Evidence map›Paper›PMID 40440014›Full record

ArticleJAMA network open2025

Psychiatric Health Risks in North Korean Refugee Youths Resettled in South Korea.

Rugyeom Lee, Sang Min Lee, Minha Hong, In-Hwan Oh

Abstract read
In one paragraph

Article in JAMA network open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

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4 · The record

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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.

Rugyeom LeeDepartment of Preventive Medicine, Kyung Hee University School of Medicine, Seoul, South Korea.
Sang Min LeeDepartment of Psychiatry, Kyung Hee University Hospital, Kyung Hee University College of Medicine, Seoul, South Korea.
Minha HongDepartment of Psychiatry, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul, South Korea.
In-Hwan OhDepartment of Preventive Medicine, University of Ulsan College of Medicine, Seoul, South Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Importance: Migrant and refugee populations are increasing globally, and children and adolescents in these populations are particularly susceptible to mental disorders. North Korean refugee (NKR) youths now living in South Korea share a culture, language, and history with South Korean (SK) youths, making these 2 groups suitable for studying the environmental factors in psychiatric health. Objective: To compare the risk of developing mental illness and individual psychiatric disorders among NKR youths and SK youths. Design, Setting, and Participants: This cohort study obtained data from Korea's National Health Insurance Service claims database from 2005 to 2021. Participants were aged 1 to 18 years between 2007 and 2010 who had no prior psychiatric claims, whether as outpatients or inpatients. Children and adolescents of the SK general population matched 1:10 on sex and age were compared with the NKR youth population. Statistical analyses were performed from August 2024 to March 2025. Main Outcomes and Measures: Risk, presented as hazard ratio (HR), of developing psychiatric disorders in NKR youths compared with SK youths. This risk was assessed using a Cox proportional hazards regression model and Kaplan-Meier time-to-event probabilities. Results: In total, 1618 NKR youths (810 males [50.1%]; mean [SD] age, 9.48 [4.62] years) and 308 927 SK youths (194 331 females [62.9%]; mean [SD] age, 11.80 [4.72] years) were included in this study. NKR youths showed a significantly higher risk of developing psychiatric disorders (HR, 1.29; 95% CI, 1.17-1.43) compared with SK youths. Individual psychiatric disorder risks were higher for NKR youths, including posttraumatic stress disorder (HR, 2.33; 95% CI, 1.34-4.06; P = .003), attention-deficit/hyperactivity disorder (HR, 1.67; 95% CI, 1.32-2.11; P < .001), bipolar affective disorders (HR, 1.61; 95% CI, 1.20-2.15; P < .001), major depressive disorder (HR, 1.53; 95% CI, 1.33-1.75; P < .001), and anxiety (HR, 1.25; 95% CI, 1.11-1.42; P < .001). Conclusions and Relevance: In this cohort study, compared with SK youths, NKR youths showed a significantly higher risk of developing psychiatric disorders overall and individual psychiatric disorders, such as posttraumatic stress disorder, attention-deficit/hyperactivity disorder, bipolar disorder, major depressive disorder, and anxiety. This finding is important for establishing medical and educational service plans and policies for the increasing number of refugee youths in South Korea.

Indexed as

Mental DisordersRefugeesAdolescentChildChild, PreschoolCohort StudiesDemocratic People's Republic of KoreaFemaleHumansInfantMaleProportional Hazards ModelsRepublic of KoreaRisk FactorsStress Disorders, Post-Traumatic

Identifiers

PMID40440014
PMCPMC12123469

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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.