126
resulted from suicide. Additionally, out of the 4,487
reported deaths due to illness, 13.1% (590 deaths)
were attributed to suicide. These percentages could be
higher if they accounted for the 50% of deaths due to
seafarers disappearing at sea [7]. Moreover, Jensen
and Oldenburg (2019) [8] conducted a study to assess
the extent to which seafarers in 12 German ships were
subject to traumatic events and the psychological
effects on the individuals. From the sample
population, 83.6% experienced after-effects, such as
dreaming about a traumatic experience. According to
the 12 shipping companies interviewed, 2 cases of
suicide were noted out of 14 deaths in the last three
years [8]. Lastly, Pocock, Nguyen, Lucero-Prisno III,
Zimmerman, and Oram (2018) [10] also reported a
high incidence of mental health issues among
seafarers in various countries in Southeast Asia,
particularly Cambodia and Myanmar. However, this
study highlights the considerable lack of thorough
research done in the region as most literature on
seafarer’s health issues is based on European or
western seafarers [10].
Mental health has become a crisis across the
maritime industry. Many shipping companies have
taken notice of the huge surge in suicide cases and
mental health issues among their crews and have
advanced their efforts to enhance the overall health of
seafarers [1, 2]. Different approaches such as daily
exercise, proper nutrition, and psychological support
have been implemented by various shipping
companies [2]. However, new measures such as the
creation of educational programs to remove the
stigma associated with mental health and
comprehensive initiatives to address the root causes
of these problems directly need to be implemented
[1]. For instance, Hayward (2019) [4] suggests
ensuring a good quality Pre-Medical Employment
Examination (PEME) before the start of a work term
and adopting policies surrounding mental health
could improve outcomes for shipping companies.
Moreover, Sliskovic and Penezic (2015) [11] assert that
ship owners, unions and international regulatory
bodies should aim to enhance seafarers’ lives onboard
by decreasing working hours, reducing periods of
separation form families, and improving
telecommunications, recreational opportunities and
team-building social events onboard, among other
initiatives [11].
Consequently, organizations such as the
International Seafarers’ Welfare and Assistance
Network and the International Council on Social
Welfare have developed initiatives to combat the
mental health crisis aboard ships. Through booklets
and leaflets, information campaigns have proven to be
effective in various cases where direct causes cannot
be addressed [1, 2]. For instance, the Rotary Club of
Melbourne South developed and distributed
informative booklets and leaflets about depression to
seafarers on 3,500-4,000 ships in 17 major Australian
ports [7]. Additionally, the International Maritime
Health Association proposed a comprehensive mental
health promotion program that includes creating
educational training resources (online courses,
modules, etc.), small support groups for students at
sea and onshore and training on peer support and de-
escalation of stressful situations.
In brief, the available literature emphasizes the
need for more comprehensive programs to improve
working conditions and promote mental health
support and training for seafarers at sea. It must also
have highlighted the apparent lack of research on the
strategies to combat mental health issues enforced by
Southeast Asian shipping companies or whether these
exist. The increasing rates of depression and anxiety
have amplified concerns for the mental health issues
that sailors consistently face as they lead to growing
numbers of suicide reports onboard ships. According
to existing literature, promoting mental health
onboard ships would increase seafarers’ work
conditions and, in turn, work quality and safety.
Hence, shipping companies should be encouraged to
promote mental health alongside proper work safety
to decrease and alleviate some of the contributing
factors that lead to depression, anxiety, and ultimately
suicide among crew members [1]. The following study
was conceptualized to address the gap in available
literature concerning seafarers’ mental health and the
growing need for mental health awareness and
education among seafarers and shipping companies.
Furthermore, this study is anchored on the Philippine
Republic Act No. 11036 on Mental Health, where
Filipino seafarers are covered in terms of saving their
lives onboard ship and maintaining a healthy way of
thinking.
This study aimed to ascertain the factors affecting
the seafarers’ mental health onboard ship and the
strategies they apply to combat these issues. In
particular, this investigation looked for answers to the
main contributing factors that affect the mental health
of seafarers’ onboard ship and the strategies the
seafarers apply to counteract these factors.
2 MATERIALS AND METHODS
2.1 Research design
This study employed a descriptive survey. A
descriptive survey uses the same set of questions for
large number of individuals [3]. In the present study,
survey method was used to assess the perceptions of
the target populations on the following two variables:
the contributing factors that impact the mental health
of Filipino seafarers and the strategies that seafarers
utilized to counteract the factors that affect their
mental health onboard ship.
2.2 Respondents
The total study respondents were 100 seafarers taken
through convenience and snowball sampling
techniques. Convenience sampling in the sense that
the researchers took some of the respondents in the
JBLFMU Alumni Portal and messenger. Snowball was
also used because the identification of other seafarer
respondents was based on the referral of other
respondents. According to Fraenkel & Wallen (2010)
[3], the minimum number of respondents in
descriptive research is 100.