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Prevalence and prevention of suicidal ideation among asylum seekers in a high-risk urban post-displacement setting
AIMS: Among asylum seekers in a high-risk unstable post-displacement context, we aimed to investigate the prevalence of and risk for suicidal ideation (study 1), and then to test whether and how Mindfulness-Based Trauma Recovery for Refugees (MBTR-R) may prevent or treat suicidal ideation (study 2)....
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9583629/ https://www.ncbi.nlm.nih.gov/pubmed/36245417 http://dx.doi.org/10.1017/S2045796022000579 |
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author | Aizik-Reebs, A. Yuval, K. Beyene Kesete, Y. Lurie, I. Bernstein, A. |
author_facet | Aizik-Reebs, A. Yuval, K. Beyene Kesete, Y. Lurie, I. Bernstein, A. |
author_sort | Aizik-Reebs, A. |
collection | PubMed |
description | AIMS: Among asylum seekers in a high-risk unstable post-displacement context, we aimed to investigate the prevalence of and risk for suicidal ideation (study 1), and then to test whether and how Mindfulness-Based Trauma Recovery for Refugees (MBTR-R) may prevent or treat suicidal ideation (study 2). METHODS: Study 1 was conducted among a community sample of N = 355 (31.8% female) East African asylum seekers in a high-risk urban post-displacement setting in the Middle East (Israel). Study 2 was a secondary analysis of a randomised waitlist-control trial of MBTR-R among 158 asylum-seekers (46.2% female) from the same community and post-displacement setting. RESULTS: Prevalence of suicidal ideation was elevated (31%). Post-migration living difficulties, as well as posttraumatic stress, depression, anxiety and their multi-morbidity were strongly associated with suicidal ideation severity. Likewise, depression and multi-morbidity prospectively predicted the onset of suicidal ideation. Relative to its incidence among waitlist-control (23.1%), MBTR-R prevented the onset of suicidal ideation at post-intervention assessment (15.6%) and 5-week follow-up (9.8%). Preventive effects of MBTR-R on suicidal ideation were mediated by reduced posttraumatic stress, depression, anxiety and their multi-morbidity. MBTR-R did not therapeutically reduce current suicidal ideation present at the beginning of the intervention. CONCLUSIONS: Findings warn of a public health crisis of suicidality among forcibly displaced people in high-risk post-displacement settings. Although preliminary, novel randomised waitlist-control evidence for preventive effects of MBTR-R for suicidal ideation is promising. Together, findings indicate the need for scientific, applied and policy attention to mental health post-displacement in order to prevent suicide among forcibly displaced people. |
format | Online Article Text |
id | pubmed-9583629 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-95836292022-10-26 Prevalence and prevention of suicidal ideation among asylum seekers in a high-risk urban post-displacement setting Aizik-Reebs, A. Yuval, K. Beyene Kesete, Y. Lurie, I. Bernstein, A. Epidemiol Psychiatr Sci Original Article AIMS: Among asylum seekers in a high-risk unstable post-displacement context, we aimed to investigate the prevalence of and risk for suicidal ideation (study 1), and then to test whether and how Mindfulness-Based Trauma Recovery for Refugees (MBTR-R) may prevent or treat suicidal ideation (study 2). METHODS: Study 1 was conducted among a community sample of N = 355 (31.8% female) East African asylum seekers in a high-risk urban post-displacement setting in the Middle East (Israel). Study 2 was a secondary analysis of a randomised waitlist-control trial of MBTR-R among 158 asylum-seekers (46.2% female) from the same community and post-displacement setting. RESULTS: Prevalence of suicidal ideation was elevated (31%). Post-migration living difficulties, as well as posttraumatic stress, depression, anxiety and their multi-morbidity were strongly associated with suicidal ideation severity. Likewise, depression and multi-morbidity prospectively predicted the onset of suicidal ideation. Relative to its incidence among waitlist-control (23.1%), MBTR-R prevented the onset of suicidal ideation at post-intervention assessment (15.6%) and 5-week follow-up (9.8%). Preventive effects of MBTR-R on suicidal ideation were mediated by reduced posttraumatic stress, depression, anxiety and their multi-morbidity. MBTR-R did not therapeutically reduce current suicidal ideation present at the beginning of the intervention. CONCLUSIONS: Findings warn of a public health crisis of suicidality among forcibly displaced people in high-risk post-displacement settings. Although preliminary, novel randomised waitlist-control evidence for preventive effects of MBTR-R for suicidal ideation is promising. Together, findings indicate the need for scientific, applied and policy attention to mental health post-displacement in order to prevent suicide among forcibly displaced people. Cambridge University Press 2022-10-17 /pmc/articles/PMC9583629/ /pubmed/36245417 http://dx.doi.org/10.1017/S2045796022000579 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited. |
spellingShingle | Original Article Aizik-Reebs, A. Yuval, K. Beyene Kesete, Y. Lurie, I. Bernstein, A. Prevalence and prevention of suicidal ideation among asylum seekers in a high-risk urban post-displacement setting |
title | Prevalence and prevention of suicidal ideation among asylum seekers in a high-risk urban post-displacement setting |
title_full | Prevalence and prevention of suicidal ideation among asylum seekers in a high-risk urban post-displacement setting |
title_fullStr | Prevalence and prevention of suicidal ideation among asylum seekers in a high-risk urban post-displacement setting |
title_full_unstemmed | Prevalence and prevention of suicidal ideation among asylum seekers in a high-risk urban post-displacement setting |
title_short | Prevalence and prevention of suicidal ideation among asylum seekers in a high-risk urban post-displacement setting |
title_sort | prevalence and prevention of suicidal ideation among asylum seekers in a high-risk urban post-displacement setting |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9583629/ https://www.ncbi.nlm.nih.gov/pubmed/36245417 http://dx.doi.org/10.1017/S2045796022000579 |
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