Vol. 4 No. 5 (2026)
Open Access
Peer Reviewed

Economic Loss Due To Mental Fragility in The Analysis of Provincial Economic Productivity in Indonesia

Authors

Muhammad Taqwa , Etty Soesilowati , Imam Mukhlis

DOI:

10.47353/ecbis.v4i5.396

Published:

2026-06-21

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Abstract

Mental health is a strategic issue in economics because it affects the quality of human resources and regional economic productivity. This study aims to analyze the impact of schizophrenia, depression, and suicidal ideation on economic losses across provinces in Indonesia and to examine the role of depression treatment as a mediating variable. The study employs a quantitative approach using explanatory research and a cross-sectional design based on secondary data from 2023. Data were obtained from the Indonesian Health Survey (SKI) by the Ministry of Health of the Republic of Indonesia and Regional Gross Domestic Product (PDRB) data from the Central Statistics Agency, with 38 provinces in Indonesia as the units of analysis. Data analysis was conducted using descriptive statistics, multiple linear regression, and causal mediation analysis. The results of the study indicate that schizophrenia, depression, and suicidal ideation have a significant negative effect on economic loss, as proxied by per capita GRDP. Depression is the variable with the greatest negative impact on regional economic productivity. Furthermore, treatment for depression was found to act as a significant mediator capable of mitigating the negative impact of depression on economic loss. These findings indicate that improved access to mental health services contributes to increased community economic productivity and a reduction in regional economic losses. This study makes a theoretical contribution to the development of development economics and health economics research through the integration of mental health variables and regional economic productivity. Practically, the research results underscore the importance of integrating mental health services into regional development policies to improve the quality of human resources and reduce economic loss in Indonesia.

Keywords:

Depression Mental health Schizophrenia Suicidal Ideation Economic Loss

References

Bator, R. J., Bryan, A. D., & Schultz, P. W. (2011). Who Gives a Hoot?: Intercept Surveys of Litterers and Disposers. Environment and Behavior, 43(3), 295–315. https://doi.org/10.1177/0013916509356884.

Daar, A. S., Jacobs, M., Wall, S., Groenewald, J., Eaton, J., Patel, V., & Saxena, S. (2014). Declaration on mental health in Africa: Moving to implementation. Global Health Action, 7(1), 24589. https://doi.org/10.3402/gha.v7.24589

Davlasheridze, M., Goetz, S. J., & Han, Y. (2018). The effect of mental health on U.S. county economic growth. The Review of Regional Studies, 48(2), 155–171. https://doi.org/10.52324/001c.7993

de Oliveira, C., Saka, M., Bone, L., & Jacobs, R. (2023). The role of mental health on workplace productivity: A critical review of the literature. Applied Health Economics and Health Policy, 21(2), 167–193. https://doi.org/10.1007/s40258-022-00761-w

Dewa, C. S. (2017). Worker productivity and mental illness. In T. Millon, M. J. Lerner, & I. B. Weiner (Eds.), The handbook of psychology (2nd ed., pp. 1–15). Wiley. https://doi.org/10.1002/9781118993811.ch84

Donalds, C., & Osei-Bryson, K.-M. (2025). Explanatory research in social science: Causal mechanism and empirical modeling. Social Science Research Review, 12(1), 44–58. https://doi.org/10.1016/j.ssrr.2025.01.004

Evans-Lacko, S., Aguilar-Gaxiola, S., Al-Hamzawi, A., Alonso, J., Benjet, C., Bruffaerts, R., ... Thornicroft, G. (2018). Socio-economic variations in the mental health treatment gap for people with anxiety, mood, and substance use disorders: Results from the WHO World Mental Health Surveys. Psychological Medicine, 48(9), 1560–1571. https://doi.org/10.1017/S0033291717003336

Gilman, S. E., Sucha, E., Kingsbury, M., Horton, N. J., Murphy, J. M., & Colman, I. (2013). Depression and mortality in a longitudinal study: 1952–2011. Canadian Medical Association Journal, 185(5), E211–E217. https://doi.org/10.1503/cmaj.121141

Greenberg, P. E., Kessler, R. C., Birnbaum, H. G., Leong, S. A., Lowe, S. W., Berglund, P. A., & Corey-Lisle, P. K. (2003). The economic burden of depression in the United States: How did it change between 1990 and 2000? The Journal of Clinical Psychiatry, 64(12), 1465–1475. https://doi.org/10.4088/JCP.v64n1211

Harmer, B., Lee, S., Duong, T. V. H., & Saadabadi, A. (2025). Suicidal ideation. In StatPearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK565877/

Harrison, G., Hopper, K., Craig, T., Laska, E., Siegel, C., Wanderling, J., ... Wiersma, D. (2001). Recovery from psychotic illness: A 15- and 25-year international follow-up study. The British Journal of Psychiatry, 178(6), 506–517. https://doi.org/10.1192/bjp.178.6.506

Herrman, H., Saxena, S., & Moodie, R. (2017). Promoting mental health: Concepts, emerging evidence, practice. World Health Organization. https://www.who.int/publications/i/item/9789241562942

Jaeschke, K., Hanna, F., Ali, S., & Chowdhary, N. (2021). Global estimates of service coverage for severe mental disorders: Findings from the WHO Mental Health Atlas 2017. Global Mental Health, 8, e27. https://doi.org/10.1017/gmh.2021.19

Laursen, T. M., Nordentoft, M., & Mortensen, P. B. (2014). Excess early mortality in schizophrenia. Annual Review of Clinical Psychology, 10, 425–448. https://doi.org/10.1146/annurev-clinpsy-032813-153657

Lim, K. L., Jacobs, P., Ohinmaa, A., Schopflocher, D., & Dewa, C. S. (2008). A new population-based measure of the economic burden of mental illness in Canada. Chronic Diseases in Canada, 28(3), 92–98. https://doi.org/10.24095/hpcdp.28.3.02

Lyne, J., Roche, E., Kamali, M., & Feeney, L. (2023). The global burden of mental disorders and the need for comprehensive coordinated care. Irish Journal of Psychological Medicine, 40(2), 123–130. https://doi.org/10.1017/ipm.2022.32

McDaid, D., Park, A.-L., & Wahlbeck, K. (2024). The economic case for investing in mental health prevention and promotion. World Psychiatry, 23(1), 62–63. https://doi.org/10.1002/wps.21160

Merrick, E. L., Hodgkin, D., Hiatt, D., & Horgan, C. M. (2013). Integration of mental health and substance abuse services. Administration and Policy in Mental Health and Mental Health Services Research, 40(4), 305–314. https://doi.org/10.1007/s10488-012-0428-4

Næss, P. (2016). Built environment, causality and urban planning. Planning Theory & Practice, 17(1), 52–71. https://doi.org/10.1080/14649357.2015.1127994

Pathare, S., Brazinova, A., & Levav, I. (2018). Care gap: A comprehensive measure to quantify unmet needs in mental health. Epidemiology and Psychiatric Sciences, 27(5), 463–467. https://doi.org/10.1017/S2045796018000100

Skinner, A., McFaul, M., & O’Connor, K. (2025). Social connectedness and access to mental health care as mediators of mental well-being outcomes. Journal of Mental Health Policy and Economics, 28(1), 11–24. https://doi.org/10.1002/mhp.1745

Sobczyk, M. M., Świeboda, P., & Lipiński, P. (2023). Indirect costs of mental illness during the COVID-19 pandemic. International Journal of Environmental Research and Public Health, 20(4), 3157. https://doi.org/10.3390/ijerph20043157

Van Hal, G. (2015). The true cost of the economic crisis on psychological well-being: A review. Psychology Research and Behavior Management, 8, 17–25. https://doi.org/10.2147/PRBM.S44732

Wang, P. S., Simon, G., & Kessler, R. C. (2003). The economic burden of depression and the cost-effectiveness of treatment. International Journal of Methods in Psychiatric Research, 12(1), 22–33. https://doi.org/10.1002/mpr.139

World Health Organization. (2025). Mental disorders. https://www.who.int/news-room/fact-sheets/detail/mental-disorders

World Health Organization. (2025). Schizophrenia. https://www.who.int/news-room/fact-sheets/detail/schizophrenia

Yüce, E. (2024). Quantitative explanatory research design in social sciences. International Journal of Research Methodology, 9(2), 55–68. https://doi.org/10.5678/ijrm.2024.92.55.

Author Biographies

Muhammad Taqwa, Faculty of Economics and Business, Universitas Negeri Malang, Malang, Indonesia

Author Origin : Indonesia

Etty Soesilowati, Universitas Negeri Malang

Author Origin : Indonesia

Imam Mukhlis, Universitas Negeri Malang

Author Origin : Indonesia

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How to Cite

Taqwa, M., Soesilowati, E., & Mukhlis, I. (2026). Economic Loss Due To Mental Fragility in The Analysis of Provincial Economic Productivity in Indonesia. Economics and Business Journal (ECBIS), 4(5), 2167–2182. https://doi.org/10.47353/ecbis.v4i5.396

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