Common mental disorders and risk factors in rural India: baseline data from the SMART mental health project

BACKGROUND: About 10% Indians suffer from stress, depression or substance use disorders. Few receive care for these problems, especially in rural areas. AIMS: As part of a broader initiative to deliver technology-enabled mental health services for rural communities (adults ≥18 years), information was collected about the prevalence of depression, anxiety and suicide risk. METHOD: The study was conducted in 12 villages in the West Godavari district of Andhra Pradesh. Depression and anxiety were assessed using the Patient Health Questionnaire-9 and Generalized Anxiety Disorder-7, respectively. Additionally, data were collected about sociodemographic factors and stressful events, among others. RESULTS: Anxiety, depression and suicidal ideation affected 10.8, 14.4 and 3.5% of participants, respectively (N = 22 377). These were more common among women, and among those who were aged 30–59 years, uneducated, or divorced/ separated/ widowed. Stress due to financial loss was significant. CONCLUSIONS: The study identified a significant number of people at risk of depression, anxiety and suicide, and needing care. DECLARATION OF INTEREST: None.