Mental health in the voice of young people and adults from a commune in Medellín, Colombia

Abstract

Introduction. The increase in depression, anxiety, alcoholism, violence, and suicide affects both adults
and young people. In 2019, one in eight people globally had a mental disorder, with a prevalence of 14.7%
among youth. In Colombia, 20.4% of young people consumed alcohol and 3.5% used marijuana. Exploring
perceptions of mental health within social contexts enables more relevant responses. Objective. To identify
perceptions of mental health, as well as risk and protective factors held by young people, families, and
psychosocial support staff in Commune 10, Medellín, Colombia. Methodology. Participatory rapid
assessment through four knowledge dialogue meetings. Participants included young people, youth leaders,
families, and professionals working in this setting. Results. In Medellín’s Commune 10, social issues like
homelessness, insecurity, and substance use converge, impacting the mental health of young people. They
experience depression, anxiety, discrimination, and loneliness, worsened by a lack of opportunities and
economic instability. It is important to consider youth perceptions to design more effective interventions,
focusing on relational challenges and loneliness, beyond substance use. Discussion. The study found that
young people associate their mental health mainly with depression, anxiety, interpersonal relationships,
loneliness, and family difficulties. Conclusions. Young people’s perceptions of mental health differ from
those of adults. While youth focus on depression, anxiety, loneliness, and risky coping strategies, adults
emphasize substance use.