Dagli Arav, Webb Roger T
Manchester Medical School, Faculty of Biology, Medicine, and Health, The University of Manchester, Manchester, M13 9PL, UK.
Division of Psychology and Mental Health, The University of Manchester, Manchester Academic Health Science Centre (MAHSC), Manchester, UK.
BMC Psychiatry. 2025 Apr 4;25(1):331. doi: 10.1186/s12888-025-06752-0.
Romas and Irish Travellers are two distinct, traditionally nomadic ethnicities of people who experience lower socioeconomic position and social exclusion. This occurs within the context of long-term attempts to maintain their traditional culture. They are known to have significantly worse health outcomes than the general population. This systematic review identified and appraised the existing literature on the mental health status of Romas and Travellers, as well as suicidality in these communities. It aimed to determine how their mental health status compares to that of the general population and propose mechanisms for any differences observed.
All databases on OVID were searched using three search strings for relevant articles, which were then manually screened to ensure that they were relevant. All studies included were assessed for quality standards.
The evidence shows that Romas/Travellers have a far higher prevalence of mental health problems than the general population. The most recent evidence suggests Romas/Travellers have a higher rate of suicide compared to any other ethnicity in the UK. A range of factors were associated with this disparity, including socioeconomic deprivation (issues with housing, education/employment, and discrimination), poor physical health, and barriers to accessing healthcare. Women faced worse mental health outcomes, possibly due to enforced gender roles, early marriage, and domestic violence.
Romas/Travellers face higher rates of mental illness and suicidality, which is largely multifactorial in nature. Significant stigma around mental health and suicide still exists in these communities, making it difficult for affected individuals to seek help. Community-based, targeted interventions are urgently needed to alleviate the harmful impacts of poor mental health and suicide on these communities.
罗姆人和爱尔兰游民是两个不同的、传统上游牧的民族，他们社会经济地位较低且遭受社会排斥。这种情况发生在他们长期努力维护传统文化的背景下。众所周知，他们的健康状况比普通人群差得多。本系统评价确定并评估了关于罗姆人和游民心理健康状况以及这些社区自杀行为的现有文献。其目的是确定他们的心理健康状况与普通人群相比如何，并为观察到的任何差异提出机制。
使用三个搜索词在OVID上搜索所有数据库以查找相关文章，然后进行人工筛选以确保其相关性。对纳入的所有研究进行质量标准评估。
证据表明，罗姆人/游民心理健康问题的患病率远高于普通人群。最新证据表明，与英国任何其他种族相比，罗姆人/游民的自杀率更高。一系列因素与这种差异有关，包括社会经济剥夺（住房、教育/就业和歧视问题）、身体健康不佳以及获得医疗保健的障碍。女性面临更差的心理健康结果，可能是由于强制的性别角色、早婚和家庭暴力。
罗姆人/游民面临更高的精神疾病和自杀率，这在很大程度上是多因素造成的。这些社区中围绕心理健康和自杀的严重污名仍然存在，使得受影响的个体难以寻求帮助。迫切需要基于社区的针对性干预措施，以减轻心理健康不佳和自杀对这些社区的有害影响。
