Evidence map›Paper›PMID 34215237›Full record

ArticleBMC public health2021

Mental health consequences of long-term stays in refugee camps: preliminary evidence from Moria.

Willemine van de Wiel, Carla Castillo-Laborde, I Francisco Urzúa, Michelle Fish, Willem F Scholte

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

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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

5 authors at 3 institutions in 3 countries.

Willemine van de WielMoria Medical Support (MMS), Windroosplein 68b, 1018 ZW, Amsterdam, The Netherlands. w.vandewiel@gmail.com.
Carla Castillo-LabordeCentro de Epidemiología y Políticas de Salud, Facultad de Medicina Clínica Alemana, Universidad del Desarrollo, Av. Las Condes 12, 438, Lo Barnechea, Chile.
I Francisco UrzúaFaculty of Finance, Bayes Business School, City University of London, 106 Bunhill Row, London, EC1Y8TZ, UK.
Michelle FishMoria Medical Support (MMS), Windroosplein 68b, 1018 ZW, Amsterdam, The Netherlands.
Willem F ScholteAmsterdam UMC, Department of Psychiatry, University of Amsterdam, Meibergdreef 5, 1105 AZ, Amsterdam, The Netherlands.
City, University of London · GBUniversidad del Desarrollo · CLUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEver since the implementation of the EU-Turkey deal, most refugees that enter Greece via sea are confined to the island on which they arrive until their asylum claims are adjudicated, where they generally reside in camps. Some of these camps have detention-like characteristics and dire living conditions, such as Moria camp on the island of Lesbos, Greece. Aid-organizations have stated that the situation in camp Moria deteriorates the mental health of its inhabitants and there is qualitative evidence to support this. This study explores the quantitative relationship between the incidence of acute mental health crises and the length of stay in the camp.

methodsA cross-sectional study was conducted using routinely collected data on 856 consultations of 634 different patients during 90 nights at an emergency clinic in Moria camp. Logistic regression analysis was used to explore whether the length of stay in the camp was predictive of the occurrence of an acute mental health crisis.

resultsOf the 634 patients, the majority were men (59·3%), the average age was 23·2 years [0-71], and 24·3% was < 18 years. 25·5% (n = 218) of consultations were related to mental health problems; 17·0% (n = 37) of these met the study's case definition of an acute mental health crisis. Such crises were positively associated with the length of stay in the camp (p = 0·011); the odds ratio of a mental health crisis increases with 1·03 for every 10% increase in days of residence in the camp. This is notable when considering the average length of stay in the camp is 71 days.

conclusionThis study offers quantitative support for the notion that the adverse conditions in Moria camp deteriorate the mental health of its inhabitants as suggested in qualitative research. Although this study does not provide evidence of causality, it is likely that the poor and unsafe living conditions, challenging refugee determination procedures, and a lack of mental health services in the camp are significant contributing factors. We urgently call for Europe's policymakers to honour the '51 Geneva refugee convention and terminate the neglectful situation on the Greek archipelago.

Indexed as

Refugee CampsRefugeesAdultCross-Sectional StudiesFemaleGreeceHumansMaleMental HealthTurkeyYoung AdultCampContainmentCrisisGreeceMental healthRefugees

Identifiers

PMID34215237
PMCPMC8252219
OpenAlexW3120499071

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.