Incidence of psychiatric disorders among accompanied and unaccompanied asylum-seeking children in Denmark: a nation-wide register-based cohort study
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One in four asylum applicants in Europe are children, and 23% of whom are unaccompanied and may be at increased risk of mental illness. This study contributes to the limited evidence base by comparing the incidence of psychiatric disorders among unaccompanied and accompanied refugee children. We linked a cohort of refugee children who obtained right of residency in Denmark between 01 January 1993 and 31 December 2010 to the Danish Psychiatric Central Register, and calculated incidence rates per 100,000 person years and incidence rate ratios of overall psychiatric disorder, psychotic disorders, affective disorders, and neurotic disorders for accompanied and unaccompanied minors using Poisson regression. We adjusted the analyses for sex, age at residency, and age at arrival (aIRR). Stratified analyses were conducted by nationality. Unaccompanied minors had significantly higher rates of any psychiatric disorder (aIRR: 1.38, 95% CI 1.14–1.68) and neurotic disorders (aIRR: 1.67, 95% CI 1.32–2.13) than accompanied minors. Among children from Afghanistan, unaccompanied minors had significantly higher rates of any psychiatric disorder (aIRR: 2.23, 95% CI 1.26–3.93) and neurotic disorders (aIRR: 3.50, 95% CI 1.72–7.11). Among children from Iraq, unaccompanied minors had higher rates of any psychiatric disorder (aIRR: 2.02, 95% CI 1.18–3.45), affective disorders (aIRR: 6.04, 95% CI 2.17–16.8), and neurotic disorders (aIRR: 3.04, 95% CI 1.62–5.70). Unaccompanied children were found to experience a higher incidence of any psychiatric disorder and neurotic disorders. Strategies are needed to address the specific mental health and social needs of unaccompanied minors.
KeywordsRefugee Asylum seeker Unaccompanied Child Mental health
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Conflict of interest
On behalf of all authors, the corresponding author states that there is no conflict of interest.
- 2.van der Werf M, Zellweger J, Stefanelli P, Miglietta A, Pezzotti P, Fazio C, Neri A, Vacca P, Voller F, D’Ancona F (2016) Impact of migration on tuberculosis epidemiology and control in the EU/EEA. Euro surveillance: bulletin Européen sur les maladies transmissibles = European communicable disease bulletin 21 (12)Google Scholar
- 3.Anagnostopoulos DC, Heberbrand J, Eliez S, Doyle MB, Klasen H, Crommen S, Cuhadaroğlu FC, Pejovic-Milovancevic M, Herreros O, Minderaa R (2016) European society of child and adolescent psychiatry: position statement on mental health of child and adolescent refugees. Eur Child Adolesc Psychiatry 25(7):673–676CrossRefPubMedGoogle Scholar
- 4.Compilation of data, situation and media reports on children in migration (2016) EC EuropaGoogle Scholar
- 11.Tam SY, Houlihan S, Melendez-Torres G (2015) A systematic review of longitudinal risk and protective factors and correlates for posttraumatic stress and its natural history in forcibly displaced children. Trauma Violence Abuse 1524838015622437Google Scholar
- 21.Delman E (2016) How not to welcome refugees. The Atlantic, Jan 27, 2016Google Scholar
- 22.Denmark enacts cuts to refugee benefits (2016) The Local. 26 Aug 2015Google Scholar
- 24.Bakker L, Dagevos J, Engbersen G (2014) The importance of resources and security in the socio-economic integration of refugees. A study on the impact of length of stay in asylum accommodation and residence status on socio-economic integration for the four largest refugee groups in The Netherlands. J Int Migr Integr 15(3):431–448CrossRefGoogle Scholar
- 27.Summerfield D (2004) Cross-cultural perspectives on the medicalisation of human suffering. Posttraumatic Stress disord Issues controv 233–246Google Scholar