[Hospital epidemiology of psychiatric disorders in Mali]

Souleymane Papa Coulibaly1,2,3, Housseini Dolo1,3, Cyrielle Alexandra Malah Notue2

  • 1Faculté de Médecine et d´Odontostomatologie de Bamako, Bamako, Mali.

Insights

This study describes psychiatric hospitalizations in Mali, finding patients were predominantly young males with schizophrenia. Many had a history of mental illness and sought traditional care first.

Area of Science:

  • Psychiatry
  • Epidemiology
  • Global Health

Background:

  • Limited data exists on the prevalence of mental disorders in Mali.
  • Psychiatric hospitalizations provide insight into the burden of severe mental illness.

Purpose of the Study:

  • To describe the clinical and epidemiological characteristics of patients hospitalized in Mali's Department of Psychiatry.
  • To establish baseline data for mental health research and intervention in the region.

Main Methods:

  • A cross-sectional study was conducted at the University Hospital of Point G, Mali.
  • Data from 1105 patients hospitalized for psychiatric disorders between 2014 and 2018 were analyzed.

Main Results:

  • The average patient age was 32.6 years, with 83.8% males. Most patients had a history of psychiatric disorders (74%).
  • Schizophrenia, schizotypy, and delusional disorders were the most common diagnoses (67.8%). Aggression was the primary reason for consultation (44.5%).
  • Substance use, including tobacco (32.6%), cannabis (26.0%), and alcohol (15.6%), was prevalent. Families initiated care in 87.5% of cases, often after traditional treatments (58.7%).

Conclusions:

  • Hospitalized psychiatric patients in Mali are typically young males with a history of severe mental illness.
  • Schizophrenia spectrum and delusional disorders are the leading diagnoses, highlighting a significant public health challenge.
  • The findings underscore the need for accessible and integrated mental healthcare services in Mali.
Abstract

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