Mental health issues were the primary reason children contacted North Macedonia’s “Alo Bushavko” helpline in 2024. According to “Megjashi,” the number of calls remained consistent with 2023, but the percentage related to mental health increased from approximately 70% to 74.2%.

The helpline team noted anxiety and fear as the most prevalent problems, followed by issues with emotional control, particularly anger, and concerns about self-esteem. Of significant concern was an increase in reported suicidal thoughts and attempts.

Factors contributing to these mental health challenges include social isolation, social media use, uncertainty, and stress. “Megjashi” emphasizes the need to strengthen support systems, educate parents and teachers about recognizing warning signs, and reduce the stigma associated with seeking mental health assistance.

Data indicates that children often face multiple mental health problems simultaneously. Beyond mental health, other significant issues reported to the helpline include abuse (16.8%) and school-related problems (2.6%).

Problematic parental relationships, especially after divorce, are identified as a major cause of psychological distress in children. Disturbed interpersonal relationships, such as peer conflicts or issues with teachers, also contribute. Less frequent concerns reported include family relations, discrimination and exclusion, accessibility, sexuality, missing children, and physical health.