Comparative analysis of the prevalence of mental disorders in the Russian Federation in 1991–2018 has been carried out on the basis of the study of official statistics (information of reporting form № 10 introduced by the Ministry of Health of the Russian Federation since 1991) and calculation of indicators of general incidence of mental disorders. Age characteristics in the dynamics of general incidence of mental disorders have been identified: reduction in prevalence of non-psychotic psychopathology in groups of 0–17, 20–59 years old and growth of number of psychotic forms in groups of 0–17 and 18–19 years old in 2007–2018. The authors of the article conclude that decrease in the incidence of mental disorders, and especially non-psychotic forms of mental disorders, along with positive factors, indicates a decrease in referrals for psychiatric care by the population of the Russian Federation, which in turn is related to socio-economic problems, attitude of society to psychiatry, accessibility of psychiatric care.

The purpose of the study was to identify the main trends in the primary incidence of mental disorders in the Russian Federation in 2017–2019. The analysis of indices based on statistical reports, revealed changes in the direction of the dynamics of the primary incidence of mental disorders in the Russian Federation. In 2017–2019, the indicator increased (by 7,4 %) for the first time after a years-long (2005–2017) rather intense annual decline. The increase is observed in almost all federal districts of the country. The most noticeable increase is noted in the incidence of organic mental disorders, chronic inorganic disorders, childhood psychoses, including autism, as well as in indices in the groups of children and adolescents of 0–17 years old and individuals of 60 years and older. In conclusion, it was noted that the change in the dynamics of primary incidence in the Russian Federation observed in 2017–2019 is due to a number of factors: from organizational to social ones. As the most significant of them, early diagnosis and an increase in citizens’ referral to psychiatric institutions are noted.

The aim of the study was to identify the main trends in the overall incidence of mental disorders in the Russian Federation in 2017–2019. The analysis of indices based on statistical reports, revealed changes in the direction of the dynamics of the overall incidence of mental disorders in the Russian Federation. In 2018–2019, the indicator increased (by 0,1 %) for the first time after a yearslong (2007–2018) rather intense annual decline. The most noticeable increase is noted in the incidence of organic mental disorders, chronic inorganic disorders, childhood psychoses, including autism, as well as in indices in the groups of children and adolescents 0–14, 15–17 years old and individuals of 60 years and older. The authors of the article conclude that the change in the dynamics of overall incidence in the Russian Federation observed in 2017–2019 indicates a rise in the referral to psychiatric institutions in the last year with an increase in the total number of patients receiving specialized care.

The purpose of the study was to determine age characteristics in the dynamics of primary incidence of mental disorders in the Russian Federation in 1991–2018. 2 periods of distinct dynamics of indicators related to the primary incidence of mental disorders were distinguished on the basis of analysis of statistical reports: from 1991 to 2004, when the indicators grew rapidly, and from 2005 to 2018, when the indicators decreased. Change in the direction of the indicator dynamics coincided with the beginning of restructuring of the psychiatric service of the Russian Federation in 2005 as part of the health care reform. Age differences in the dynamics of indicators in 2004–2018 with a significant decrease in the primary incidence of the main forms of mental disorders among working-age people (20–59 years) and an increase in the rates of psychotic disorders among children 0–17 years old were noted. The authors of the article came to the conclusion that one of the main reasons for these changes was a decrease in the number of referrals due to problems of stigmatization and insufficient availability of psychiatric care.