Suriname, ranked second by the Pan American Health Organization (PAHO) for its high suicide mortality rate (exceeding 10 deaths per 100,000 people), has only recently begun to address its mental health challenges. It wasn’t until 2015 that the first epidemiological research effort on depression and anxiety in the country’s population was conducted. This delay highlights the lack of attention previously given to mental health in Suriname. However, in recent years, there has been more focus on this issue and solutions are beginning to take shape.

The Mental Health of Indigenous Peoples

The Suriname Herald highlights the correlation between the effects of changing climatic conditions and the decreasing mental health of Indigenous populations is often overlooked. The article shares an interview with an Indigenous Surinamese woman who explains how varying weather conditions have affected the practice of traditional knowledge that was passed down through generations. As weather patterns change, drought causes some agricultural land to become infertile. In contrast, flooding causes harvests to fail in others. The stress and loss of centuries-old ancestral traditions that are tied to the well-being of the land is taking a toll on the mental health of Indigenous people.

In response, a joint effort between a Dutch and Surinamese University and the psychiatric center in Suriname launched the Suriname Indigenous Mental Health Study (SIMH) in 2023. The study aims to bridge the gap in understanding the mental well-being situation among the Indigenous population. With the knowledge gathered from the study, a framework can be built for mental health treatment that implements traditional Indigenous health care systems.

Youth and Women

The COVID-19 pandemic revealed the concerning state of mental well-being among children and youth. In 2023, the United Nations Children’s Fund (UNICEF) reported that 36.2% of youth in Suriname aged 16 to 25 years old have struggled with suicidal thoughts. Additionally, UNICEF found that about 75% of the youth experienced symptoms of stress or depression in 2022.

BMC Public Health’s 2022 study suggests that female respondents in the districts of Nickerie and Paramaribo were at a higher risk of developing depression and anxiety disorders. Researchers found possible cases of depression in 11.5% of male participants. This is in comparison to 19.4% of females from the population of Paramaribo. The cause of the difference between genders in the results is not yet determined. Possible factors contributing to poor mental health for women include limited economic opportunities, a lack of (financial) autonomy, domestic violence and limited family support.

Supporting Mental Health Services

UNICEF recently launched a one-year pilot program to improve mental health in Suriname, beginning in October 2023. The program focuses on the rural district of Nickerie in the Northwest and spans from October 2023 until October 2024. The issue is approached on three fronts:

• Decreasing the stigma of mental health
• Strengthening mental health services
• Equipping parents with information regarding the psychosocial upbringing

The program aims to reach 25,000 people in Nickerie through a media campaign. Additionally, it aims to engage 500 children and 500 parents in an initiative to teach mental health skills. UNICEF shared the program’s accomplishments through March 2024:

• Social media content and television broadcasts have been developed to raise awareness about mental well-being.
• Progress has been made in setting up a helpline for mental health-related issues and self-harm prevention.
• A program to teach children mental health skills is in development. It is expected to launch in the summer of 2024.
• The first in a series of sessions to educate parents on mental well-being and how to support their children’s mental health was launched in May 2024.

Conclusion

Socioeconomic and climate-related issues impact mental health in Suriname. Studies have shown that women, youth and Indigenous people are disproportionately affected. The good news is that when the numbers are clear, solutions can start to take shape. UNICEF’s educational approach to positive mental health and the SIMH study that collaborates with Indigenous communities will positively impact mental health in Suriname for future generations.

– Tanisha Groeneveld

Tanisha is based in Leeds, UK and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr