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HEALTH

Denmark’s mental health services in spotlight after Copenhagen shooting

Two days after the shootings in Copenhagen, questions have been asked around the quality of mental health care in Denmark after police confirmed that the suspected gunman was known to psychiatric services.

Denmark's mental health services in spotlight after Copenhagen shooting
A woman lays flowers next to the Field's shopping centre, where Sunday's shooting occurred. Photo: Annegret Hilse/Reuters/Ritzau Scanpix

“The tragedy in Field’s calls us to debate not terrorism threats or immigration, but rather a conversation about whether we in the psychiatric system had a good enough grip on the suspected perpetrator,” Berlingske’s Pierre Collignon wrote in the newspaper’s Tuesday editorial.

A 22-year-old man was charged with three murders and seven attempted murders in relation to the Field’s shooting at a brief closed-doors court hearing on Monday and was remanded into psychiatric care for at least 24 days.

Police said the shooter, who was carrying a rifle and knife, was known to mental health services, and that he had acted alone as they ruled out terrorism on Monday. 

“Our suspect is also known among psychiatric services, beyond that I do not wish to comment,” Copenhagen chief police inspector Soren Thomassen said.

According to public broadcaster DR, the man had failed to get through to a support helpline shortly before the attack, but authorities would not confirm this.

The day before the shootings, the suspect published videos on social media, which police have said are authentic. In them he posed with weapons, which he did not have a permit for and he talked about psychiatric medication “that does not work”. 

Mads Kastrup from Ekstra Bladet questioned why an alarm was not triggered in the system when it was known that the suspected gunman had mental health problems and according to Ekstra Bladet, still had access to weapons through his shooting association.

JydskeVestkysten’s editor-in-chief Peter Orry said that the Social Democrats had promised a ten-year plan to improve psychiatry services in Denmark.  

“The National Board of Health and Welfare and the Danish health authority came up with a proposal for the plan in January, but nothing has happened. There will be justified criticism if it turns out that the suspect has not received the help and treatment that might have prevented the tragedy”, he said.

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HEALTH

‘Some towns had zero births’: Greenlanders sue Denmark over forced contraception

Henriette Berthelsen was separated from her family at 11 and forced to wear a contraceptive coil, a trauma she buried until she and 142 other Greenlandic women sued the Danish state.

'Some towns had zero births': Greenlanders sue Denmark over forced contraception

Henriette Berthelsen was separated from her family at 11 and forced to wear a contraceptive coil, a trauma she buried until she and 142 other Greenlandic women sued the Danish state.

“I’ve suppressed so much,” Berthelsen said. “I had an IUD (intrauterine device) fitted nine times since the age of 13, according to my medical records,” the psychologist and activist explained with poise and dignity.

“Luckily — if one can say luckily — they fell out,” she said, her voice cracking, at her home in a Copenhagen suburb. “I remember being in so much pain.” 

Now 66, Berthelsen is one of the 143 Greenland Inuits who have sued the Danish state for violating their rights during its forced contraception campaign from the 1960s to 1980.

Some 4,500 fertile women were forced to undergo the procedure, often without their or their family’s consent.

Denmark carried out the campaign to limit the birth rate in the Arctic territory, which had not been its colony since 1953 but was still under its control.

Berthelsen’s parents never consented to her coils.

At the recommendation of the state, she was sent to Denmark for a year as a young girl to learn Danish and then to a Danish boarding school in Nuuk, Greenland’s capital, far from her hometown of Qeqertarsuatsiaat in southwestern Greenland.

One day, “there was a sign that said that all the girls from the boarding school had to go to the infirmary”, she said.

The IUDs kept falling out, she recalled, holding a photograph of herself from the time — a young girl with long dark plaits.

‘Never contradict a Dane’

For a long time she didn’t tell anyone about her ordeal, remembering what her mother had taught her: ‘Never contradict a Dane’.

For many of her classmates, the experience had a devastating impact.

“In my class there were several girls who were never able to have children,” she said.

Berthelsen herself went on to have two kids.

She is now campaigning to get the Danish state to pay for therapy for the victims living in Denmark.

Greenland already pays such benefits to those living in the territory.

Ebbe Volquardsen, a lecturer at the University of Nuuk, said the women were seeking justice now because the time was ripe.

“It simply takes time for marginalised groups, including Greenlanders within the Danish realm, to develop an awareness of systemic inequality and the ability to articulate it as a problem,” she explained.

One of the victims spoke out in the media several years ago about the trauma she experienced.

A podcast series by Danish public broadcaster DR in 2022 then revealed the extent of the campaign.

“It’s important that the Danish state takes responsibility,” said Berthelsen.

“Some things happened as a result of colonialism” — like “deciding, instead of the people (concerned), whether they are too many or too few, committing a genocide, committing violence and offences against young girls”, she fumed.

Historian Soren Rud told AFP: “In the context of the 2020s, the authoritarian elements of the campaign stood out as a shocking example of how the colonial and post-colonial situation affected the interaction between Greenlanders and Danes.”

‘Big success’

The lawyer for the plaintiffs, Mads Pramming, said one of the documents presented as evidence in the case is a copy of a 1971 review by a doctor extolling the “success” of the policy.

“There were 9,000 fertile women and, in just four years, they inserted an IUD in half of them. So 4,500. And the population dived enormously,” he said.

“Some towns had zero births during that period. After four years they concluded (it was a) big success.”

The large majority of the plaintiffs — the oldest of whom is now 82 — were left with lasting scars.

“Of the 143, about 50 of them had their uterus removed and were not able to have kids, and all of them suffered” physically and mentally, he said.

“Their own testimony is going to be the hardest evidence in the case.”

A fire destroyed many of the women’s medical files but that’s unlikely to change much.

“I don’t think the doctor would put in the medical file that he inserted this IUD in a 12-year-old girl with her crying and being held by two other adults,” Pramming said.

In October 2023, 67 of the plaintiffs filed claims for compensation from the Danish state of 300,000 kroner ($42,000) each.

“All of the requests for compensation will be evaluated by (us),” the health ministry told AFP in an email.

The case comes as Denmark and Greenland are re-examining their past relationship in a historic parliamentary committee.

In addition, researchers have opened a probe specifically into the forced contraception campaign.

Its conclusions are due in mid-2025.

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