Background: A survey of six of the highest impact psychiatric journal articles (2001), revealed the underrepresentation of non-Western countries. The current study looked at the new trends in the representation of psychiatric literature. 

Aims: To quantify the articles from High-Income Countries (HIC) and compare it with the rest of the world (RoW) in 11 high impact journals. 

Method: A survey of the country of origin of research data and authors in published literature of 11 psychiatric journals: six of the same journals previously surveyed and five new journals from 2014 to 2016. 

Results: Out of the total of 5278 articles, the maximum number of 2093 (39.65%) were from the other Euro-American countries (OEAC), followed by 1546 (29.29%) from the United States of America (USA), and 727 (13.77%) from the United Kingdom (UK), and 754 (14.28%) were from rest of the world (RoW).  The highest was in the Journal of Neurology, Neuro-Surgery and Psychiatry 131 (17.37%), followed by the British Journal of Psychiatry, 85 (11.27%) and Molecular Psychiatry; 65 (8.62%). A comparison between the previous six journals and the current survey showed that RoW publications have increased from 6% to 13.84% over 15 years. 

Out of the additional five journals surveyed,  a total of 327 papers were from RoW and the Journal of Neurology, Neuro-Surgery and Psychiatry had the highest representation of RoW literature: 131 (40%). It was more than double of publications by the Lancet Psychiatry and Molecular Psychiatry. Biological Psychiatry had 46 (14.06%) papers followed by the World Psychiatry which carried 25 (7.64%).

Conclusion: An overall increase in the number of articles from RoW is evident. It is a welcome trend; however, a significant underrepresentation is still evident.