Mental Health
A range of questions were asked regarding experiences of mental health. This included discussions of childhood and adulthood experiences, what mental health care was available (and which was most helpful), screening questions developed in conjunction with several mental health professionals, and questions regarding formal medical diagnoses. We will begin here by looking at key symptoms of mental ill health reported by corporate TCKs through screening questions.
33% of corporate TCKs said they experienced a “serious mental health crisis” during childhood. 88% of corporate TCKs surveyed had experienced symptoms of at least one mental health concern during their lifetime, and nearly half (47%) had at least one formally diagnosed mental health condition. This is similar to what was seen in TCKs from other sectors.

A high percentage of corporate TCKs had experienced symptoms consistent with anxiety (67%), depression (57%), suicidal ideation (51%), and PTSD (44%). While most of this was consistent with the rates seen in other TCKs, corporate TCKs were more likely to experience certain mental health concerns than other TCKs:
- Corporate TCKs were 41% more likely to self harm than other TCKs.
- Corporate TCKs were 27% more likely to experience disordered eating than other TCKs.
- Corporate TCKs were 12% more likely to experience anxiety than other TCKs.

Anxiety was the most commonly diagnosed condition among corporate TCKs. 46% of all corporate TCKs were diagnosed with anxiety, nearly a third (31%) with depression, and 16% of corporate TCKs had been diagnosed with panic attacks.
The lower diagnosis rates for other conditions is not necessarily a good thing. 38% of corporate TCKs answered the screening question for disordered eating in the affirmative, saying they had engaged in these practices - but only 16% of these received a diagnosis. 29% of those who affirmed that they had self harmed had been diagnosed. 31% of those who experienced suicidal thoughts were diagnosed.

Previous research showed that a significant proportion of corporate TCKs grew up in homes where adults struggled with their own mental health. It is important that corporate families living internationally receive support to improve the mental health of parents and children alike.
IBKs [International Business Kids] reported the highest rate of household adult mental illness of all sectors, both among the older generation (42%) and the younger generation (44%). The high rates of adult mental illness among TCKs in comparison to Americans demonstrates that many expatriate families are under stress, especially those who move abroad for work, and they need support.