Evidence map›Paper›PMID 32405789›Full record

ArticleSocial psychiatry and psychiatric epidemiology2020

Differences in psychiatric care utilisation among unaccompanied refugee minors, accompanied migrant minors, and Swedish-born minors.

Lovisa Axelsson, Sofie Bäärnhielm, Christina Dalman, Anna-Clara Hollander

Abstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
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

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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

9 citing papers in PubMed.

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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

4 authors.

Lovisa Axelsson, Stockholm, Sweden.
Sofie BäärnhielmCenter for Psychiatric Research, Department of Clinical Neuroscience, Karolinska Institutet (KI), Stockholm, Sweden.ORCID http://orcid.org/0000-0002-5303-9166
Christina DalmanEpidemiology of Psychiatric Conditions, Substance Use and Social Environment (EPiCSS), Department of Global Public Health Sciences, KI, Solnavägen 1E, 171 77, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-3579-2357
Anna-Clara HollanderEpidemiology of Psychiatric Conditions, Substance Use and Social Environment (EPiCSS), Department of Global Public Health Sciences, KI, Solnavägen 1E, 171 77, Stockholm, Sweden. anna-clara.hollander@ki.se.ORCID http://orcid.org/0000-0002-1246-5804

Funding

FORTE dnr 2016-00870VR 523-2010-1052
6 · The paper itself

Abstract

purposeTo better understand underutilisation of psychiatric care among migrant children, we compared utilisation of psychiatric care among unaccompanied refugee minors and accompanied migrant minors, with Swedish-born minors.

methodsUsing a large longitudinal database of linked national registers, we established a retrospective cohort of 1,328,397 people born 1984-1988 comparing minors born in Sweden to 2 Swedish-born parents (95.4%) to minors who had been arriving in Sweden between 2002 and 2011 with a permanent resident permit and were either unaccompanied refugee minors (0.4%), or accompanied migrant minors (4.0%). The outcome measures were different measures of psychiatric care including in- and outpatient care, and prescribed psychotropic medication.

resultCompared with the Swedish-born minors the unaccompanied refugee minors had a higher likelihood of utilisation of all psychiatric care except ADHD medication. However, compared with accompanied migrant minors, the Swedish-born minors had a higher likelihood of having utilised psychiatric care.

conclusionOur study shows that during the first years of living in Sweden, there seems to be fewer barriers to psychiatric care for unaccompanied refugee minors compared to the accompanied migrant minors. There are a number of possible reasons for this including stronger ties with the Swedish society.

Indexed as

Mental Health ServicesRefugeesTransients and MigrantsChildHumansMinorsRetrospective StudiesSwedenPopulation studyRefugeeUnaccompanied refugee minorUtilisation of psychiatric care

Identifiers

PMID32405789
PMCPMC7578114

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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.