Psychological Healthcare Psychological healthcare, reported by respondents both in regards to themselves and fellow detainees, was extremely poor across detention facilities in Greece. The presence of psychologists was limited, if at all, and similarly to doctors, they were reportedly dismissive of detainees cases. Several respondents explained that their psychological struggles were ignored, with some even reporting verbal abuse by the authorities as a result of expressing their difficulties. This is particularly concerning following our research which indicated that a quarter of respondents expressed severe psychological difficulties including depression and self-harm practices, citing it as one of the main challenges. The combined lack of stimulation, information, ability to exercise, access to psychological support, poor treatment by authorities and lengthy detention periods, generates a critical landscape for mental wellbeing. The ECtHR has consistently held that Article 3 ECHR imposes an obligation on the state to protect both the mental wellbeing of persons deprived of their liberty, as well as the physical health. In addition to the Kudła v. Poland case, the Ananyev and others v. Russia and S.D. v. Greece cases are further examples of reaffirmation of this principle.[231] The experiences described by detainees in Greece utterly disregard wellbeing and dignity, and demonstrate the routine failure by the Greek authorities to improve the situation in detention centres. Furthermore, Article 2 ECHR - regarding the prevention of suicide may also be relevant when considering questions of mental health. This is particularly important as respondents referenced incidents of suicide in PRDCs and general threats of suicide amongst detainees, indicating the lack of response by authorities or medical actors. Historically, suicides have been reported across PRDCs in Greece, [232] and despite the CPT’s recommendations, the situation has not improved. In 2020, the CPT called upon the Greek authorities to ensure that all migrants detained for more than 24 hours should be interviewed and examined to identify any mental health problems. [233] This should be included in a screening process to assess if detention will have an impact on the individual's psychological health. Furthermore, if an individual requires treatment upon assessment, it should be provided in a timely manner.[234] The ECtHR has applied principles of psychological treatment, including for psychiatric disorders involving suicidal tendencies, for people deprived of their liberty,[235] and the longer term implications of detention on individuals should thus be considered and applied to detainees in Greece. There is a general doctor who could give just very simple medicine but if somebody has psychological problems they don’t believe them. I was really depressed, because the depression and suicide thoughts were so hard that sometimes I just put a knife to my head and my friends would have to help me. Driss, Amygdaleza We didn’t have access to any health service. So when we said, like "we want to see a doctor, we are really sick", they said "you can drink water, it's not any problem". The situation were really bad there, I had like mental health problem and all the time I tried to beat myself so, but they just ignore. Ghulam, Corinth Next to us was another camp, it was one Turkish or Kurdish guy, he was arrested there for 19 months and they said to him when you finish this last month, 19 months, you will be out. So, he finished his last month and he go to them and he said to them I want the freedom as you told me so they said to him no, there is no freedom or something for you right now, so he entered to the bathroom and he killed himself there, he hanged himself there, so he died there. Ayoub, Corinth 67