Tragically, 1 in 100 deaths results from suicide, with the Central African Republic among several countries experiencing a devastatingly high suicide rate. Suicide prevention in the Central African Republic is crucial, as countless families face devastation. Survivors of suicide attempts in the country continue to struggle with severe depression. Therefore, preventing suicide and providing care for individuals who have previously attempted suicide are essential in the Central African Republic.

Factors Contributing to the Decline in Suicide Rates

Fortunately, the Central African Republic has seen a 3.91% decline in suicide rates per 100,000 individuals. Addressing other problems like drug abuse, unemployment and food scarcity helps relieve depressed individuals from further stress, contributing to this decline.

In addition, between 2004 and 2008, the United Nations (U.N.) reported multiple drug seizures of cocaine and other illicit substances from parts of West Africa. By 2024, Amphetamine-type stimulants (ATS) and methamphetamine have become two of the most common forms of drug use in Africa, alongside cannabis.

Michael Groat, director of psychology at Silver Hill Hospital in New Canaan, explained that suicide and addiction stem from a desire to end pain. The combination of depression and drug use can be lethal, leading to addiction and possibly intentional or unintentional overdose.

Addressing Substance Abuse and Mental Health Issues

RehabPath has created a referral page for several treatment facilities for those struggling with substance abuse in the Central African Republic. Moreover, RehabPath recommends facilities like the Continental Brain Clinic and Synapse Azalea, which dedicate themselves to helping people recover from addiction and hopefully prevent some from committing suicide via drug overdose.

Drug use is not always the reason for suicide as mental health problems are considered one of the biggest factors for suicide. Mental health issues can include but are not limited to anxiety, depression, or bipolar disorder which can be situational-based or even genetically linked. Not every individual who suffers from depression or another form of mental illness will commit suicide however, it is still recommended that those who are struggling seek help before their health deteriorates further.

Funding Challenges for Mental Health

Those struggling with mental health in the Central African Republic have limited options due to low government investments. The African government lends 311.53 XAF, the United States (U.S.) equivalent of $00.50, to mental health practices. Strong Minds Uganda is currently trying to raise awareness of Africa’s unfunded mental health care system. In addition, the organization has managed to raise enough awareness for an article on the World Health Organisation (WHO) website.

Success of Group Therapy Initiatives

Recently, both WHO and Strong Mind have provided group therapy sessions to more than 160,000 women and young people in both Uganda and Zambia. Fortunately, approximately 80% of these figures have reported a significant levity in their depression. Whilst this news is encouraging there are thousands more who need help, especially men as it has been reported more males are likely to commit suicide than females on a 3:1 ratio.

Socio-Economic Factors and Suicide Rates

The men living in Africa are not the only ones who struggle. It is reported suicide rates have become increasingly high in multiple black communities including countries such as the U.S.Psychiatrist Patricia Harris, who is Everyday Health’s chief health and medical editor suggests multiple reasons for the increase including cyber-bullying, pressure to live up to a ‘strong black person’ image and the lack of representation in mental health services.

Moreover, the Central African Republic has an abysmal lack of funding. With 70% of the country living in extreme poverty, it is no surprise that men fall into despair and want to end their lives. The World Bank has suggested strengthening the human capital of Central Africa to invest in agricultural pursuits thus boosting agriculture further to decrease poverty.

Furthermore, this could potentially save lives as the people of the country will feel less pressure regarding feeding their families and maintaining a healthy household. For now, both men and women rely on the compassion of others. Interaction with other individuals can be beneficial to a person’s mental health and prolonged isolation can worsen symptoms of depression. Isolation can be caused by feeling unwanted or like an outcast around a particular group of people.

Efforts to Combat Mental Health Stigma and Isolation

The World Health Organization (WHO) started World Mental Health Day in 2022. This day is dedicated to raising awareness of suicide and mental illness in the Central African Republic. This campaign aimed to reach 10 million African people, help them seek treatment for any of their medical conditions and support their families and friends in the interim.

In 2024, the Central African Republic has put new plans into place to help the most isolated citizens. Plans include efforts for suicide prevention in the Central African Republic. These plans include vital multisectoral assistance to 1.9 million vulnerable people and localizing humanitarian responses. Looking forward, these plans with the help of donations from humanitarian organisations, should provide those struggling with their mental health some form of hope to achieve a healthier, happier future.

– Phoebe Vaughan
Photo: Unsplash