Violence against children, mental health, and the need for increased support for all

A 15-year-old girl looks off into the distance in Nigeria.A child in Nigeria looks outside of her house after being displaced from her village due to conflict.

Every year, children around the world experience violence. Whether that be physical, sexual, emotional or psychological violence, all forms of abuse can leave long-lasting impacts on mental health and wellbeing – often, causing a ripple effect throughout a child’s life.

On World Mental Health Day, the End Violence Partnership joins the international community to amplify these issues, recognising the need to scale-up quality, accessible mental health services for children across the world.

Child and adolescent survivors are 2x more likely to experience depression and significantly more likely to engage in substance abuse. Recent studies have shown that COVID-19 has exacerbated children’s mental health needs, with up to 43 and 37 per cent of children reporting depression and anxiety respectively. The stigma around mental health makes things even more difficult, and often, children may feel they cannot seek help when they need it most.

Violence has a severe and wide-ranging impact on children’s mental health, including behavioral and emotional disorders, post-traumatic stress disorders; impairments to cognitive functioning; poor academic achievement and anti-social behaviors, clinical depression, anxiety and self-harm behaviours, including suicide. Not only does this make it harder to find and keep jobs and have positive relationships, it can lead to the perpetuation of violence in adulthood.

“The evidence is clear that children impacted by violence, neglect and abuse experience serious long-term consequences to their mental health," said Dr Howard Taylor, Executive Director of the End Violence Partnership. "With school closures and decreased access to services, the COVID-19 pandemic has placed a spotlight on the importance of mental well-being. It is now time for the global community to re-energize our efforts to end violence against children and protect children’s mental health – for every child, everywhere.”

It is now time for the global community to re-energize our efforts to end violence against children and protect children’s mental health – for every child, everywhere.

Dr Howard Taylor, Executive Director of the End Violence Partnership

According to one study, adults who were exposed to four or more adverse childhood experiences, such as physical, sexual or emotional violence, were seven to eight times more likely to be involved in interpersonal violence. They were also 30 times more likely to attempt suicide. On top of that, the economic costs of mental health challenges across society are monumental: in 2011, the World Economic Forum found that by 2030, mental health will have cost the world $16 trillion in lost economic output – a number estimated before the COVID-19 pandemic caused rates of mental ill-health to skyrocket.

A student looks inside one of the classrooms destroyed by conflict in Gaza, the State of Palestine.A student looks inside one of the classrooms destroyed by conflict in Gaza, the State of Palestine.

Giang, a young advocate from Viet Nam is speaking about their experience of mental health issues, including in and around schools, verbal abuse and isolation from peers, and lack of adequate support from school teachers. They are calling for increased support for mental health in the school system and an end to stigma and discrimination. With three other young people from around the world, they have co-produced the Safe to Learn youth-led film, Don't Fail Us. Launched at the margins of the Transforming Education Summit, the film brought powerful young voices to global leaders. “I want to see schools where mental health issues are looked at just as any other physical challenges. And there will no longer be barriers, stigma or discrimination to stop us," they say.

End Violence Champion Kamala Poudel, experienced the impact of violence on mental health first-hand. Sold to a brothel as a child, Kamala experienced emotional, physical and sexual abuse beginning at just 5 years old. Her difficult childhood, coupled with years of homelessness, sexual abuse and a 10-year prison sentence, left Poudel with severe mental health issues.

“By the time I was…30 years old, I was not in a good place mentally,” Kamala said. “I was angry, and I was violent. It was hard for people to control me because of my episodes, and once I was out of prison, I had nowhere to go but back to the streets.”

Eventually, Kamala connected with KOSHISH, an End Violence partner in Nepal that works to support people experiencing mental illness, especially those who have dealt with violence.Today, Kamala works as a program officer at the organization, working directly with community members to help individuals recover and rebuild after experiencing trauma and mental illness.

“The most rewarding part of my job is seeing someone go through a journey like mine and playing a role in that transformation,” Kamala said.

Kamala Poudel works alongside Matrika Devkota, the founder of KOSHISH in Nepal.Kamala Poudel works alongside Matrika Devkota, the founder of KOSHISH in Nepal.

Stories like Giang and Kamala’s are critical, as they showcase what can happen when mental health support is made accessible to the people who need it most. 

With more than 20 per cent of the world’s children experiencing a mental health condition, this commitment is needed more than ever so that access to mental health support becomes a reality for everyone.

Read more about World Mental Health Day.

Photos in order of appearance: UNICEF/UN058882/Gilbertson VII Photo,  UNICEF/UN032401/El Baba, courtesy of KOSHISH