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Rates, overall, remained stable until 2012 then rose among 11-15 and 16-20 year-olds. This pattern varied by sex. An earlier inverse association with rural residency disappeared by 2017, while immigrant status aligned increasingly with absence of diagnosed anxiety/depression. Lowest household income quintile was associated with higher prevalence of diagnoses. Cross-sectional data preclude hypothesising about causes of observed shifts. We found no overall upsurge in youth anxiety/depression, although small increments between 2012 and 2017,