October Health – 2025 Report

Trauma in South Africa

The leading cause of trauma stress in South Africa is often attributed to high levels of violent crime, including robbery, assault, and homicide. Other significant contributors include socio-economic inequality, exposure to political violence, and the ongoing impacts of historical injustices. These factors collectively create an environment where trauma is prevalent, affecting the mental health of the broader population.

Trauma Prevalence
17%
Affected people
9,350,000

Impact on the people of South Africa

Effects of High Trauma Stress on Health and Personal Lives

Physical Health:

  1. Chronic Illness: Increased risk of cardiovascular diseases, obesity, and diabetes.
  2. Sleep Disorders: Insomnia and other sleep-related issues become prevalent.
  3. Weakened Immune System: Higher susceptibility to infections and illnesses.

Mental Health:

  1. Anxiety and Depression: Elevated levels of anxiety, depression, and mood swings.
  2. Post-Traumatic Stress Disorder (PTSD): Recurrent distressing memories and avoidance behaviors.
  3. Substance Abuse: Increased likelihood of substance use as a coping mechanism.

Personal Life:

  1. Strained Relationships: Difficulty in communicating, leading to conflicts with family and friends.
  2. Workplace Impact: Decrease in productivity, increased absenteeism, and difficulty concentrating.
  3. Social Withdrawal: Isolation from social activities and support networks.

Employers can support affected employees by offering access to mental health resources like Panda's digital group sessions and mental health assessments.

Impact on the South Africa Economy

Effects of High Trauma Stress on an Economy

  1. Reduced Productivity
    Trauma can lead to decreased concentration and efficiency in the workplace, negatively impacting overall productivity.

  2. Increased Healthcare Costs
    High trauma stress results in greater demand for mental health services, leading to increased healthcare expenses for individuals and companies.

  3. Higher Absenteeism
    Employees experiencing trauma may take more sick days, disrupting business operations and leading to financial loss.

  4. Decreased Employee Retention
    Work environments that don’t support trauma-informed practices may see higher turnover rates, increasing recruitment and training costs.

  5. Economic Inequality
    High trauma stress can disproportionately affect marginalized communities, exacerbating existing inequities and limiting workforce participation.

Implementing mental health programs, such as those offered by October, can help mitigate these effects by providing support and resources for employees.

What can government do to assist?

  1. Mental Health Awareness Campaigns: Launch nationwide campaigns to destigmatize mental health issues, educate the public about trauma, and promote available resources.

  2. Access to Psychological Services: Increase funding for mental health services and ensure that trauma-informed care is available in both urban and rural areas.

  3. Support Networks: Establish community support groups and peer networks that encourage sharing experiences and provide emotional support.

  4. Training for Professionals: Provide training for healthcare workers, teachers, and first responders on recognizing signs of trauma and how to assist those affected.

  5. Legislation and Policy: Create or enhance policies that protect the rights of trauma victims, ensuring they receive the necessary support and treatment services.

What can businesses do to assist their employees?

Strategies to Lower Trauma Stress in the Workplace

  1. Implement Training Programs
    Offer training for managers and employees on trauma-informed practices to recognize and respond to trauma-related issues sensitively.

  2. Promote Psychological Safety
    Create an environment where employees feel safe to express their concerns without fear of judgment or repercussion.

  3. Access to Mental Health Resources
    Provide resources such as access to online counseling services like October, which offers digital group sessions and assessments focused on mental health.

  4. Flexible Work Arrangements
    Allow for flexible schedules or remote work options to help employees manage their stress and trauma at their own pace.

  5. Encourage Open Communication
    Foster open dialogue about mental health and trauma to normalize conversations and encourage seeking help when needed.

  6. Wellness Programs
    Implement wellness initiatives that include mindfulness, meditation, and stress management workshops to support overall mental health.