Background/objectivesDisability in youth is an increasing global public health concern, with growing evidence linking disability to mental disorders and elevated healthcare needs. This study aimed to identify disability subtypes among Singaporean youth, examine sociodemographic factors, and assess their relationships with psychological distress and healthcare utilization.MethodsData were drawn from the National Mental Health Youth Study (n = 2,600), a cross sectional epidemiological survey of Singapore residents aged 15-35 years. Latent class analysis was conducted using 12 indicator variables from the World Health Organization Disability Assessment Schedule 2.0. Multinomial and multivariable logistic regression models examined sociodemographic correlates and associations with psychological distress and healthcare utilization.ResultsA four−class solution best represented disability patterns: high difficulty (7.8%), moderate social and functional difficulty (13.8%), high physical and cognitive difficulty (6.7%), and no/low difficulty (71.7%). Youth in the high difficulty class were more likely to be of Malay and Indian ethnicity and have lower educational attainment. Compared with the no/low difficulty class, the high difficulty class had higher odds of moderate (OR=3.2) and severe/very severe depression (OR=4.1), as well as moderate (OR=2.2) and severe/very severe anxiety (OR=3.6). Youth in the high difficulty and moderate social and functional classes also had higher odds of hospital admissions, A&E visits, and contact with polyclinic and restructured hospital doctors.ConclusionDistinct disability profiles among Singaporean youth are strongly linked to psychological distress and higher healthcare use, highlighting the need for earlier identification and targeted interventions to better support youths experiencing functional difficulties and psychological distress.