*2.4.2.2 Psychological status and post-donation psychosocial outcomes*

Potential donors' psychological stability has been one of the greatest concerns for living transplant programmes, particularly in the context of unrelated donation. The willingness or desire to donate to a stranger has been historically viewed with suspicion [71, 72]. Studies suggest that most potential donors do not suffer from mental illness [73, 74]. Many donors have reported positive feelings about donation however, a few have observed psychological distress, anxiety and depression. Thus, it becomes critical to identify, and mitigate key risk factors for these poorer outcomes: non-first degree relatives [75, 76], ambivalent donors [76, 77] and "black sheep" donors (persons who donate in order to compensate for past wrong doings or to restore their position in the family) are at higher risk for poorer post-donation psychosocial outcomes [76, 77].
