High costs pushing the youth away from hospitals – study

A significant number of young people in Kenya are turning away from seeking medical attention in hospitals due to high costs associated with healthcare.

A new report by the Brain and Mind Institute, an entity of the Aga Khan University, shows that 28 out of 33 people said no to the use of medication with about 61 percent of the respondents who said no to medication being between 21 and 30 years of age.

The findings of a survey on self-harm were unveiled on Wednesday to mark Self-Injury Awareness Day session that brought together persons with lived experiences, policymakers, researchers and providers of service who specialize in supporting individuals affected by suicide loss and self-harm.

The research by The Aga Khan University interviewed people with lived suicide experiences through a focus group discussion. Research findings also indicate that nearly one in every two people from the persons interviewed sought counselling and these were majorly 21–30-year-olds.

“The single most significant implication of this is that as mental health professionals and policymakers, we need to consider age-related differences in treatment preferences and tailor the interventions to persons with lived suicide experiences in developing more personalized treatment plans,” said Prof Lukoye Atwoli, Deputy Director Brain and Mind Institute and Dean of the Medical College, the Aga Khan University.

The report also indicates that 60.6 percent of the respondents indicated that they have had suicidal interventions. Of this, more men had suicidal ideations than women yet more women (51.5 percent) indicated that they had lost someone to suicide death.

“These findings may indicate that females are more likely to report suicide cases due to the caregiving role attached to the women in our society. From the research, we see that more men think about suicide but do not report it. This shows the patterns of suicide and harm in our society,” added Prof. Lukoye.

Suicide is the fourth leading cause of mortality among 15-29-year-olds according to the World Health Organisation. Around 11 people per 100,000 per year die by suicide in Africa, higher than the global average of 9 per 100,000 people.

“Self-harm is misunderstood. We need to find someone and start talking about it. We need to have these conversations with the persons with lived experiences and those around us and this is a great platform by the Brain and Mind Institute. Conversations around self-harm and suicide require collaborative efforts,” said Nadra Aley, a person with lived experience during the workshop.

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