Mental ill health among asylum seekers and other immigrants in Sweden

Purpose – The aim of this paper is to explore mental ill health among newly arrived immigrants to Sweden, in relation to their legal status and previous exposure to threats, violence and separation and to investigate how their health care needs were met.Design/methodology/approach – Records of health interviews and examinations performed January 1, 2010 to May 31, 2011, in one of six eligible primary health care centers (PHCC) in Stockholm County, Sweden were analysed.Findings – In total, 555 records were collected and reviewed with regard to: age, sex, legal status (asylum seekers and others), exposure to threats and/or violence, exposure to separation from family member, symptoms or diagnoses, and measures taken. Reported symptoms of mental ill health were labeled mental ill health. Where health interviews led to medical examination, records from these were retrieved to investigate the care offered and given. Reporting symptoms of mental ill health was common (43 percent) among the study population. Exp...

[1]  S. Ekblad,et al.  An exploration of the connection between two meaning perspectives: an evidence-based approach to health information delivery to vulnerable groups of Arabic- and Somali-speaking asylum seekers in a Swedish context , 2012, Global health promotion.

[2]  Andrew G. Livingstone,et al.  Asylum Seekers' Perspectives on their Mental Health and Views on Health and Social Services: Contributions for Service Provision Using a Mixed‐Methods Approach , 2011 .

[3]  B. Rechel,et al.  Migration and health in the european union , 2011 .

[4]  W. Devillé,et al.  Health care for immigrants in Europe: Is there still consensus among country experts about principles of good practice? A Delphi study , 2011, BMC public health.

[5]  Julia Mueller,et al.  Mental health of failed asylum seekers as compared with pending and temporarily accepted asylum seekers. , 2011, European journal of public health.

[6]  B. Burström,et al.  Gender-related mental health differences between refugees and non-refugee immigrants - a cross-sectional register-based study , 2011, BMC public health.

[7]  Q. Ngo-Metzger,et al.  Chapter 11 The mental health challenges of immigration , 2011 .

[8]  Julia Mueller,et al.  Mental health and healthcare utilization in adult asylum seekers. , 2010, Swiss medical weekly.

[9]  Z. Steel,et al.  Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systematic review and meta-analysis. , 2009, JAMA.

[10]  I. Komproe,et al.  The impact of a long asylum procedure on quality of life, disability and physical health in Iraqi asylum seekers in the Netherlands , 2008, Social Psychiatry and Psychiatric Epidemiology.

[11]  C. Benson,et al.  Psychological Distress and the Asylum Process: A Longitudinal Study of Forced Migrants in Ireland , 2008, The Journal of nervous and mental disease.

[12]  A. Oxholm,et al.  Asylum seekers in Denmark--a study of health status and grade of traumatization of newly arrived asylum seekers. , 2008, Torture : quarterly journal on rehabilitation of torture victims and prevention of torture.

[13]  E. Hauff,et al.  Mental health of recently resettled refugees from the Middle East in Sweden: the impact of pre-resettlement trauma, resettlement stress and capacity to handle stress , 2008, Social Psychiatry and Psychiatric Epidemiology.

[14]  H. Weinstein,et al.  The Harvard Trauma Questionnaire: Adapting a Cross-Cultural Instrument for Measuring Torture, Trauma and Posttraumatic Stress Disorder in Iraqi Refugees , 2007, The International journal of social psychiatry.

[15]  J. de Jong,et al.  Prevalence and predictors of health service use among Iraqi asylum seekers in the Netherlands , 2007, Social Psychiatry and Psychiatric Epidemiology.

[16]  M. Norredam,et al.  Access to health care for asylum seekers in the European Union--a comparative study of country policies. , 2006, European journal of public health.

[17]  S. Turner,et al.  Should discrepant accounts given by asylum seekers be taken as proof of deceit? , 2006, Torture : quarterly journal on rehabilitation of torture victims and prevention of torture.

[18]  I. van der Tweel,et al.  Postmigration Living Problems and Common Psychiatric Disorders in Iraqi Asylum Seekers in the Netherlands , 2005, The Journal of nervous and mental disease.

[19]  J. Danesh,et al.  Prevalence of serious mental disorder in 7000 refugees resettled in western countries: a systematic review , 2005, The Lancet.

[20]  Leif A. Strömwall,et al.  Granting asylum or not? Migration board personnel's beliefs about deception , 2005 .

[21]  D. Foy,et al.  Chronic PTSD and Medical Services Utilization by Asylum Seekers , 2003 .

[22]  D. Silove,et al.  The psychosocial effects of torture, mass human rights violations, and refugee trauma: toward an integrated conceptual framework. , 1999, The Journal of nervous and mental disease.

[23]  K. Mcinnes,et al.  Dose-effect relationships of trauma to symptoms of depression and post-traumatic stress disorder among Cambodian survivors of mass violence , 1998, British Journal of Psychiatry.

[24]  Z. Steel,et al.  Anxiety, depression and PTSD in asylum-seekers: Assocations with pre-migration trauma and post-migration stressors , 1997, British Journal of Psychiatry.

[25]  K. Abel,et al.  Planning Community Mental Health Services for Women , 1996 .

[26]  D. Summerfield The Impact of War and Atrocity on Civilian Populations: Basic Principles for NGO Interventions and a Critique of Psychosocial Trauma Projects , 1996 .

[27]  R. Mollica,et al.  The Harvard Trauma Questionnaire: Validating a Cross‐Cultural Instrument for Measuring Torture, Trauma, and Posttraumatic Stress Disorder in Indochinese Refugees , 1992, The Journal of nervous and mental disease.