 

 

Bar chart: Deaths caused by dementia in the EU, rate of deaths

Source dataset: hlth_cd_asdr2

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Methodological notes

  • Causes of death are classified according to the European shortlist (86 causes), which is based on the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10). Mental disorders include the following:
    • F00-F09 Organic, including symptomatic, mental disorders
    • F10-F19 Mental and behavioural disorders due to psychoactive substance use
    • F20-F29 Schizophrenia, schizotypal and delusional disorders
    • F30-F39 Mood [affective] disorders
    • F40-F48 Neurotic, stress-related and somatoform disorders
    • F50-F59 Behavioural syndromes associated with physiological disturbances and physical factors
    • F60-F69 Disorders of adult personality and behaviour
    • F70-F79 Mental retardation
    • F80-F89 Disorders of psychological development
    • F90-F98 Behavioural and emotional disorders with onset usually occurring in childhood and adolescence
    • F99-F99 Unspecified mental disorder
  • Mental and behavioural disorders are often highly stigmatised and diagnostic criteria for different mental and behavioural disorders often have many overlapping symptoms making diagnoses difficult and variable. Consequently, mental and behavioural disorders are known to be greatly underdiagnosed, and coding practices may vary significantly between countries

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