Storm Tania, Engberg Marianne
DIGNITY - Danish Institute Against Torture, Borgergade 13, PO Box 2107, 1014 Copenhagen K, Denmark.
Dan Med J. 2013 Nov;60(11):A4728.
Torture has enduring mental and physical health consequences for survivors. Detention of asylum seekers is an integrated part of the immigration systems in many countries. Among the asylum seekers are vulnerable groups such as survivors of torture and severely traumatized refugees. The aim of the present study is to review the scientific evidence on the mental health consequences of immigration detention for adult survivors of torture.
The review was conducted according to a modified version of the PRISMA guidelines. A systematic search was made in: PubMed (Medline), PsychINFO, PILOTS and IBSS, and reference lists were screened.
The search yielded 241 results and two records came from additional sources. A total of 15 studies were included. Merely two case studies focused on survivors of torture. Both reported severe effects of detention on the detainees' mental health. High levels of psychological problems were found in studies identifying torture survivors among the asylum seekers.
The impact of detention on the mental health of torture survivors is poorly documented, and the available data are insufficient to allow analysis of any specific effects. The studies do report severe mental health issues among detained torture survivors. In general, serious mental health problems are found among the detainees and formerly detained asylum seekers. Systematically identifying torture survivors and other vulnerable groups, and assessing and monitoring mental health issues is crucial. The health risks that detention may pose to the wellbeing of each individual should be carefully considered.
酷刑会给幸存者带来持久的身心健康后果。在许多国家，拘留寻求庇护者是移民系统的一个组成部分。寻求庇护者中有一些弱势群体，如酷刑幸存者和遭受严重创伤的难民。本研究的目的是回顾关于移民拘留对成年酷刑幸存者心理健康影响的科学证据。
本综述依据PRISMA指南的修改版进行。在PubMed（Medline）、PsychINFO、PILOTS和IBSS中进行了系统检索，并筛选了参考文献列表。
检索得到241条结果，另外两条记录来自其他来源。共纳入15项研究。仅有两项案例研究关注酷刑幸存者。两者均报告了拘留对被拘留者心理健康的严重影响。在识别出寻求庇护者中有酷刑幸存者的研究中发现了高水平的心理问题。
拘留对酷刑幸存者心理健康的影响记录不足，现有数据不足以分析任何具体影响。这些研究确实报告了被拘留的酷刑幸存者中存在严重的心理健康问题。总体而言，在被拘留者和曾被拘留的寻求庇护者中发现了严重的心理健康问题。系统地识别酷刑幸存者和其他弱势群体，并评估和监测心理健康问题至关重要。应仔细考虑拘留可能对每个人的福祉构成的健康风险。
