Continuous impoverishment of the already scarce resources, harsh droughts, widespread use of the amphetamine-based leaf khat and unemployment have further weakened the country and contributed to the increase in poor mental health.
The main mental health diagnoses reported were schizophrenia, bipolar disorder, post-traumatic stress disorder, depression, mania and generalised psychosis (acute and chronic). Substance misuse was often an additional comorbidity in men (khat and/or hashish)