The Russian invasion of Ukraine on 24th February 2022 has prompted this article to summarise some of the salient mental health issues experienced by young asylum seekers and refugees focussing on resettlement countries, drawing on the substantial literature, for Child and Adolescent Mental Health Practitioners. Firstly, the various UNHCR categories of persons affected by war and persecution and statistics are described. By July 2022, over 100 million people globally were of concern to UNHCR, a number increased by the many millions of refugees fleeing Ukraine to neighbouring countries. Selected findings on the psychiatric epidemiology of young refugees are summarised, and some principles of Child and Adolescent Mental Health Service delivery and treatments are outlined. The research on Ukrainian refugees’ mental health is limited and this is an area that requires further investigation alongside active attempts to meet their mental health needs.
AngelB.HjernA.InglebyD. (2001). Effects of war and organized violence on children: A study of Bosnian refugees in Sweden. The American Journal of Orthopsychiatry, 71(1), 4–15. https://doi.org/10.1037/0002-9432.71.1.4
2.
BäärnhielmS.LabanK.Schouler-OcakM.RousseauC.KirmayerL. J. (2017). Mental health for refugees, asylum seekers and displaced persons: A call for a humanitarian agenda. Transcultural Psychiatry, 54(5–6), 565–574. https://doi.org/10.1177/1363461517747095
3.
BeanT.Eurelings-BontekoeE.MooijaartA.SpinhovenP. (2006). Factors associated with mental health service need and utilization among unaccompanied refugee adolescents. Administration and Policy in Mental Health, 33(3), 342–355. https://doi.org/10.1007/s10488-006-0046-2
4.
BeiserM.HouF. (2016). Mental health effects of premigration trauma and postmigration discrimination on refugee youth in Canada. The Journal of Nervous and Mental Disease, 204(6), 464–470. https://doi.org/10.1097/NMD.0000000000000516
5.
BhugraD. (Ed.) (2021). Oxford textbook of migrant Psychiatry. Oxford University Press.
6.
BlackmoreR.BoyleJ. A.FazelM.RanasinhaS.GrayK. M.FitzgeraldG.MissoM.Gibson-HelmM. (2020). The prevalence of mental illness in refugees and asylum seekers: A systematic review and meta-analysis. Plos Medicine, 17(9), Article e1003337. https://doi.org/10.1371/journal.pmed.1003337
7.
BlackmoreR.GrayK. M.BoyleJ. A.FazelM.RanasinhaS.FitzgeraldG.MissoM.Gibson-HelmM. (2020). Systematic review and meta-analysis: The prevalence of mental illness in child and adolescent refugees and asylum seekers. Journal of the American Academy of Child and Adolescent Psychiatry, 59(6), 705–714. https://doi.org/10.1016/j.jaac.2019.11.011
8.
BogicM.NjokuA.PriebeS. (2015). Long-term mental health of war-refugees: A systematic literature review. BMC International Health and Human Rights, 15(1), 29. https://doi.org/10.1186/s12914-015-0064-9
9.
BrownR. C.WittA.FegertJ. M.KellerF.RassenhoferM.PlenerP. L. (2017). Psychosocial interventions for children and adolescents after man-made and natural disasters: A meta-analysis and systematic review. Psychological Medicine, 47(11), 1893–1905. https://doi.org/10.1017/S0033291717000496
10.
BruhnM.ReesS.MohsinM.SiloveD.CarlssonJ. (2018). The range and impact of postmigration stressors during treatment of trauma-affected refugees. The Journal of Nervous and Mental Disease, 206(1), 61–68. https://doi.org/10.1097/nmd.0000000000000774
11.
BürginD.AnagnostopoulosD.AnagnostopoulosD.DoyleM.EliezS.FegertJ.FuentesJ.HebebrandJ.HillegersM.KarwautzA.KissE.KotsisK.Pejovic-MilovancevicM.Raberg ChristensenA. M.RaynaudJ. P.CrommenS.CetinF. C.BoricevicV. M.KehoeL.the Board and Policy Division of, E. (2022). Impact of war and forced displacement on children’s mental health—multilevel, needs-oriented, and trauma-informed approaches. European Child & Adolescent Psychiatry. 31(6), 845–853, https://doi.org/10.1007/s00787-022-01974-z
12.
ChaayaC.Devi ThambiV.SabuncuÖ.AbediR.Osman Ahmed OsmanA.UwishemaO.OnyeakaH. (2022). Ukraine - Russia crisis and its impacts on the mental health of Ukrainian young people during the COVID-19 pandemic. Annals of Medicine and Surgery, 79, 104033. https://doi.org/10.1016/j.amsu.2022.104033
13.
De HaeneL.RousseauC. (Eds.). (2020). Working with refugee families. Trauma and exile in family relationships. Cambridge University Press.
14.
DonathC.BergmannM. C.KliemS.HillemacherT.BaierD. (2019). Epidemiology of suicidal ideation, suicide attempts, and direct self-injurious behavior in adolescents with a migration background: A representative study. BMC Pediatrics, 19(1), 45. https://doi.org/10.1186/s12887-019-1404-z
DulaneyE. S.GraupmannV.GrantK. E.AdamE. K.ChenE. (2018). Taking on the stress-depression link: Meaning as a resource in adolescence. Journal of Adolescent, 65(1), 39–49. https://doi.org/10.1016/j.adolescence.2018.02.011
17.
Dura-VilaG.KlasenH.MakatiniZ.RahimiZ.HodesM. (2013). Mental health problems of young refugees: Duration of settlement, risk factors and community-based interventions. Clinical Child Psychology and Psychiatry, 18(4), 604–623. https://doi.org/10.1177/1359104512462549
18.
FazelM.ReedR. V.Panter-BrickC.SteinA. (2012). Mental health of displaced and refugee children resettled in high-income countries: Risk and protective factors. The Lancet, 379(9812), 266–282. https://doi.org/10.1016/s0140-6736(11)60051-2
19.
FegertJ. M.SukaleT.BrownR. C. (2018). Mental health service provision for child and adolescent refugees: European perspectives. In HodesM.GauS.-F. S.de VriesP. J. (Eds.), Understanding uniqueness and diversity in child and adolescent mental health (pp. 195–222). Academic Press.
20.
GleesonC.FrostR.SherwoodL.ShevlinM.HylandP.HalpinR.MurphyJ.SiloveD. (2020). Post-migration factors and mental health outcomes in asylum-seeking and refugee populations: A systematic review. European Journal of Psychotraumatologyur J Psychotraumatol, 11(1), 1793567. https://doi.org/10.1080/20008198.2020.1793567
21.
GoessmannK.IbrahimH.NeunerF. (2020). Association of war-related and gender-based violence with mental health states of yazidi women. JAMA Network Open, 3(9), Article e2013418. https://doi.org/10.1001/jamanetworkopen.2020.13418
22.
HodesM. (2022). Editorial perspective: Mental health of young asylum seekers and refugees in the context of COVID-19. Child and Adolescent Mental Health, 27(2), 190–191. https://doi.org/10.1111/camh.12558
23.
HodesM.HussainN. (2020). The role of family functioning in refugee child and adult mental health. In De HaeneL.RousseauC. (Eds.), Working with refugee families. Trauma and exile in family relationships. (pp. 17–35). Cambridge Cambridge University Press.
24.
HodesM.JagdevD.ChandraN.CunniffA. (2008). Risk and resilience for psychological distress amongst unaccompanied asylum seeking adolescents. Clinical Psychology & Psychotherapy, 49(7), 723–732. https://doi.org/10.1111/j.1469-7610.2008.01912.x
25.
HodesM.VasquezM. M.AnagnostopoulosD.TriantafyllouK.AbdelhadyD.WeissK.KoposovR.CuhadarogluF.HebebrandJ.SkokauskasN. (2018). Refugees in europe: National overviews from key countries with a special focus on child and adolescent mental health. European Child & Adolescent Psychiatry, 27(4), 389–399. https://doi.org/10.1007/s00787-017-1094-8
26.
HodesM.VostanisP. (2019). Practitioner review: Mental health problems of refugee children and adolescents and their management. Clinical Psychology & Psychotherapy, 60(7), 716–731. https://doi.org/10.1111/jcpp.13002
27.
HollanderA. C.DalH.LewisG.MagnussonC.KirkbrideJ. B.DalmanC. (2016). Refugee migration and risk of schizophrenia and other non-affective psychoses: Cohort study of 1.3 million people in Sweden. BMJ: British Medical Journal, 352, i1030. https://doi.org/10.1136/bmj.i1030
28.
HoppenT. H.PriebeS.VetterI.MorinaN. (2021). Global burden of post-traumatic stress disorder and major depression in countries affected by war between 1989 and 2019: A systematic review and meta-analysis. BMJ Global Health, 6(7), Article e006303. https://doi.org/10.1136/bmjgh-2021-006303
29.
JakobsenM.DemottM. A.HeirT. (2014). Prevalence of psychiatric disorders among unaccompanied asylum-seeking adolescents in Norway. Clinical Practice and Epidemiology in Mental Health, 10(1), 53–58. https://doi.org/10.2174/1745017901410010053
30.
JakobsenM.Meyer DeMottM. A.Wentzel-LarsenT.HeirT. (2017). The impact of the asylum process on mental health: A longitudinal study of unaccompanied refugee minors in Norway. BMJ Open, 7(6), Article e015157. https://doi.org/10.1136/bmjopen-2016-015157
31.
JonesL.KafetsiosK. (2005). Exposure to political violence and psychological well-being in Bosnian adolescents: A mixed method approach. Clinical Child Psychology and Psychiatry, 10(2), 157–176. https://doi.org/10.1177/1359104505051209
32.
JudA.PfeifferE.JarczokM. (2020). Epidemiology of violence against children in migration: A systematic literature review. Child Abuse & Neglect, 108, 104634. https://doi.org/10.1016/j.chiabu.2020.104634
33.
KadirA.ShenodaS.GoldhagenJ. (2019). Effects of armed conflict on child health and development: A systematic review. Plos One, 14(1), Article e0210071. https://doi.org/10.1371/journal.pone.0210071
34.
KaramE. G.FayyadJ. A.FarhatC.PluessM.HaddadY. C.TabetC. C.FarahL.KesslerR. C. (2019). Role of childhood adversities and environmental sensitivity in the development of post-traumatic stress disorder in war-exposed Syrian refugee children and adolescents. The British Journal of Psychiatry: the Journal of Mental Science, 214(6), 354–360. https://doi.org/10.1192/bjp.2018.272
35.
KastrupM. C.ArcelL. T. (2004). Gender-specific treatment In WilsonJ. P.DrozdekB. (Eds.), Broken spirits. The treatment of traumatized asylum seekers , refugees, war and torture victims (pp. 547–571). Brunner-Routledge
36.
KaufmanK. R.BhuiK.KatonaC. (2022). Mental health responses in countries hosting refugees from Ukraine. BJPsych Open, 8(3), 1–10. https://doi.org/10.1192/bjo.2022.55
37.
KinzieJ. D.FriedmanM. J. (2004). Psychopharmacology for refugee and asylum-seeker patients In Broken spirits. The treatment of traumatized asylum seekers , refugees, war and torture victims (pp. 579–600). Bunner-Routledge.
38.
KirmayerL. J. (2007). Editorial: Refugees and forced migration: Hardening of the arteries in the global reign of insecurity. Transcultural Psychiatry, 44(3), 307–310. https://doi.org/10.1177/1363461507081633
KozlowskaK.ScherS.HelgelandH.CarriveP. (2021). Asylum-seeking children in shutdown: Neurobiological models. Developmental Child Welfare, 0(0), 25161032211036162. https://doi.org/10.1177/25161032211036162
41.
KurtG.IlkkursunZ.JavanbakhtA.UygunE.Karaoglan-KahilogullariA.AcarturkC. (2021). The psychological impacts of COVID-19 related stressors on Syrian refugees in Turkey: The role of resource loss, discrimination, and social support. International Journal of Intercultural Relations : IJIR, 85, 130–140. https://doi.org/10.1016/j.ijintrel.2021.09.009
42.
MaggioniA.Gonzales-ZamoraJ. A.MaggioniA.PeekL.McLaughlinS. A.von BothU.EmontsM.EspinelZ.ShultzJ. M. (2022). Cascading risks for preventable infectious diseases in children and adolescents during the 2022 invasion of Ukraine. International Journal of Environmental Research and Public Health, 19(12), 7005. https://doi.org/10.3390/ijerph19127005
43.
MaresS.JenkinsK.LuttonS.Newman AmL. (2021). Impact of Covid-19 on the mental health needs of asylum seekers in Australia. Australasian Psychiatry: Bulletin of Royal Australian and New Zealand College of Psychiatrists, 29(4), 417–419. https://doi.org/10.1177/10398562211005445
44.
MitraR.HodesM. (2019). Prevention of psychological distress and promotion of resilience amongst unaccompanied refugee minors in resettlement countries. Child: Care, Health and Development, 45(2), 198–215. https://doi.org/10.1111/cch.12640
45.
NgoT.HodesM. (2020). Pervasive refusal syndrome in asylum-seeking children: Review of the current evidence. Clinical Child Psychology and Psychiatry, 25(1), 227–241. https://doi.org/10.1177/1359104519846580
46.
OsokinaO.SilwalS.BohdanovaT.HodesM.SouranderA.SkokauskasN. (2022). Impact of the Russian invasion on adolescents’ mental health in Ukraine. Journal of the American Academy of Child and Adolescent Psychiatryin press.
47.
PapageorgiouV.Frangou-GarunovicA.IordanidouR.YuleW.SmithP.VostanisP. (2000). War trauma and psychopathology in Bosnian refugee children. European Child & Adolescent Psychiatry, 9(2), 84–90. https://doi.org/10.1007/s007870050002
48.
PfeifferE.SachserC.RohlmannF.GoldbeckL. (2018). Effectiveness of a trauma-focused group intervention for young refugees: A randomized controlled trial. Clinical Psychology & Psychotherapy, 59(11), 1171–1179. https://doi.org/10.1111/jcpp.12908
49.
PfeifferE.SachserC.TutusD.FegertJ. M.PlenerP. L. (2019). Trauma-focused group intervention for unaccompanied young refugees: “Mein weg”-predictors of treatment outcomes and sustainability of treatment effects. Child and Adolescent Mental Health, 13(1), 18. https://doi.org/10.1186/s13034-019-0277-0
50.
PfeifferE.SukaleT.MüllerL. R. F.PlenerP. L.RosnerR.FegertJ. M.SachserC.UnterhitzenbergerJ. (2019). The symptom representation of posttraumatic stress disorder in a sample of unaccompanied and accompanied refugee minors in Germany: A network analysis. European Journal of Psychotraumatology, 10(1), 1675990. https://doi.org/10.1080/20008198.2019.1675990
51.
RahmanS.FilatovaS.ChenL.BjörkenstamE.TaipaleH.Mittendorfer-RutzE. (2022). Trajectories of antidepressant use and characteristics associated with trajectory groups among young refugees and their Swedish-born peers with diagnosed common mental disorders-findings from the REMAIN study. Social Psychiatry and Psychiatric Epidemiology, 57(2), 305–317. https://doi.org/10.1007/s00127-021-02139-0
52.
RosnerR.SachserC.HornfeckF.KilianR.KindlerH.MucheR.MullerL. R. F.ThielemannJ.WaldmannT.ZiegenhainU.UnterhitzenbergerJ.PfeifferE. (2020). Improving mental health care for unaccompanied young refugees through a stepped-care approach versus usual care+: Study protocol of a cluster randomized controlled hybrid effectiveness implementation trial. [Trials Electronic Resource], 21(1), 1013. https://doi.org/10.1186/s13063-020-04922-x
53.
Sanchez-CaoE.KramerT.HodesM. (2013). Psychological distress and mental health service contact of unaccompanied asylum-seeking children. Child: Care, Health and Development, 39(5), 651–659. https://doi.org/10.1111/j.1365-2214.2012.01406.x
54.
SmidG. E. (2020). A framework of meaning attribution following loss. European Journal of Psychotraumatologyur J Psychotraumatol, 11(1), 1776563. https://doi.org/10.1080/20008198.2020.1776563
55.
StevensA. J. (2020). How can we meet the health needs of child refugees, asylum seekers and undocumented migrants?Archives of Disease in Childhood, 105(2), 191–196. https://doi.org/10.1136/archdischild-2018-316614
56.
TyrerR. A.FazelM. (2014). School and community-based interventions for refugee and asylum seeking children: A systematic review. Plos One, 9(2), Article e89359. https://doi.org/10.1371/journal.pone.0089359
