When we look at what causes poor mental health, we often think of stress, genetics, poverty or loneliness. These are all contributing factors, but there’s another, more hidden cause that isn’t talked about enough: abuse, especially during childhood. I recall Chad Varah, the founder of Samaritans, reflecting that there were many things that drove people to call the charity’s suicide helpline. But abuse was a prominent reason.
Abuse isn’t an easy subject to raise or talk about. It brings up issues of gender dynamics – a colleague studying global sexual abuse told me: “The vast majority of perpetrators are men; the victims are equally boys and girls.” These are hard issues to think about, harder still to discuss and difficult to address. They challenge notions of safety, trust, family and community. But if we want to make progress in addressing poor mental health, we have to start here – with the truths we’d rather avoid.
