International Journal of Public Health

, Volume 55, Issue 2, pp 123–132

Climate change and mental health: a causal pathways framework

  • Helen Louise Berry
  • Kathryn Bowen
  • Tord Kjellstrom
Original Article

DOI: 10.1007/s00038-009-0112-0

Cite this article as:
Berry, H.L., Bowen, K. & Kjellstrom, T. Int J Public Health (2010) 55: 123. doi:10.1007/s00038-009-0112-0



Climate change will bring more frequent, long lasting and severe adverse weather events and these changes will affect mental health. We propose an explanatory framework to enhance consideration of how these effects may operate and to encourage debate about this important aspect of the health impacts of climate change.


Literature review.


Climate change may affect mental health directly by exposing people to trauma. It may also affect mental health indirectly, by affecting (1) physical health (for example, extreme heat exposure causes heat exhaustion in vulnerable people, and associated mental health consequences) and (2) community wellbeing. Within community, wellbeing is a sub-process in which climate change erodes physical environments which, in turn, damage social environments. Vulnerable people and places, especially in low-income countries, will be particularly badly affected.


Different aspects of climate change may affect mental health through direct and indirect pathways, leading to serious mental health problems, possibly including increased suicide mortality. We propose that it is helpful to integrate these pathways in an explanatory framework, which may assist in developing public health policy, practice and research.


Climate change Mental health Public health Adaptation 

Copyright information

© Birkhäuser Verlag, Basel/Switzerland 2009

Authors and Affiliations

  • Helen Louise Berry
    • 1
    • 2
    • 3
  • Kathryn Bowen
    • 1
  • Tord Kjellstrom
    • 1
  1. 1.National Centre for Epidemiology and Population Health, College of Medicine, Biology and EnvironmentThe Australian National UniversityCanberraAustralia
  2. 2.Centre for Rural and Remote Mental Health, School of Medicine and Public HealthThe University of NewcastleNewcastleAustralia
  3. 3.Centre for Research and Action in Public HealthUniversity of CanberraCanberraAustralia

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