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Understanding Mental Health

Global and Indonesian Mental Health

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Global Mental Health

Mental health issues occur all around the world. The World Health Organisation and the Institute for Health Metrics and Evaluation report:

  • Over 1.1 billion people suffer from mental or substance use disorders, worldwide.
  • Approximately 20% of children and adolescents struggle with mental health issues.
  • 50% of mental disorders appear prior to age 14. 
  • Mental and substance use disorders are the leading cause of disability worldwide. 
  • Every year, over 800,000 people commit suicide.

Challenges Associated with Global Mental Health

Several challenges can serve as barriers to providing appropriate care for these individuals. These can include:

  • Unavailability of mental health care provision in low and middle-income countries
  • Misunderstandings and stigma surrounding mental illness such as:
    - Belief that mental health issues are untreatable and those who suffer from them are difficult, unintelligent, incapable and inferior.
    - Those who require psychological assistance are discouraged from seeking help due to abuse, rejection and isolation.
    - Mistreatment and discrimination of those with mental disorders within the healthcare system


Mental Health in Indonesia 

Prevalence of Mental Health Issues

According to the 2013 Indonesian national health research (RISKESDAS): 

  • Approximately 3.7% (9 million) people are suffering from depression, out of a population of 250 million people.
  • Around 6% (14 million) people aged 15 and over suffer from mood disorders such as depression and anxiety. 
  • Around 1.7 per 1000 people suffer from a chronic psychological disorder, such as schizophrenia.

Mental Health Care in Indonesia

There are only 600-800 psychiatrists in the whole of Indonesia (Indonesian Ministry of Health). This leaves a ratio of 0.01 psychiatrists per 100,000 people (WHO, 2014).

To improve mental health in Indonesia:

  • Collaboration between various sectors is crucial, as mental health is a result of an interaction between psychological, social and biological factors. 
  • Strategies that incorporate promotion, prevention, cure and rehabilitation should be emphasised.
  • Mental health organisations, the government and the general public must work together to create change.

World Health Organization. (2014, 08). Mental Health: a state of well-being . Retrieved from World Health Organization: http://www.who.int/features/factfiles/mental_health/en/

Institute for Health Metrics and Evaluation (IHME). (2016). Global Burden of Disease Study 2017.Seattle: Global Burden of Disease Collaborative Network.

BADAN PENELITIAN DAN PENGEMBANGAN KESEHATAN KEMENTERIAN KESEHATAN RI. (2013). RISET KESEHATAN DASAR 2013.Jakarta: KEMENTERIAN KESEHATAN RI.

Ayuningtyas, D., Misnaniarti, & Rayhani, M. (2018). ANALISIS SITUASI KESEHATAN MENTAL PADA MASYARAKAT DI INDONESIA DAN STRATEGI PENANGGULANGANNYA. Jurnal Ilmu Kesehatan Masyarakyat, 9(1), 1-10.

Irmansyah, I., Prasetyo, Y., & Minas, H. (2009). Human rights of persons with mental illness in Indonesia: more than legislation is needed. International Journal Of Mental Health Systems, 3(1), 14. doi: 10.1186/1752-4458-3-14

Jones, S. (2018). 'Living in hell': mentally ill people in Indonesia chained and confined. Retrieved from https://www.theguardian.com/global-development/2016/mar/21/living-in-hell-indonesia-mentally-ill-people-chained-confined-human-rights-watch-report

Lu, Y. (2010). Mental health and risk behaviours of rural–urban migrants: Longitudinal evidence from Indonesia. Population Studies, 64(2), 147-163. doi: 10.1080/00324721003734100

Saragih Turnip, S., Sörbom, D., & Hauff, E. (2015). Predicting positive mental health in internally displaced persons in Indonesia: the roles of economic improvement and exposure to violent conflict. Psychology, Health & Medicine, 21(3), 286-294. doi: 10.1080/13548506.2015.1051554

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