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OPINION. “Faced with the deterioration of mental health in France, local elected officials and social workers are also the solution”

According to the health barometer published by Public Health France in February 2023, depressive episodes have indeed known “An unprecedented acceleration between 2017 and 2021 (+ 36 %)”. They touched 1 young out of 5 adults in 2021, “Or an increase of almost 80 % compared to 2017”. Likewise, the 5th report of the National Suicide Observatory published in September 2022 reports a degradation of the “Mental health of the French population (…) under the effect of the health crisis” and a “Strong increase in the number of suicidal gestures among young people from the second half of 2020”. Finally, according to the barometer of political trust published in February 2025, 40 % of French people say they feel “weariness” and 35 % of “gloom”.

In our rural areas and popular neighborhoods, this trend is aggravated by several factors. Thus, the last congress of the National Union of Communal Centers of Social Action was an opportunity to denounce a “triple pain” for young rural people, between “Their geographic isolation, their social stigma and the lack of suitable offer”. However, when we know that the state of psychiatry in France is already very degraded-1 in 2 people suffering from psychiatric disorders encounters difficulties in finding an appointment-, medical desertification in certain territories necessarily has a multiplier effect. In the so -called “priority of the city” districts, this phenomenon affects populations whose precariousness and certain cultural reluctance also reduce care.

Faced with this situation, the government has decided to make mental health the “great national cause” of 2025. This is a first step, but it is not enough. Indeed, its degradation also has more structural causes such as the disintegration of social ties, the increase in sources of anxiety and frustration by the effect of social networks and continuous information chains and the erosion of quality of life on the background of inflation and global warming. We are therefore faced with a real fight which requires more than cosmetic and short terms.