Medicine, Dentistry and Biomedical Sciences, Queens University Belfast, Belfast, Northern Ireland, UK.
Bamford Centre for Mental Health & Wellbeing, Ulster University, Coleraine, Northern Ireland, UK.
Curr Psychiatry Rep. 2021 Jul 1;23(8):46. doi: 10.1007/s11920-021-01262-8.
To examine mental health outcomes of unaccompanied refugee minors during global policy shift. Additionally, to consider mental health service delivery and placement type for this group.
A rapid systematic search of research published since 2018 which related to mental health outcomes of unaccompanied refugee minors. Data extracted, risk of bias assessed and outcomes reviewed qualitatively.
We found 181 papers, of which 14 met inclusion criteria. This review found consistently high levels of PTSD and PTSS among URMs in various contexts. Exposure to trauma, being unaccompanied (compared to accompanied), being female and being older are associated with poor outcomes. Depression and anxiety were consistently high among URMs and associated with discrimination, limited language attainment and daily hassles. High rates of mental illness and symptoms among unaccompanied refugee minors were consistent across national and settlement contexts but the quality of the evidence is variable with significant heterogeneity of assessment. We relate persistence of poor mental health outcomes with problems accessing mental health services and discuss the role of key post-migration factors influencing outcomes-in particular placement type and the use of detention centres.
研究全球政策转变期间无人陪伴的未成年难民的心理健康结果。此外，还考虑了这一群体的心理健康服务提供和安置类型。
快速系统地搜索了自 2018 年以来发表的与无人陪伴的未成年难民的心理健康结果相关的研究。提取数据、评估风险偏倚并定性审查结果。
我们发现了 181 篇论文，其中 14 篇符合纳入标准。这项综述发现，在不同背景下，URM 中 PTSD 和 PTS 发生率一直很高。创伤暴露、无人陪伴（与陪伴相比）、女性和年龄较大与不良结果有关。抑郁和焦虑在 URM 中一直很高，与歧视、语言能力有限和日常困难有关。在国家和定居背景下，无人陪伴的难民未成年人的精神疾病和症状发生率一直很高，但证据质量存在差异，评估存在显著的异质性。我们将持续的不良心理健康结果与获得心理健康服务的问题联系起来，并讨论影响结果的关键移民后因素的作用，特别是安置类型和拘留中心的使用。
