Table 1 Setting, socio-economic context and burden of mental disorders
Indicator | Anguilla | Bermuda | BVI | Cayman Islands | Montserrat | TCI |
|---|---|---|---|---|---|---|
Location & geography | Single island 91 km2 Eastern Caribbean | Archipelago of eight main islands & > 100 smaller islands (8 inhabited) 53 km2 Atlantic Ocean. 1500 km north of the Caribbean | Archipelago of five main islands & 50 smaller islands (16 inhabited) 151 km2 North Eastern Caribbean | Three islands (all inhabited) 264 km2 Western Caribbean | Single island 102 km2 Eastern Caribbean | Archipelago of 40 islands (8 inhabited) 616 km2 Northern Caribbean |
Total population | 15, 000 (2020 estimate) [54] | 63, 908 (2019 estimate) [55] | 30, 000 (2020 estimate) [56] | 69, 914 (2019 estimate) [57] | 4, 639 (2018 Labour Force Survey) [58] | 44, 543 (2020 estimate) [59] |
GDP per capita | US$25, 529 (2019) [60] | US$117,768 (2019) [61] | US$43,189 (2019) [62] | US$92, 692 (2019) [63] | US$13, 483 (2019) [64] | US$31, 353 (2019) [65] |
Life expectancy at birth | 81.6 years (2013) [66] | 82.8 years (2020) [67] | 79.9 years (2015) [68] | 81.2 years (2013) [69] | 74.4 (2013) [70] | 79 years (2019) [59] |
Ethnicity | African/black: 85.3% White: 3.2% Hispanic: 4.9% Mixed 3.8% Asian: 1% Other 1.9% (2011) [71] | Black: 58.9% White & other: 40.9% | African/black: 76.3% White:5.4% Latino: 5.5% Mixed: 5.3%, Other:7.5% (2010) [73] | Black: 20% White: 20% Mixed: 40% Other: 20% 2010 [52] | African/black: 86.2% White: 2.7% Hispanic: 3% Mixed: 4.8% Asian: 1.6% Other: 1.4% (2018) [58] | Black: 83.9% Hispanic: 5.3% White: 4.7% Mixed 1.9%, Asian: 0.7% Other: 1.2% (2012) [74] |
Non-belonger or expatriate populations | Data not found | Bermudian: 79% Non-Bermudian: 21% (2016) [55] Top ranked country of origin for non- Bermudian: UK, US, Canada, Jamaica, Philippines [55] | BVI born: 39.1% Overseas born: 60.9% (2010) [73] Top ranked country of origin for non-BVI born: Guyana, St. Vincent and Grenadines, Jamaica, US, Dominican Republic [73] | Caymanian: 53.4% Non-caymanian: 46.4% (2019) [57] No country of origin data found | Monserratian: 63% Non-Montserratian: 37% (2018) [58] Top ranked country of origin for non- Montserrat born: Guyana, Jamaica, UK and Dominica | Belonger: 40% Non-belonger: 60% [75] Top country of origin for non- TCI born: Haiti, Dominican Republic, Jamaica, Guyana, Philippines |
Unemployment | 13% (2011) [71] | 3.8% (2019) [76] | 2.9% (2015) [77] | 3.5% (2019) [57] | 6.5% (2018) [58] | 7% (2019) [59] |
Burden of mental health problems in children and adolescents | Global School Health Survey 2016 (age 13–17; n = 813): Suicidal ideation 30.5% (95% CI 28.2 to 32.9) Suicide attempt 19.4% (95% CI 17.5 to 21.5)[30] | Health Survey of Bermuda 2006 (age 4–10; n = 196): Not well behaved 3.1% Many worries 5.7% Unhappy 2.6% Poor attention span 4.7% [78] | Global School Health Survey 2009 (age 13–15) Suicidal ideation 15.7% Suicide attempt 12.5% [31] | Global School Health Survey 2007 (age 13–15): Suicidal ideation 19.0% [29] Student Drug Use Survey 2016 (years 9–12; n = 1800) 68% self-rated mental health as ‘good’[32] | Global School Health Survey 2008 (age 13–15; n = 212): Suicidal ideation 16.4% [28] | No data found |
Burden of mental health problems in adults | No data found | Health Survey of Bermuda 2016 (n = 802): Self-reported lifetime depressive disorder 14.0% [33] | No data found | No data found | No data found | No data found |