Mental health of displaced and refugee children resettled in high-income countries: risk and protective factors

The Lancet ◽  
2012 ◽  
Vol 379 (9812) ◽  
pp. 266-282 ◽  
Author(s):  
Mina Fazel ◽  
Ruth V Reed ◽  
Catherine Panter-Brick ◽  
Alan Stein
Keyword(s):  
Mental Health ◽  
Protective Factors ◽  
Risk And Protective Factors ◽  
High Income ◽  
Refugee Children

Mental health of displaced and refugee children resettled in low-income and middle-income countries: risk and protective factors

The Lancet ◽  
2012 ◽  
Vol 379 (9812) ◽  
pp. 250-265 ◽  
Author(s):  
Ruth V Reed ◽  
Mina Fazel ◽  
Lynne Jones ◽  
Catherine Panter-Brick ◽  
Alan Stein
Keyword(s):  
Mental Health ◽  
Protective Factors ◽  
Low Income ◽  
Risk And Protective Factors ◽  
Refugee Children ◽  
Middle Income ◽  
Middle Income Countries

scholarly journals Identifying the critical time points for mental health of asylum seekers and refugees in high-income countries

2019 ◽  
Vol 29 ◽  
Author(s):  
Domenico Giacco
Keyword(s):  
Mental Health ◽  
Risk Factors ◽  
Protective Factors ◽  
Host Country ◽  
Asylum Seekers ◽  
Critical Time ◽  
Risk And Protective Factors ◽  
High Income ◽  
Time Points ◽  
Asylum Seekers And Refugees

Abstract Aims High heterogeneity was found in the prevalence rates of mental disorders in adult asylum seekers and refugees in high-income countries. This may be related to different problems. Among them, there is a changing exposure to risk and protective factors for mental health at different phases of these people's life before migration, and during the migratory journey and resettlement. This study aimed at identifying and distinguishing time points in which distinct risk and protective factors for the mental health of asylum seekers and refugees may occur. Methods Systematic review and narrative synthesis. A systematic search was carried out for the period January 2017–August 2019, given the existence of systematic reviews of the evidence up to January 2017. Results Two hundred and fifty-two studies were identified with our search and 31 studies were included. The critical time points identified are: (a) before the travel; (b) during the travel; (c) at initial settlement in the host country; (d) when attempting to integrate in the host country; (e) when the immigration status is challenged or revoked. Some factors such as sense of belonging in the host country can be risk factors or protective factors depending on the time point. Conclusions These five critical time points can guide the development and selection of well-timed preventive and treatment interventions. They could also be used to stratify samples in epidemiological studies and meta-analyses. At present, we know much more on risk factors than on protective factors. Knowing more about protective factors may inform the development of interventions to foster them.

scholarly journals Self-harm and suicidal behaviour in Ghana: a systematic review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e053144
Author(s):  
Emmanuel Nii-Boye Quarshie ◽  
Kwaku Oppong Asante ◽  
Johnny Andoh-Arthur
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Global Health ◽  
Protective Factors ◽  
Suicide Prevention ◽  
Suicidal Behaviour ◽  
Observational Studies ◽  
Risk And Protective Factors ◽  
Prevalence Estimates ◽  
Self Harm

IntroductionSelf-harm and suicidal behaviour represent major global health problems, which account for significant proportions of the disease burden in low-income and middle-income countries, including Ghana. This review aims to synthesise the available and accessible evidence on prevalence estimates, correlates, risk and protective factors, the commonly reported methods and reasons for self-harm and suicidal behaviour in Ghana.Methods and analysisWe will conduct a systematic review reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement (2009) recommendations. Regional and global electronic databases (African Journals OnLine, African Index Medicus, APA PsycINFO, Global Health, MEDLINE and PubMed) will be searched systematically up to December 2021 for observational studies and qualitative studies that have reported prevalence estimates, correlates, risk and protective factors, methods and reasons for self-harm and suicidal behaviour in Ghana. The electronic database searches will be supplemented with reference harvesting and grey literature searching in Google Scholar and ProQuest Dissertations & Theses Global for postgraduate dissertations. Only records in English will be included. The Mixed Methods Appraisal Tool (2018) will be used to assess the methodological quality of included studies. Meta-analysis or narrative synthesis or both will be used, contingent on the extent of heterogeneity across eligible observational studies.Ethics and disseminationConsidering that this is a systematic review of accessible and available literature, we will not seek ethical approval. On completion, this review will be submitted to a peer-reviewed journal, be disseminated publicly at (mental) health conferences with focus on self-harm and suicide prevention. The important findings would also be shared with key national stakeholder groups in Ghana: Ghana Association for Suicide Prevention, Ghana Mental Health Authority, Ghana Psychological Association, Centre for Suicide and Violence Research, Accra and the Parliamentary Select Committee on Health.Prospero registration numberCRD42021234622.

scholarly journals Psychological and psychosocial interventions for refugee children resettled in high-income countries

2017 ◽  
Vol 27 (2) ◽  
pp. 117-123 ◽  
Author(s):  
M. Fazel
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Psychosocial Interventions ◽  
High Income ◽  
Refugee Children ◽  
Post Traumatic Stress ◽  
General Mental Health ◽  
Large Numbers ◽  
Post Traumatic ◽  
Science Methodology

Large numbers of refugee children are arriving in high-income countries. The evidence to date suggests that they have mental health needs that are higher than for the general population and that these are exacerbated by the numbers of traumatic events they have experienced and the post-migration stressors they continue to be exposed to. The importance of a thorough and thoughtful assessment is discussed. Treatments of note are described for post-traumatic stress disorder, family functioning, general mental health problems and school environments. Future opportunities to operationalise outcome measures, develop multimodal interventions and utilise implementation science methodology are considered.

scholarly journals A systematic review of risk and protective factors of mental health in unaccompanied minor refugees

2020 ◽  
Author(s):  
Edgar Höhne ◽  
Anna Swantje van der Meer ◽  
Inge Kamp-Becker ◽  
Hanna Christiansen
Keyword(s):  
Mental Health ◽  
Protective Factors ◽  
Predictive Factors ◽  
Mental Health Problems ◽  
Risk And Protective Factors ◽  
Poor Mental Health ◽  
Qualitative Synthesis ◽  
Cross Sectional ◽  
Unaccompanied Minor Refugees ◽  
Minor Refugees

Abstract In recent years, there has been a rising interest in the mental health of unaccompanied minor refugees (UMR), who are a high-risk group for mental disorders. Especially the investigation of predictive factors of the mental health of young refugees has received increasing attention. However, there has been no review on this current issue for the specific group of UMR so far. We aimed to summarize and evaluate the existing findings of specific risk and protective factors to identify the most verified influences on the mental health of UMR. Therefore, we conducted a systematic literature search. Study designs were limited to quantitative cross-sectional and longitudinal designs. Eight databases were searched in four different languages and article reference lists of relevant papers were screened. 27 studies were included (N = 4753). Qualitative synthesis revealed the number of stressful life events to be the most evaluated and verified risk factor for mental health of UMR. A stable environment and social support, on the other hand, can protect UMR from developing poor mental health. Besides that, several other influencing factors could be pointed out, such as type of accommodation, family contact, gender and cultural competences. Because of the large heterogeneity of outcome measures, quantitative synthesis was not possible. This review helps to improve our understanding of determinants of UMRs mental health and thus to provide more targeted treatment. Furthermore, it provides information on how to prevent the development of mental health problems by specifying factors that can be modified by different health and immigration sectors in advance. Further research is needed focusing on the interaction between the various predictive factors.

New developments in the mental health of refugee children and adolescents

2019 ◽  
Vol 22 (2) ◽  
pp. 72-76 ◽  
Author(s):  
Matthew Hodes
Keyword(s):  
Mental Health ◽  
Protective Factors ◽  
Treatment Effectiveness ◽  
Refugee Children ◽  
Unaccompanied Refugee Minors ◽  
New Developments ◽  
Treatment Provision ◽  
Parent Child Relationships ◽  
Models Of Service Delivery ◽  
Refugee Minors

The increase in refugees globally since 2010 and the arrival of many into Europe since 2015, around 50% of whom are under 18 years, have been the stimulus to greater investigation and publications regarding their mental health. This clinical review summarises selected themes in the field as described in the published literature since 2016. The themes include refugee statistics, premigration and postmigration experiences, psychopathology focusing on parent–child relationships, unaccompanied refugee minors and associations between resettlement, acculturation and mental health. Some important reviews and studies are discussed that address service and treatment provision. While there has been a recent increase in research in this field, more is needed into the course of psychopathology, protective factors and the promotion of integration into resettlement countries, as well as models of service delivery and treatment effectiveness.

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