Suffering in silence : mental health in the Maltese Football Premier League

Abstract

Mental health challenges such as anxiety, depression, and burnout are prevalent among footballers and can significantly impact their performance and wellbeing. However, psychological support within football clubs is still scarce, and few footballers are willing to speak up due to the stigma and discrimination they may experience. This study sought to explore to what extent mental health challenges affect the wellbeing and performance of footballers and mental health awareness/education initiatives in Maltese football. Eight male players playing in the Maltese Premier League in the 2023/2024 season were interviewed. Reflexive thematic analysis was utilised to analyse the data. The participants highlighted the challenges of the sport, transitions, critical moments, the detrimental impact of high-performance expectations, and injury concerns on their mental wellbeing. This, in turn, affected concentration and decision-making abilities on the pitch. The study revealed a strong desire among players for better mental health education and support within football institutions and the community. National associations and clubs are recommended to provide mental health education initiatives and support within their organisation.