Mental Health

Study shows movies about mental illness earn more, get better reviews

movies about mental illness girl in car

A new study finds that movies about mental illness have consistently earned more money, gotten better reviews, and won more Academy Awards than average since as far back as 1977.

In recent years, there have been many much-discussed films about mental illness, for example Joker, The Perks of Being a Wallflower, and Silver Linings Playbook. Their notability has gone hand in hand with a burgeoning discussion about the media’s portrayal of mental illness more generally. But so far, the scientific literature has not examined this trend.

That has changed with a new study written by researchers from Stanford University, Yale University, and the University of Connecticut. Their new paper, “Depiction of Mental Illness in Film and Association with Financial and Critical Success,” compares the financial and critical reception of these movies to all other movies released from 1977 to 2019.

More than 2,000 movies about mental illness

The authors researched the films’ earnings data from BoxOfficeMojo. They recorded the domestic results of 16,333 movies released between 1977 and August of 2019. This study did not look at international box office earnings.

They then looked on Wikipedia for plot summaries of those films. This search resulted in 10,491 plots. The other films either did not have a Wikipedia page, or did not have a page with a plot section.

Next, they searched these plot summaries for mental health-related keywords. Example keywords included autism, schizophrenia, bipolar, depression, ADHD, obsessive-compulsive disorder, mental disorder, suicide, mental institution, and many more.

This filtering resulted in 2,043 movies that had plots involving mental illness. Suicide was by far the most common mental illness-related search term, occurring in 1,114 of these films. It was followed by alcoholic, depression, psychiatrist, mental institution, and panic attack.

A growing genre

The researchers found that the number of movies about mental illness has been increasing by about two films per year since 1977. While that year saw fewer than ten such films released, by 2019 that number had grown to nearly 100.

Though the overall percentage of films about mental illness changed from one year to the next, it consistently remained between 10-20%.

Box office success

Next, the authors compared the financial success of these “mental illness” films to the success of all other films during the same period. They used total box office earnings as a proxy for financial success.

The earnings of the mental illness movies were above average in 83% of the years between 1977 and 2019. And for the films released between 1990 and 2019, that figure rose to 97%.

Critical reception of movies about mental illness

Likewise, the authors used IMDB ratings and Academy Award nominations (and wins) as proxies for critical success. In terms of critical reception, they found that the average IMDB rating for the mental illness movies was above average for every year from 1977 to 2019. The films depicting mental illness scored an average rating of 6.4, versus 5.9 for films overall.

Films about mental illness have also consistently done better than average in terms of Academy Award nominations and wins. Across all of years examined, films about mental illness accounted for 15.7% of all nominations. These films also won 17.2% of awards given out between 1977 and 2019.  

Raising awareness?

These results show “a substantial and growing interest in mental health and mental illness depictions from both the production and consumer standpoints,” the authors write.

While that might initially seem like good news, in that such films raise awareness about important mental health issues, the authors point out that this is not necessarily the case. While their findings indeed indicate a growing interest in movies about mental illness, “there is danger of fetishizing mental health problems, or of poor depictions being celebrated,” they write.  

“Psychiatrists and mental health providers,” they suggest, “must play a role in shaping future depictions of mental illness in cinema.”


Study:Depiction of Mental Illness in Film and Association with Financial and Critical Success
Authors: Shaan Kamal, Osama El-Gabalawy, Nathan Zhao, and Jelena MacLeod
Publication date: posted as preprint on October 22, 2020
DOI: https://doi.org/10.1101/2020.10.20.20215707
Photo: by Anastasia Shuraeva via Pexels

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