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[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.
Introduction:
in Mali, there are no data on the prevalence of mental disorders. The purpose of this study was to describe the clinical and epidemiological features of patients hospitalised in the Department of Psychiatry.
Methods:
we conducted a cross-sectional study in the Department of Psychiatry at the University Hospital of Point G between January 2014 and December 2018. Data were collected from the medical records of 1105 patients hospitalised for psychiatric disorders.
Results:
the average age of patients was 32.6 ± 11.1 years, ranging from 13 to 82 years. Male patients accounted for 83.8% (926/1105) of enrolled subjects, 53.2% (588/1105) were single, 18.8% (208/1105) were not employed and 28.2% (310/1105) had primary education. Seventy-four percent (818/1105) had a history of psychiatric disorders, 22.7% (251/1105) were born to consanguineous parents. Drug use was reported in 42.9% (474/1105) of cases, including tobacco 32.6% (361/1105), cannabis 26.0% (287/1105) and/or alcohol 15.6% (172/1105). The demand for care came from families in 87.5% (967/1105) of cases. Aggression was the most common reason for consultation (44.5%; 492/1105). In 67.8% (749/1105) of cases, the diagnosis was schizophrenia, schizotypic disorders or delusional disorders. The first use of care was traditional in 58.7% (649/1105) of cases.
Conclusion:
people hospitalised for psychiatric disorders from 2014 to 2018 were predominantly young and male with a history of psychiatric disorders. They mainly had schizophrenia, schizotypic disorders and delusional disorders.
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