Evidence map›Paper›PMID 31261840›Full record

ReviewInternational journal of environmental research and public health2019

Mental Health of Refugees and Torture Survivors: A Critical Review of Prevalence, Predictors, and Integrated Care.

Hiba Abu Suhaiban, Lana Ruvolo Grasser, Arash Javanbakht

Open access · goldAbstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 60 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 6 pooled it
15.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 6 syntheses or guidelines pooled it, 138 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Mental Health and Wellbeing of Rohingya Refugees: A Scoping Review.Journal of racial and ethnic health disparities · 2026
    Review
  9. Article
  10. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  11. Review
  12. Review
  13. Refugees who are survivors of torture.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2025
    Article
  14. Article
  15. Review
  16. Article
  17. What happened matters: Trauma type and cumulative trauma exposure in refugee youth psychopathology.Psychological trauma : theory, research, practice and policy · 2025
    Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Hiba Abu SuhaibanDepartment of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI 48201, USA. hiba_f@live.com.
Lana Ruvolo GrasserDepartment of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI 48201, USA. lgrasser@med.wayne.edu.
Arash JavanbakhtDepartment of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI 48201, USA. ajavanba@med.wayne.edu.
Wayne State University · US

Funding

Biomarkers of Risk and Resilience to Trauma in Syrian Refugee YouthF31MH120927 · NIMH · WAYNE STATE UNIVERSITY · PI GRASSER, LANA RUVOLO · 2019 to 2021
$121k
NIMH NIH HHS F31 MH120927
6 · The paper itself

Abstract

Civilian war trauma and torture rank among the most traumatic life experiences; exposure to such experiences is pervasive in nations experiencing both internal and external conflict. This has led to a high volume of refugees resettling throughout the world with mental health needs that primary care physicians may not be screening for and prepared to effectively address. In this article, we review the literature on demographics, predictors, mental health outcomes of torture, and integrated care for the mental health needs of refugees. We searched PubMed and PSYCINFO databases for original research articles on refugees and mental health published in the English language between 2010 and present. Nine percent of 720 adults in conflict areas in Nepal, with predominance of literate married males, met the threshold for Post-Traumatic Stress Disorder (PTSD), 27.5% for depression, and 22.9% for anxiety. While, PTSD rate has been documented as high as 88.3% among torture survivors from Middle East (ME), Central Africa (CA), South Asia (SA), Southeast Europe (SE). Depression was recorded as high as 94.7% among 131 African torture survivors and anxiety as high as 91% among 55 South African torture survivors. Torture severity, post-migration difficulties, and wait time to receive clinical services were significantly associated with higher rate of mental health symptoms. Mental health screening is not a standard component of initial physical exams for refugees, yet these individuals have had high trauma exposure that should inform clinical care. Integrated care models are lacking but would greatly benefit this community to prevent progression to greater severity of mental health symptoms.

Indexed as

Mental HealthAdultAsiaDelivery of Health Care, IntegratedEuropeFemaleHumansMaleMiddle AgedMiddle EastNepalPrevalenceRefugeesStress Disorders, Post-TraumaticSurvivorsTortureintegrated carePTSDrefugeestorturetrauma

Identifiers

PMID31261840
PMCPMC6651013
OpenAlexW2956044289

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.