Climate anxiety in young people: a call to action
Authors: Judy Wu, Gaelen Snell, Hasina Samji
Journal: The Lancet Planetary Health (2020)

Climate change poses a major threat to human health. Emerging studies are elucidating the physical health effects of climate change, such as increased rates of heat-related illnesses and infectious diseases and exacerbation of cardiopulmonary conditions;1Parker CL Wellbery CE Mueller M The changing climate: managing health impacts.Am Fam Physician. 2019; 100: 618-626PubMed Google Scholar however, research is scarce on the psychological effects,2Sanson AV Van Hoorn J Burke SEL Responding to the impacts of the climate crisis on children and youth.Child Dev Perspect. 2019; 13: 201-207Crossref Scopus (69) Google Scholar particularly in young people (defined by WHO as individuals aged 10–24 years) and youth (15–24 years) who might be disproportionately affected. The climate crisis could precipitate new psychological conditions and worsen existing mental illnesses among young people experiencing climate anxiety, yet pervasive data gaps preclude our ability to act. Natural disasters precipitated by climate change including hurricanes, heatwaves, wildfires, and floods can lead to direct psychological effects, such as increased rates of depression, anxiety, post-traumatic stress, and other mental health disorders.3Clayton S Manning C Krygsman K Speiser M Mental health and our changing climate: impacts, implications, and guidance. American Psychological Association and EcoAmerica, Washington, DC2017Google Scholar However, psychological effects of climate change unrelated to a climate event are less well characterised. Referred to as eco-anxiety, climate distress, climate change anxiety, or climate anxiety, these terms describe anxiety related to the global climate crisis and the threat of environmental disaster.3Clayton S Manning C Krygsman K Speiser M Mental health and our changing climate: impacts, implications, and guidance. American Psychological Association and EcoAmerica, Washington, DC2017Google Scholar, 4Clayton S Karazsia BT Development and validation of a measure of climate change anxiety.J Environ Psychol. 2020; 69101434Crossref Scopus (135) Google Scholar, 5Searle K Gow K Do concerns about climate change lead to distress?.Int J Clim Chang Strateg Manag. 2010; 2: 362-379Crossref Scopus (94) Google Scholar Symptoms associated with climate anxiety include panic attacks, insomnia, and obsessive thinking.6Castelloe M Coming to terms with ecoanxiety.https://www.psychologytoday.com/us/blog/the-me-in-we/201801/coming-terms-ecoanxietyDate: Jan 9, 2018Date accessed: June 30, 2020Google Scholar Feelings of climate distress might also compound other daily stressors to negatively affect overall mental health, potentially leading to increases in stress-related problems such as substance use disorders, anxiety disorders, and depression.3Clayton S Manning C Krygsman K Speiser M Mental health and our changing climate: impacts, implications, and guidance. American Psychological Association and EcoAmerica, Washington, DC2017Google Scholar With little available data, the prevalence of climate anxiety cannot be quantified, although there are indications that young people are adversely affected. For instance, global youth-led climate strikes, federal lawsuits demanding government action to reduce greenhouse gas emissions, and advocacy by young climate activists such as Greta Thunberg and Isra Hirsi show that youth are anxious about their collective futures. In 2019, in March alone, an estimated 1·6 million school-aged protestors in 125 countries demanded action be taken to combat climate change. Direct effects of the climate crisis on youth are already apparent: the global concentration of atmospheric carbon dioxide is the highest it has been in 3 million years, sea levels are continuously rising, and global temperatures are the hottest ever recorded. To compensate, the lifetime carbon dioxide emissions (or carbon budget) of the average young person today will need to be eight times less than that of their grandparents to restrict global warming to 1·5°C, as the limit set out by the Intergovernmental Panel on Climate Change in 2018.7Hausfather Z Analysis: why children must emit eight times less CO2 than their grandparents.https://www.carbonbrief.org/analysis-why-children-must-emit-eight-times-less-co2-than-their-grandparentsDate: April 10, 2019Date accessed: June 28, 2020Google Scholar Youth might be more likely than adults to experience ill-effects associated with climate anxiety. They are at a crucial point in their physical and psychological development, when enhanced vulnerability to the effects of stress and everyday anxiety elevate their risk of developing depression, anxiety, and substance use disorders.8Sheth C McGlade E Yurgelun-Todd D Chronic stress in adolescents and its neurobiological and psychopathological consequences: an RDoC perspective.Chronic Stress (Thousand Oaks). 2017; 1247054701771564Crossref Scopus (48) Google Scholar Additionally, chronic stress during youth might result in permanent alterations in brain structure and the emergence of psychopathologies later in life.8Sheth C McGlade E Yurgelun-Todd D Chronic stress in adolescents and its neurobiological and psychopathological consequences: an RDoC perspective.Chronic Stress (Thousand Oaks). 2017; 1247054701771564Crossref Scopus (48) Google Scholar As such, the stress of a climate crisis during a crucial developmental period, coupled with an increased likelihood of encountering repeated stressors related to climate change throughout life,2Sanson AV Van Hoorn J Burke SEL Responding to the impacts of the climate crisis on children and youth.Child Dev Perspect. 2019; 13: 201-207Crossref Scopus (69) Google Scholar will conceivably increase the incidence of mental illness over the life course. However, few attempts have been made to investigate the short-term and long-term effects of climate anxiety on the mental health of youth. Measuring the magnitude of the effects of climate anxiety on youth mental health, identifying which groups are most affected, and partnering with youth to develop approaches to mitigate the mental health effects is a pressing priority. Valid and reliable tools for measuring climate anxiety should be developed and implemented,4Clayton S Karazsia BT Development and validation of a measure of climate change anxiety.J Environ Psychol. 2020; 69101434Crossref Scopus (135) Google Scholar and standardisation in the field promoted to enable comparisons among and within populations.5Searle K Gow K Do concerns about climate change lead to distress?.Int J Clim Chang Strateg Manag. 2010; 2: 362-379Crossref Scopus (94) Google Scholar Few tools have been published in peer-reviewed research and, concerningly, even fewer measure climate anxiety in young people.9Lee K Gjersoe N O'Neill S Barnett J Youth perceptions of climate change: a narrative synthesis.Wiley Interdiscip Rev Clim Change. 2020; 11: e641Crossref Scopus (64) Google Scholar Of the studies in youth, many do not focus specifically on climate anxiety and its effects on mental health, but instead investigate alternative outcomes such as the relationship between climate concern and environmental actions.10Boyes E Stanisstreet M Skamp K et al.An international study of the propensity of students to limit their use of private transport in light of their understanding of the causes of global warming.Int Res Geogr Environ Educ. 2014; 23: 142-165Crossref Scopus (21) Google Scholar Thus, the development of climate anxiety scales (like in the 2020 publication by Clayton and Karazsia4Clayton S Karazsia BT Development and validation of a measure of climate change anxiety.J Environ Psychol. 2020; 69101434Crossref Scopus (135) Google Scholar) and validation in diverse youth populations might be a first step in addressing this knowledge gap, followed by prospective studies in young people to improve understanding of the long-term effects on mental health. Mental health professionals, policy makers, and advocates need robust evidence to mitigate the effects of climate anxiety and stress on the short-term and long-term mental health of young people. There has never been such a large population of young people globally, nor do we anticipate any reversal of the impacts of climate change. Young people are agents of change, our future leaders, and most likely to succeed in improving planetary health. Thus, making investments to improve their mental health and wellbeing will provide dividends now and in the future. We declare no competing interests.