On World Mental Health Day, Ban calls depression under-appreciated global health crisis

Patients at the Institute of Human Behaviour and Allied Sciences, Delhi, India. Photo: WHO/P. Virot

10 October 2012 – Terming depression, which afflicts 350 million people worldwide, an “under-appreciated global health crisis,” Secretary-General Ban Ki-moon today called for an international effort to increase access to a wide variety of effective and affordable treatments and remove the social stigma attached to the illness.

“Among the barriers to care and services are social stigma and the lack of general health care providers and specialists trained to identify and treat depression,” he said in a message marking World Mental Health Day, in which he noted that about 1 million people commit suicide every year, the majorAmong the barriers to care and services are social stigma and the lack of general health care providers and specialists trained to identify and treat depression.ity due to unidentified or untreated depression.

He stressed that although a wide variety of effective and affordable treatments are available to treat depression, including psychosocial interventions and medicines, these are not accessible to all people, especially those living in less developed countries and the least advantaged citizens of more developed nations.

Mr. Ban noted that the UN World Health Organization (WHO) is supporting countries through its Mental Health Gap Action Programme, but added that depression is not simply a matter for health experts.

“We can all act to relieve the stigma around depression and other mental disorders, perhaps by admitting that we may have experienced depression ourselves, or by reaching out to those experiencing it now. On World Mental Health Day, let us pledge to talk more openly about depression.

“This is the first critical step to removing one of the barriers to treatment and helping to reduce the disability and distress caused by this global crisis,” he added, stressing that the illness diminishes people’s ability to cope with the daily challenges of life, and often precipitates family disruption, interrupted education and loss of jobs.

Among the causes of depression, Mr. Ban cited genetic, biological, psychological and social factors, while stress, grief, conflict, abuse and unemployment can also contribute. Women are more likely to suffer depression than men, including following childbirth, he noted.

In collaboration with WHO, writer and illustrator Matthew Johnstone tells the story of overcoming the "black dog of depression". Credit: WHO

Beyond the 350 million people of all ages, incomes and nationalities who directly suffer from depression, millions more – family, friends, co-workers – are exposed to the indirect effects of the affliction, he noted.

Mr. Ban’s message was echoed by the WHO, which underscored how depression interferes with the ability to function at work, school or home.

“We have some highly effective treatments for depression. Unfortunately, fewer than half of the people who have depression receive the care they need. In fact, in many countries this is less than ten per cent,” Shekhar Saxena, Director of the Department for Mental Health and Substance Abuse, said. “This is why WHO is supporting countries in fighting stigma as a key activity to increasing access to treatment.”


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