Authors : Zachary STEEL, Derrick SILOVE, Robert BROOKS, Shakeh MOMARTIN, Bushra ALZUHAIRI, Ina SUSLJIK
Background : Over the past decade, developed Western countries have supplied increasingly stringent measures to discourage those seeking asylum.
Aims : To investigate the longer-term mental health effects of mandatory detention and subsequent temporary protection on refugees.
Method : Lists of names provided by community leaders were supplemented by snowball sampling to recruit 241 Arabic – speaking Mandaean refugees in Sydney (60% of the total adult Mandaean population). Interviews assessed post- traumatic stress disorder (PTSD), major depressive episodes, and indices of stress related to past trauma, detention and temporary protection.
Results : A multilevel model which included age, gender, family clustering, pre-migration trauma and length of residency revealed that past immigration detention and ongoing temporary protection each contributed independently to risk of ongoing PTSD, depression and mental health-related disability. Longer detention was associated with more severe mental disturbance, an effect that persisted for an average of 3 years after release.
Conclusions : Policies of detention and temporary protection appear to be detrimental to the longer-term mental health of refugees.
Key words : asylum seeking, mental health, refugees, PTSD, depression, detention