02330nas a2200229   4500000000100000008004100001260007600042653002100118653002700139653001800166653002700184100002200211700001900233700003100252700002500283245017700308300001200485490000700497520156800504022001402072020001402086       2023                            d  c12/2023bSociedad Española para el Estudio de la Ansiedad y el Estrés10aHealth emergency10aAutonomous Communities10aGoogle Trends10aRelative Search Volume1 aFernando Gordillo1 aJosé M. Arana1 aJuan José García Meilán1 aMiguel Ángel Pérez00aEvolution of the search trend in Spain for the terms “Anxiety”, “Depression” and “Suicide” between 2019 and 2022: Before, during and after the COVID-19 pandemic  a163-1740 v293 aIntroduction: The COVID-19 pandemic has increased the prevalence of anxiety, depression and suicide in most countries. The use of tools such as Google Trends has shown to be effective in monitoring different mental illnesses and disorders, with the potential to improve the health response. In this research we analyse the evolution of search trends for the terms “Anxiety”, “Depression” and “Suicide” in the Spanish autonomous communities between 2019 and 2022. Method: We used the Google Trends tool to obtain the Relative Search Volume (RSV). Results: The RSV of “Anxiety” increased in 2020 and remained stable and moderate until 2022, while “Depression” showed an increase only in 2022. On the other hand, the RSV of “Suicide” decreased progressively from 2019 to 2022. The communities that showed the highest levels of RSV for “Anxiety” and “Depression” were Asturias and Aragon, which started in 2019 with high levels that they maintained in the following years. While Extremadura was the community that showed the greatest progression, arriving in 2022 with high levels of anxiety and depression. Regarding “Suicide”, Castilla and León, Cantabria, Murcia and Andalusia, were the Communities with the highest RSV, although all communities showed progressive decreases from 2019 to 2022. Conclusions: Studies that analyse search trends could be useful in certain emergency situations, facilitating the implementation of preventive interventions adapted to each community, which could mitigate the impact on mental health.  a1134-7937  a2174-0437