29 actor on the island providing mental health lack of cleanliness negatively impacted Yaseen services and only one private psychiatrist on and Jamal’s mental health. Yaseen shared, the island with limited capacity. “When you live in cleanliness, your psychological Brian explained that his mental health began to health is good. Living in this way [in the PRDC], I deteriorate on his first day inside the PRDC. He shared, “The first day, I could not sleep. I was even thinking to commit suicide. I could not believe that things like this are happening to me. It was the first time that something like this happened to me.” Haytham, on the other hand, noticed his suffer psychologically because...I am not used to living in these dirty conditions.” Jamal affirmed the impact of the inadequate conditions on his mental health: “The lack of hygiene has impacted my physical and mental health. We were living a life in Gaza better than here 1000 times. I swear to mental health deteriorating over time. He God that I cannot describe the conditions here.” explained, “I usually have no medical conditions, For others, the isolation from loved ones leads but here I started talking to myself. I shut the door to a negative impact on their mental health. and lay on the bed and sit there and talk with Jamal explained, “Emotionally of course I am myself and the cockroaches that are in the room.” impacted because I am not speaking to anybody, Equal Rights submitted a medical intervention to the police in Noah’s case due to the severity of his deteriorating mental health condition. Noah had been transferred to the Kos PRDC from Leros, where he had been hospitalised and monitored by a psychiatrist. Noah had medical documents from his country of origin and from Leros proving he suffered from various mental illnesses, and Equal Rights staff observed that even my wife. I have not told my family I am in detention.” Overall, experiencing the negative conditions in the PRDC led some participants to feel the authorities neglected them. Brian explained, “I feel like they do not care for us in the PRDC. When I was in the other camp (CCAC), three times a day someone came to clean the toilets, but now it is like they do not pay attention, or care for us. I feel like we are not important.” his mental condition deeply worsened in the Uncertainty around life during and after Kos PRDC, which was later confirmed by Noah detention also led to damaging consequences when he shared he may attempt suicide. on Despite the evidence, the police refused to explained, “My psychological health is getting release him – claiming the medical records did worse because of the conditions, but mostly because not show grounds for lifting Noah’s detention. it is still unknown to me what will happen to me Equal Rights staff requested the police regarding my case.” Brian added, “I’m always directorate worried and thinking about the surrounding to reconsider, before filing participants’ mental health. Adam objections that were also ultimately rejected. circumstances in my life. Even if I am released, I From the lack of food to the lack of clean understand that I will have to stay in the city and I facilities, virtually every aspect of the inadequate conditions in detention will not have accommodation and I will not be able to work.” contributed to participants’ deteriorating Moreover, as explained in the last report,54 the mental health in the PRDC. For example, the impacts of detention continue long beyond the 54 Still Detained and Forgotten, supra note 2, at 30. ‘Still detained and forgotten’ – Update on Detention Policies, Practices, and Conditions on Kos 2023/24