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In Ghana, about 13%
(~ 4 million) of the population suffers from a mental disorder, ranging from
mild and moderate (7%) to severe forms (3%) of mental illness. However, treatment
gap for mental disorders, including depression, remains unacceptably high: only
about 2% of those diagnosed with a mental disorder receive treatment. This
descriptive
cross-sectional study investigated the levels of perceived need for mental health care in high
school students with depression. Three hundred and thirty (330) students were
recruited from the Salaga Senior High School (SHS) in the East Gonja
Municipality, Ghana, using systematic sampling technique. The Patient Health Questionnaire (PHQ) 9 and the Perceived Need for Care
Questionnaire (PNCQ) were used to collect data for the study. Data analysis was
performed using Statistical Package for Social Sciences (SPSS) version 25. Male students formed the largest proportion of
the study sample (54.8%). More than half of the respondents (55.8%) were in SHS
1 and the majority of them (79.4%) were residents in their school’s hostels. Moderately
severe and severe forms of the disease were found in 15.2% and 9.1% of the
respondents respectively. Overall, prevalence of depression was 57.9%.
Approximately, only 1 in 5 students with depression had met needs for
pharmacotherapy (19.4%) and counselling/psychotherapy (19.9%). The majority of
students in the present study suffered from depression, yet, had high unmet
needs for care. This finding suggests that a gap may exist between service need
and engagement in high schools, hence, the need to scale-up mental health
services and resources to SHS in Ghana.