Economic Recession and Mental Health: An Analysis

  • Amresh Shrivastava
  • Pragya Lodha
  • Avinash De Sousa
  • Nikate Singh


This chapter looks at the interrelationship between economic recession and mental health. The world has been fraught with many economic recessions, and this chapter provides an overview of various effects that economic recession may have on mental health at an individual, family, and epidemiological level. Various economic recessions that have affected humanity across the world are outlined. Suicide, depression, and various mental health problems resulting from an economic recession are discussed. There is also a discussion of management strategies for the same at an individual, group, and policy level. There is also a need for mental health services to be easily available at the time of economic recessions to reduce that negative outcomes that may ensue due to the same.


Economic recession Suicide Mental health 



No conflict of interest.


  1. 1.
    Keyes CL, Dhingra SS, Simoes EJ. Change in level of positive mental health as a predictor of future risk of mental illness. Am J Public Health. 2010;100(12):2366–71.CrossRefPubMedPubMedCentralGoogle Scholar
  2. 2.
    Saraceno B, van Ommeren M, Batniji R, Cohen A, Gureje O, Mahoney J, Sridhar D, Underhill C. Barriers to improvement of mental health services in low-income and middle-income countries. Lancet. 2007;370(9593):1164–74.CrossRefPubMedGoogle Scholar
  3. 3.
    Cooper B. Economic recession and mental health: an overview. Neuropsychiatrie. 2011;25(3):113–7.PubMedGoogle Scholar
  4. 4.
    Jahoda M. Economic recession and mental health: some conceptual issues. J Soc Issues. 1988;44(4):13–23.CrossRefGoogle Scholar
  5. 5.
    Evans-Lacko S, Knapp M, McCrone P, Thornicroft G, Mojtabai R. The mental health consequences of the recession: economic hardship and employment of people with mental health problems in 27 European countries. PLoS One. 2013;8(7):e69792.CrossRefPubMedPubMedCentralGoogle Scholar
  6. 6.
    Paul KI, Moser K. Unemployment impairs mental health: meta-analyses. J Vocat Behav. 2009;74(3):264–82.CrossRefGoogle Scholar
  7. 7.
    Artazcoz L, Benach J, Borrell C, Cortès I. Unemployment and mental health: understanding the interactions among gender, family roles, and social class. Am J Public Health. 2004;94(1):82–8.CrossRefPubMedPubMedCentralGoogle Scholar
  8. 8.
    Ezzy D. Unemployment and mental health: a critical review. Soc Sci Med. 1993;37(1):41–52.CrossRefPubMedGoogle Scholar
  9. 9.
    McInerney M, Mellor JM, Nicholas LH. Recession depression: mental health effects of the 2008 stock market crash. J Health Econ. 2013;32(6):1090–104.CrossRefPubMedGoogle Scholar
  10. 10.
    Gili M, Roca M, Basu S, McKee M, Stuckler D. The mental health risks of economic crisis in Spain: evidence from primary care centres, 2006 and 2010. Eur J Pub Health. 2012;23(1):103–8.CrossRefGoogle Scholar
  11. 11.
    Katikireddi SV, Niedzwiedz CL, Popham F. Trends in population mental health before and after the 2008 recession: a repeat cross-sectional analysis of the 1991–2010 Health Surveys of England. BMJ Open. 2012;2(5):e001790.CrossRefPubMedPubMedCentralGoogle Scholar
  12. 12.
    Davalos ME, French MT. This recession is wearing me out! Health-related quality of life and economic downturns. J Ment Health Policy Econ. 2011;14(2):61–72.PubMedGoogle Scholar
  13. 13.
    Uutela A. Economic crisis and mental health. Curr Opin Psychiatry. 2010;23(2):127–30.CrossRefPubMedGoogle Scholar
  14. 14.
    Wahlbeck K, McDaid D. Actions to alleviate the mental health impact of the economic crisis. World Psychiatry. 2012;11(3):139–45.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Gupta S, Miniane J. Recessions and recoveries in Asia: what can the past teach us about the present recession?. ADBI working paper series; 2009.Google Scholar
  16. 16.
    Catalano R. Health, medical care, and economic crisis. New Engl J Med. 2009;360(8):749–51.CrossRefPubMedGoogle Scholar
  17. 17.
    Kushner HI, Sterk CE. The limits of social capital: Durkheim, suicide, and social cohesion. Am J Public Health. 2005;95(7):1139–43.CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    Douglas JD. Social meanings of suicide. Princeton: Princeton University Press; 2015.CrossRefGoogle Scholar
  19. 19.
    Brenner MH. Commentary: economic growth is the basis of mortality rate decline in the 20th century—experience of the United States 1901–2000. Int J Epidemiol. 2005;34(6):12–8.CrossRefGoogle Scholar
  20. 20.
    Pompili M, Vichi M, Innamorati M, Lester D, Yang B, De Leo D, Girardi P. Suicide in Italy during a time of economic recession: some recent data related to age and gender based on a nationwide register study. Health Soc Care Commun. 2014;22(4):361–7.CrossRefGoogle Scholar
  21. 21.
    Classen TJ, Dunn RA. The effect of job loss and unemployment duration on suicide risk in the United States: a new look using mass-layoffs and unemployment duration. Health Econ. 2012;21(3):338–50.CrossRefPubMedGoogle Scholar
  22. 22.
    Eliason M, Storrie D. Does job loss shorten life? J Hum Resour. 2009;44(2):277–302.Google Scholar
  23. 23.
    Bor J, Basu S, Coutts A, McKee M, Stuckler D. Alcohol use during the great recession of 2008–2009. Alcohol Alcohol. 2013;48(3):343–8.CrossRefPubMedGoogle Scholar
  24. 24.
    Mulia N, Zemore SE, Murphy R, Liu H, Catalano R. Economic loss and alcohol consumption and problems during the 2008 to 2009 US recession. Alcohol Clin Exp Res. 2014;38(4):1026–34.CrossRefPubMedGoogle Scholar
  25. 25.
    Keyes KM, Hatzenbuehler ML, Hasin DS. Stressful life experiences, alcohol consumption, and alcohol use disorders: the epidemiologic evidence for four main types of stressors. Psychopharmacology. 2011;218(1):1–7.CrossRefPubMedPubMedCentralGoogle Scholar
  26. 26.
    Henkel D. Unemployment and substance use: a review of the literature (1990-2010). Curr Drug Abuse Rev. 2011;4(1):4–27.CrossRefPubMedGoogle Scholar
  27. 27.
    Coope C, Gunnell D, Hollingworth W, Hawton K, Kapur N, Fearn V, Wells C, Metcalfe C. Suicide and the 2008 economic recession: who is most at risk? Trends in suicide rates in England and Wales 2001–2011. Soc Sci Med. 2014;117:76–85.CrossRefPubMedPubMedCentralGoogle Scholar
  28. 28.
    Fountoulakis KN, Koupidis SA, Siamouli M, Grammatikopoulos IA, Theodorakis PN. Suicide, recession, and unemployment. Lancet. 2013;381(9868):721–2.CrossRefPubMedGoogle Scholar
  29. 29.
    McInerney M, Mellor JM. Recessions and seniors’ health, health behaviors, and healthcare use: analysis of the Medicare Current Beneficiary Survey. J Health Econ. 2012;31(5):744–51.CrossRefPubMedGoogle Scholar
  30. 30.
    Ifanti AA, Argyriou AA, Kalofonou FH, Kalofonos HP. Financial crisis and austerity measures in Greece: their impact on health promotion policies and public health care. Health Policy. 2013;113(1):8–12.CrossRefPubMedGoogle Scholar
  31. 31.
    Roehrig C, Turner A, Hughes-Cromwick P, Miller G. When the cost curve bent—Pre-recession moderation in health care spending. New Engl J Med. 2012;367(7):590–3.CrossRefPubMedGoogle Scholar
  32. 32.
    Economou M, Madianos M, Peppou LE, Patelakis A, Stefanis CN. Major depression in the era of economic crisis: a replication of a cross-sectional study across Greece. J Affect Disord. 2013;145(3):308–14.CrossRefPubMedGoogle Scholar
  33. 33.
    Aytaç IA, Rankin BH. Economic crisis and marital problems in Turkey: testing the family stress model. J Marriage Fam. 2009;71(3):756–67.CrossRefGoogle Scholar
  34. 34.
    Claessens S, Kose MA, Terrones ME. What happens during recessions, crunches and busts? Econ Policy. 2009;24(60):653–700.CrossRefGoogle Scholar
  35. 35.
    Granados JA, Roux AV. Life and death during the Great Depression. Proc Natl Acad Sci. 2009;106(41):17290–5.CrossRefGoogle Scholar
  36. 36.
    Bezruchka S. The effect of economic recession on population health. Can Med Assoc J. 2009;181(5):281–5.CrossRefGoogle Scholar
  37. 37.
    Arvanites TM, Defina RH. Business cycles and street crime. Criminology. 2006;44(1):139–64.CrossRefGoogle Scholar
  38. 38.
    Catalano R, Goldman-Mellor S, Saxton K, Margerison-Zilko C, Subbaraman M, LeWinn K, Anderson E. The health effects of economic decline. Annu Rev Public Health. 2011;32:431–50.CrossRefPubMedGoogle Scholar
  39. 39.
    Zivin K, Paczkowski M, Galea S. Economic downturns and population mental health: research findings, gaps, challenges and priorities. Psychol Med. 2011;41(7):1343–8.CrossRefPubMedGoogle Scholar
  40. 40.
    Suhrcke M, Stuckler D. Will the recession be bad for our health? It depends. Soc Sci Med. 2012;74(5):647–53.CrossRefPubMedGoogle Scholar
  41. 41.
    Houdmont J, Kerr R, Addley K. Psychosocial factors and economic recession: the Stormont Study. Occup Med. 2012;62(2):98–104.CrossRefGoogle Scholar
  42. 42.
    De Vogli R, Marmot M, Stuckler D. Strong evidence that the economic crisis caused a rise in suicides in Europe: the need for social protection. J Epidemiol Community Health. 2013;67(4):298–303.CrossRefPubMedGoogle Scholar
  43. 43.
    Dooley D, Catalano R. The epidemiology of economic stress. Am J Community Psychol. 1984;12(4):387–409.CrossRefPubMedGoogle Scholar
  44. 44.
    Elder GH, Caspi A. Economic stress in lives: developmental perspectives. J Soc Issues. 1988;44(4):25–45.CrossRefGoogle Scholar
  45. 45.
    Reeves A, Stuckler D, McKee M, Gunnell D, Chang SS, Basu S. Increase in state suicide rates in the USA during economic recession. Lancet. 2012;380(9856):1813–4.CrossRefPubMedGoogle Scholar
  46. 46.
    Chang SS, Stuckler D, Yip P, Gunnell D. Impact of 2008 global economic crisis on suicide: time trend study in 54 countries. BMJ. 2013;347:f5239.CrossRefPubMedPubMedCentralGoogle Scholar
  47. 47.
    Phillips JA, Nugent CN. Suicide and the Great Recession of 2007–2009: the role of economic factors in the 50 US states. Soc Sci Med. 2014;116:22–31.CrossRefPubMedGoogle Scholar
  48. 48.
    Karanikolos M, Mladovsky P, Cylus J, Thomson S, Basu S, Stuckler D, Mackenbach JP, McKee M. Financial crisis, austerity, and health in Europe. Lancet. 2013;381(9874):1323–31.CrossRefPubMedGoogle Scholar
  49. 49.
    Kim IH, Muntaner C, Khang YH, Paek D, Cho SI. The relationship between nonstandard working and mental health in a representative sample of the South Korean population. Soc Sci Med. 2006;63(3):566–74.CrossRefPubMedGoogle Scholar
  50. 50.
    Houle JN, Light MT. The home foreclosure crisis and rising suicide rates, 2005 to 2010. Am J Public Health. 2014;104(4):1073–9.CrossRefPubMedPubMedCentralGoogle Scholar
  51. 51.
    Houle JN. Mental health in the foreclosure crisis. Soc Sci Med. 2014;118:1–8.CrossRefPubMedGoogle Scholar
  52. 52.
    Lopez Bernal JA, Gasparrini A, Artundo CM, McKee M. The effect of the late 2000s financial crisis on suicides in Spain: an interrupted time-series analysis. Eur J Pub Health. 2013;23(5):732–6.CrossRefGoogle Scholar
  53. 53.
    Chan CH, Caine ED, You S, Fu KW, Chang SS, Yip PS. Suicide rates among working-age adults in South Korea before and after the 2008 economic crisis. J Epidemiol Community Health. 2014;68(3):246–52.CrossRefPubMedGoogle Scholar
  54. 54.
    Nordt C, Warnke I, Seifritz E, Kawohl W. Modelling suicide and unemployment: a longitudinal analysis covering 63 countries, 2000–11. Lancet Psychiatry. 2015;2(3):239–45.CrossRefPubMedGoogle Scholar
  55. 55.
    Madianos M, Economou M, Alexiou T, Stefanis C. Depression and economic hardship across Greece in 2008 and 2009: two cross-sectional surveys nationwide. Soc Psychiatry Psychiatr Epidemiol. 2011;46(10):943–52.CrossRefPubMedGoogle Scholar
  56. 56.
    Conger RD, Lorenz FO, Elder Jr GH, Simons RL, Ge X. Husband and wife differences in response to undesirable life events. J Health Soc Behav. 1993;1:71–88.CrossRefGoogle Scholar
  57. 57.
    Leinonen JA, Solantaus TS, Punamaki RL. Social support and the quality of parenting under economic pressure and workload in Finland: the role of family structure and parental gender. J Fam Psychol. 2003;17(3):409–18.CrossRefPubMedGoogle Scholar
  58. 58.
    Gerdtham UG, Johannesson M. Business cycles and mortality: results from Swedish microdata. Soc Sci Med. 2005;60(1):205–18.CrossRefPubMedGoogle Scholar
  59. 59.
    Willard R, Shah GH, Leep C, Ku L. Impact of the 2008–2010 economic recession on local health departments. J Pub Health Manage Pract. 2012;18(2):106–14.CrossRefGoogle Scholar
  60. 60.
    Gunnell D, Harbord R, Singleton N, Jenkins R, Lewis G. Factors influencing the development and amelioration of suicidal thoughts in the general population. The. Br J Psychiatry. 2004;185(5):385–93.CrossRefPubMedGoogle Scholar
  61. 61.
    Gunnell D, Lopatatzidis A, Dorling D, Wehner H, Southall H, Frankel S. Suicide and unemployment in young people. Analysis of trends in England and Wales, 1921-1995. Br J Psychiatry. 1999;175(3):263–70.CrossRefPubMedGoogle Scholar
  62. 62.
    Isabel RP, Miguel RB, Antonio RG, Oscar MG. Economic crisis and suicides in Spain. Socio-demographic and regional variability. Eur J Health Econ. 2017;18(3):313–20.CrossRefPubMedGoogle Scholar
  63. 63.
    Dagher RK, Chen J, Thomas SB. Gender differences in mental health outcomes before, during, and after the Great Recession. PLoS One. 2015;10(5):e0124103.CrossRefPubMedPubMedCentralGoogle Scholar
  64. 64.
    Lahelma E, Martikainen P, Rahkonen O, Silventoinen K. Gender differences in illhealth in Finland: patterns, magnitude and change. Soc Sci Med. 1999;48(1):7–19.CrossRefPubMedGoogle Scholar
  65. 65.
    Frasquilho D, Matos MG, Salonna F, Guerreiro D, Storti CC, Gaspar T, Caldas-de-Almeida JM. Mental health outcomes in times of economic recession: a systematic literature review. BMC Public Health. 2016;16(1):115.CrossRefPubMedPubMedCentralGoogle Scholar
  66. 66.
    Chen J, Dagher R. Gender and race/ethnicity differences in mental health care use before and during the Great Recession. J Behav Health Serv Res. 2016;43(2):187–99.CrossRefPubMedGoogle Scholar
  67. 67.
    Fernández-Navarro P, Barrigón ML, Lopez-Castroman J, Sanchez-Alonso M, Páramo M, Serrano M, Arrojo M, Baca-Garcia E. Suicide mortality trends in Galicia, Spain and their relationship with economic indicators. Epidemiol Psychiatr Sci. 2016;25(5):475–84.CrossRefPubMedGoogle Scholar
  68. 68.
    World Health Organization. Social determinants of mental health. Geneva: World Health Organization; 2014.Google Scholar
  69. 69.
    LaMontagne AD, Martin A, Page KM, Reavley NJ, Noblet AJ, Milner AJ, Keegel T, Smith PM. Workplace mental health: developing an integrated intervention approach. BMC Psychiatry. 2014;14(1):131.CrossRefPubMedPubMedCentralGoogle Scholar
  70. 70.
    Memish K, Martin A, Bartlett L, Dawkins S, Sanderson K. Workplace mental health: an international review of guidelines. Prev Med. 2017;2:20–32.Google Scholar
  71. 71.
    McDowell C, Fossey E. Workplace accommodations for people with mental illness: a scoping review. J Occup Rehabil. 2015;25(1):197–206.CrossRefPubMedGoogle Scholar
  72. 72.
    Roberts MC. Model programs in child and family mental health. New York: Routledge; 2014.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2019

Authors and Affiliations

  • Amresh Shrivastava
    • 1
    • 2
    • 3
  • Pragya Lodha
    • 4
    • 5
  • Avinash De Sousa
    • 4
    • 6
  • Nikate Singh
    • 7
  1. 1.Complex and Community Care DivisionParkwood Institute of Mental Health FLEX 2LondonCanada
  2. 2.Ambulatory Care and Department of PsychiatryWestern UniversityLondonCanada
  3. 3.Lawson Health Research InstituteLondonCanada
  4. 4.Desousa FoundationMumbaiIndia
  5. 5.Department of PsychologyManiben Nanavati Women’s CollegeMumbaiIndia
  6. 6.Department of PsychiatryLokmanya Tilak Municipal Medical CollegeMumbaiIndia
  7. 7.The University of British ColumbiaVancouverCanada

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