Unheard voices: the overlooked mental health toll of climate change in vulnerable communities - Scorecard - MDSpire

Unheard voices: the overlooked mental health toll of climate change in vulnerable communities

  • By

  • Kristina Zeljic

  • Nambinina Rasolomalala

  • Julia E Michalek

  • Samuel Solomon

  • Hervé Rasamison

  • Satry Ramaroson

  • Kristin Hadfield

  • Isabelle Mareschal

  • June 1, 2026

  • 0 min

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Clinical Scorecard: Silent Struggles: The Neglected Mental Health Effects of Climate Change on At-Risk Populations

At a Glance

CategoryDetail
ConditionYouth Mental Health Effects of Climate Change
Key MechanismsPsychological distress, climate-related worry, and anxiety due to environmental changes.
Target PopulationChildren and young people in low- and middle-income countries.
Care SettingResearch and assessment in climate-vulnerable communities.

Key Highlights

  • Youth are uniquely susceptible to the psychological effects of climate change.
  • Low- and middle-income countries face heightened vulnerability due to systemic challenges.
  • In Southern Madagascar, prolonged droughts have led to severe food insecurity and mental health impacts.
  • Validated tools like the Climate Change Worry Scale (CCWS) and Climate Change Anxiety Scale (CCAS) are essential for measuring mental health responses.
  • Internet access disparities hinder data collection and representation of at-risk populations.

Guideline-Based Recommendations

Diagnosis

  • Utilize the CCWS and CCAS for assessing climate-related psychological distress.

Management

  • Implement context-responsive methodological approaches for research in marginalized communities.

Monitoring & Follow-up

  • Regularly assess mental health impacts of climate change using standardized tools.

Risks

  • Inadequate data collection may overlook the mental health needs of offline populations.

Patient & Prescribing Data

Youth in low- and middle-income countries affected by climate change.

Addressing mental health requires understanding the intersection of climate stressors and psychological well-being.

Clinical Best Practices

  • Ensure the use of validated measurement tools in diverse settings.
  • Adapt research methodologies to local conditions and infrastructure limitations.
  • Prioritize equity in data collection and analysis.

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