Mental health of detained asylum seekers
Asylum seekers arriving in the USA are likely to be held in detention for months or years pending adjudication of their asylum claims. We interviewed 70 asylum seekers detained in New York, New Jersey, and Pennsylvania. We used self-report questionnaires to assess symptoms of anxiety, depression, an...
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| Published in | The Lancet (British edition) Vol. 362; no. 9397; pp. 1721 - 1723 |
|---|---|
| Main Authors | , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
London
Elsevier Ltd
22.11.2003
Lancet Elsevier Limited |
| Subjects | |
| Online Access | Get full text |
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| Abstract | Asylum seekers arriving in the USA are likely to be held in detention for months or years pending adjudication of their asylum claims. We interviewed 70 asylum seekers detained in New York, New Jersey, and Pennsylvania. We used self-report questionnaires to assess symptoms of anxiety, depression, and post-traumatic stress disorder. At baseline, 54 (77%) participants had clinically significant symptoms of anxiety, 60 (86%) of depression, and 35 (50%) of post-traumatic stress disorder; all symptoms were significantly correlated with length of detention (p=0·004, 0·017, and 0·019, respectively). At follow-up, participants who had been released had marked reductions in all psychological symptoms, but those still detained were more distressed than at baseline. Our findings suggest detention of asylum seekers exacerbates psychological symptoms. |
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| AbstractList | Asylum seekers arriving in the USA are likely to be held in detention for months or years pending adjudication of their asylum claims. We interviewed 70 asylum seekers detained in New York, New Jersey, and Pennsylvania. We used self-report questionnaires to assess symptoms of anxiety, depression, and post-traumatic stress disorder. At baseline, 54 (77%) participants had clinically significant symptoms of anxiety, 60 (86%) of depression, and 35 (50%) of post-traumatic stress disorder; all symptoms were significantly correlated with length of detention (p=0.004, 0.017, and 0.019, respectively). At follow-up, participants who had been released had marked reductions in all psychological symptoms, but those still detained were more distressed than at baseline. Our findings suggest detention of asylum seekers exacerbates psychological symptoms. Asylum seekers arriving in the USA are likely to be held in detention for months or years pending adjudication of their asylum claims. We interviewed 70 asylum seekers detained in New York, New Jersey, and Pennsylvania. We used self-report questionnaires to assess symptoms of anxiety, depression, and post-traumatic stress disorder. At baseline, 54 (77%) participants had clinically significant symptoms of anxiety, 60 (86%) of depression, and 35 (50%) of post-traumatic stress disorder; all symptoms were significantly correlated with length of detention (p=0·004, 0·017, and 0·019, respectively). At follow-up, participants who had been released had marked reductions in all psychological symptoms, but those still detained were more distressed than at baseline. Our findings suggest detention of asylum seekers exacerbates psychological symptoms. SummaryAsylum seekers arriving in the USA are likely to be held in detention for months or years pending adjudication of their asylum claims. We interviewed 70 asylum seekers detained in New York, New Jersey, and Pennsylvania. We used self-report questionnaires to assess symptoms of anxiety, depression, and post-traumatic stress disorder. At baseline, 54 (77%) participants had clinically significant symptoms of anxiety, 60 (86%) of depression, and 35 (50%) of post-traumatic stress disorder; all symptoms were significantly correlated with length of detention (p=0·004, 0·017, and 0·019, respectively). At follow-up, participants who had been released had marked reductions in all psychological symptoms, but those still detained were more distressed than at baseline. Our findings suggest detention of asylum seekers exacerbates psychological symptoms. |
| Author | Sachs, Emily Leviss, Jonathan A Keller, Allen S Singer, Elizabeth Kim, Glen Smith, Hawthorne Allden, Kathleen Trinh-Shevrin, Chau Rosenfeld, Barry Meserve, Chris Wilkinson, John Ford, Douglas |
| Author_xml | – sequence: 1 givenname: Allen S surname: Keller fullname: Keller, Allen S email: alien.keller@med.nyu organization: Bellevue/New York University (NYU) Program for Survivors of Torture, Division of Primary Care Medicine, Department of Medicine, NYU School of Medicine, New York, NY 10016, USA – sequence: 2 givenname: Barry surname: Rosenfeld fullname: Rosenfeld, Barry organization: Department of Psychology, Fordham University, Bronx, NY – sequence: 3 givenname: Chau surname: Trinh-Shevrin fullname: Trinh-Shevrin, Chau organization: Institute for Urban and Global Health, NYU School of Medicine, New York, NY 10016, USA – sequence: 4 givenname: Chris surname: Meserve fullname: Meserve, Chris organization: Bellevue/New York University (NYU) Program for Survivors of Torture, Division of Primary Care Medicine, Department of Medicine, NYU School of Medicine, New York, NY 10016, USA – sequence: 5 givenname: Emily surname: Sachs fullname: Sachs, Emily organization: Bellevue/New York University (NYU) Program for Survivors of Torture, Division of Primary Care Medicine, Department of Medicine, NYU School of Medicine, New York, NY 10016, USA – sequence: 6 givenname: Jonathan A surname: Leviss fullname: Leviss, Jonathan A organization: New York City Health and Hospitals Corporation, New York, NY – sequence: 7 givenname: Elizabeth surname: Singer fullname: Singer, Elizabeth organization: Department of Emergency Services, NYU School of Medicine, New York, NY 10016, USA – sequence: 8 givenname: Hawthorne surname: Smith fullname: Smith, Hawthorne organization: Bellevue/New York University (NYU) Program for Survivors of Torture, Division of Primary Care Medicine, Department of Medicine, NYU School of Medicine, New York, NY 10016, USA – sequence: 9 givenname: John surname: Wilkinson fullname: Wilkinson, John organization: Bellevue/New York University (NYU) Program for Survivors of Torture, Division of Primary Care Medicine, Department of Medicine, NYU School of Medicine, New York, NY 10016, USA – sequence: 10 givenname: Glen surname: Kim fullname: Kim, Glen organization: Department of Medicine, Harvard Medical School, Boston, MA, USA – sequence: 11 givenname: Kathleen surname: Allden fullname: Allden, Kathleen organization: Department of Psychiatry, Dartmouth Medical School, Hanover, NH, USA – sequence: 12 givenname: Douglas surname: Ford fullname: Ford, Douglas organization: Physicians for Human Rights, Boston, MA |
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| Cites_doi | 10.1097/00005053-199202000-00008 10.1176/ajp.144.4.497 10.1016/S0140-6736(00)04575-X |
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| Keywords | Human Nervous system diseases Prevalence Questionnaire Political aspect Central nervous system disease Mental health Refugee Psychopathology Psychosocial factor |
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| References | Silove, Steel, Mollica (bib2) 2001; 357 (bib3) 1999 Mollica, Caspi-Yavin, Bollini, Truong, Tor, Lavelle (bib5) 1992; 180 Keller, Ford, Sachs (bib1) Mollica, Wyshak, de Marneffe, Khoun, Lavelle (bib4) 1987; 144 Mollica (10.1016/S0140-6736(03)14846-5_bib5) 1992; 180 Silove (10.1016/S0140-6736(03)14846-5_bib2) 2001; 357 Keller (10.1016/S0140-6736(03)14846-5_bib1) (10.1016/S0140-6736(03)14846-5_bib3) 1999 Mollica (10.1016/S0140-6736(03)14846-5_bib4) 1987; 144 |
| References_xml | – year: 1999 ident: bib3 publication-title: Lost in the labyrinth: detention of asylum seekers – ident: bib1 article-title: From persecution to prison: the health consequences of detention for asylum seekers. Boston and New York City: Physicians for Human Rights and the Bellevue/NYU Program for Survivors of Torture, 2003 contributor: fullname: Sachs – volume: 180 start-page: 111 year: 1992 end-page: 116 ident: bib5 article-title: The Harvard trauma questionnaire: validating a cross-cultural instrument for measuring torture, trauma, and post traumatic stress disorder in refugees publication-title: J Nerv Ment Dis contributor: fullname: Lavelle – volume: 144 start-page: 497 year: 1987 end-page: 500 ident: bib4 article-title: Indochinese versions of the Hopkins symptom checklist-25: a screening instrument for the psychiatric care of refugees publication-title: Am J Psychiatry contributor: fullname: Lavelle – volume: 357 start-page: 1436 year: 2001 end-page: 1437 ident: bib2 article-title: Detention of asylum seekers: assault on health, human rights, and social development publication-title: Lancet contributor: fullname: Mollica – volume: 180 start-page: 111 year: 1992 ident: 10.1016/S0140-6736(03)14846-5_bib5 article-title: The Harvard trauma questionnaire: validating a cross-cultural instrument for measuring torture, trauma, and post traumatic stress disorder in refugees publication-title: J Nerv Ment Dis doi: 10.1097/00005053-199202000-00008 contributor: fullname: Mollica – ident: 10.1016/S0140-6736(03)14846-5_bib1 contributor: fullname: Keller – volume: 144 start-page: 497 year: 1987 ident: 10.1016/S0140-6736(03)14846-5_bib4 article-title: Indochinese versions of the Hopkins symptom checklist-25: a screening instrument for the psychiatric care of refugees publication-title: Am J Psychiatry doi: 10.1176/ajp.144.4.497 contributor: fullname: Mollica – volume: 357 start-page: 1436 year: 2001 ident: 10.1016/S0140-6736(03)14846-5_bib2 article-title: Detention of asylum seekers: assault on health, human rights, and social development publication-title: Lancet doi: 10.1016/S0140-6736(00)04575-X contributor: fullname: Silove – year: 1999 ident: 10.1016/S0140-6736(03)14846-5_bib3 |
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| Snippet | Asylum seekers arriving in the USA are likely to be held in detention for months or years pending adjudication of their asylum claims. We interviewed 70 asylum... SummaryAsylum seekers arriving in the USA are likely to be held in detention for months or years pending adjudication of their asylum claims. We interviewed 70... |
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| SubjectTerms | Adjudication Anxiety Anxiety - epidemiology Biological and medical sciences Depression - epidemiology Detention centers Emigration and Immigration - legislation & jurisprudence Government Regulation Human rights Humans Longitudinal studies Medical sciences Mental depression Mental disorders Mental health Mental Health Services Needs Assessment Organization of mental health. Health systems Political asylum Post traumatic stress disorder Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Refugees - legislation & jurisprudence Refugees - psychology Social psychiatry. Ethnopsychiatry Stress Disorders, Post-Traumatic - epidemiology Suicides & suicide attempts United States |
| Title | Mental health of detained asylum seekers |
| URI | https://dx.doi.org/10.1016/S0140-6736(03)14846-5 https://www.ncbi.nlm.nih.gov/pubmed/14643122 https://www.proquest.com/docview/199048465/abstract/ https://www.proquest.com/docview/2069920687/abstract/ https://search.proquest.com/docview/71434057 |
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