> living in dense inner-city areas did not carry the highest depression risks. Rather, after adjusting for socioeconomic factors, the highest risk was among sprawling suburbs
another interesting tack: how long did we have cars before we started talking about a widespread mental health crisis? is there a more parimonious explanation, like a different event that is located closer to it in time? perhaps smartphones or the internet?
Another thing about "this mental health crisis" is that it has been ongoing for many decades before we noticed it and before it was brought to the forefront. "One Flew Over the Cuckoo's Nest" was out and then President Reagan approved the mass closure of asylums. What happened was that massive numbers of citizens had been condemned and committed by their relatives and "put away" in homes, facilities, and institutions, and then Reagan shut 'em all down.
Today, the mentally ill live among us. Either their families care for them, or they live in jails/prisons because they became criminals and were convicted, or they live independently/on the streets. The mentally ill live now in "virtual institutions" where their chains and restraints consist of drugs. The drugs are what keep them connected to their home clinics and their psychiatrists. The drugs keep them coming back for more, month after month, to their pharmacies and clinics. The drugs they are convinced they cannot live without, making them compliant and unsure of what is really going on in their lives.
The non-criminal mentally ill are mostly encouraged to integrate and socialize, to seek employment and try to simulate functional human beings in society. So they live among us and they are causing more noticeable issues when they interact with people possessed of more sanity. The mentally ill are probably less likely to drive or own a vehicle, and more likely to rely on public transit, so you know where to find them.
But the mentally ill who live independently, and live with these "virtual restraints" are likewise living in fragmented neighborhoods that are not walkable and require a lot of effort to overcome the sheer distances that separate them from services and their employers. They're living among immigrants, foreigners, heathens and infidels, and on every corner is a moral trap such as easy alcohol, easy sex, easy gluttony, easy gambling that can ensnare even the sanest city dweller. These traps are, of course, legitimate businesses that cannot be shut down by a mere vice-squad raid.
So "this mental health crisis" in 2026 can perhaps be partly traced to the advent of personal motor vehicles, but I feel there are several causes that have brought it to the forefront.
EDIT: missed your other reply a few mins earlier alluding to smartphones already
The idea is that teen mental health got dramatically worse in the early 2010s at the same time as social media began to become ubiquitous, but this is likely a coincidence. The underlying metrics we're tracking here are self-harm hospitalizations, and concerns about teen self-harm were already growing in the early 2000s. This leads to a bunch of new guidance getting published which increases teen mental health screening, tracks mental health status as a cause of injuries, and forces insurance companies to cover associated costs.
It's one of those situations where our stats about a problem increased as we became better at tracking it. Teen suicidality is actually WAY down over the past ~30 years.
Qualitative data is, of course, much harder to work with than hospitalization numbers, but the data we do have suggests a weak correlation, if any, between phone use and poor mental health— see https://pubmed.ncbi.nlm.nih.gov/30944443/, which suggests phones can explain at most 0.4% of variance in well-being among teens. [1]
It feels like common sense that social media is bad for you, and sure, there's plenty of work to be done in understanding how and why social media can cause harm. But the idea that there's some big crisis just doesn't pan out.
Info drawn from https://podcasts.apple.com/us/podcast/the-anxious-generation...
[1]: In fairness, Haidt published a response to this article featuring a new, bespoke set of controls for the data. His analysis suggests that the impact of social media use on mental health is nearly twice as large as that of being sexually assaulted and four times larger than hard drug use (which itself has a slightly larger effect size than wearing glasses). Personally, I don't find these conclusions plausible at all. Maybe Haidt's been p-hacking, or maybe the data set is worthless. I couldn't say. https://www.sciencedirect.com/science/article/pii/S000169182...