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无人陪伴的未成年难民的心理健康和福祉。

The mental health and wellbeing of Unaccompanied Refugee Minors (URMs).

机构信息

Child and Adolescent Mental Health, UCL Great Ormond Street Institue for Child Health, 30 Guilford Street, London, WC1N 1EH, United Kingdom.

Child and Adolescent Mental Health, UCL Great Ormond Street Institute for Child Heatlh, 30 Guilford Street, London, WC1N 1EH, United Kingdon.

出版信息

Child Abuse Negl. 2019 Dec;98:104146. doi: 10.1016/j.chiabu.2019.104146. Epub 2019 Sep 12.

Abstract

BACKGROUND

Today, almost half of all refugees worldwide are children and adolescents, nearly a quarter of whom arrive in Europe as Unaccompanied Refugee Minors (URM). Many URMs have experienced the cumulative stress of being exposed both to the adverse environmental conditions which drive forced migration, and to the traumatic experience of displacement and resettlement. These experiences, coupled with other developmental stressors, may impede their overall development and increase their likelihood of mental health problems. Despite the evident vulnerability of URMs, much controversy currently surrounds the legitimacy of their arrival in host countries and their mental health is given little consideration.

OBJECTIVE

This review synthesises and examines the limited published literature on the impact of traumatic refugee experiences on the mental health and development of URMs.

METHODS

Academic databases and other sources were searched using key terms relating to URMs and mental health.

RESULTS

The findings confirm in large part that being a URM negatively influences mental health development, and that adolescence and being female are particular indicators of increased risk of psychiatric disorders. However, cultural differences in measurement and assessment of mental health are important confounding factors.

CONCLUSIONS

The current literature on youth in transit consistently paints a picture of how experiences URMs face can place a great burden on their mental health - clearly depicting an urgent need to consider their mental health within the current climate. The pressing need for improved care based on best practice is discussed.

摘要

背景

如今,全球近一半的难民是儿童和青少年,其中近四分之一作为无人陪伴的未成年难民(URM)抵达欧洲。许多 URM 经历了被迫迁移所带来的不利环境条件的累积压力,以及流离失所和重新安置的创伤经历。这些经历,加上其他发展压力源,可能会阻碍他们的全面发展,并增加他们出现心理健康问题的可能性。尽管 URM 明显脆弱,但目前围绕他们抵达收容国的合法性存在很大争议,他们的心理健康问题几乎没有得到考虑。

目的

本综述综合并检查了关于创伤性难民经历对 URM 心理健康和发展影响的有限已发表文献。

方法

使用与 URM 和心理健康相关的关键词,在学术数据库和其他来源中进行搜索。

结果

调查结果在很大程度上证实,作为 URM 会对心理健康发展产生负面影响,而青春期和女性身份是精神疾病风险增加的特定指标。然而,心理健康的测量和评估方面的文化差异是重要的混杂因素。

结论

关于过境青年的现有文献一致描绘了 URM 所面临的经历如何给他们的心理健康带来巨大负担——这清楚地表明,在当前环境下,迫切需要考虑他们的心理健康。还讨论了基于最佳实践的改善护理的迫切需求。

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