Lethal hopelessness: Understanding and responding to asylum seeker distress and mental deterioration
- 21 March 2017
- journal article
- research article
- Published by Wiley in International Journal of Mental Health Nursing
- Vol. 27 (1), 448-454
- https://doi.org/10.1111/inm.12325
Abstract
The mental deterioration of the so called ‘legacy caseload’ (asylum seekers who arrived in Australia by boat between August 2012–December 2013) has become a national concern and is garnering international attention. Prolonged uncertainty is contributing to mental deterioration and despair. There have been at least 11 deaths by suicide since June 2014. Social support services have been limited and legal assistance in short supply; this is associated with lengthy delays with visa applications. Thwarted belongingness, purpose and identity, a shortage of available services, and barriers to legal support for processes attendant upon Refugee Status Determination increase the likelihood that the mental health of asylum seekers will deteriorate further, potentially developing into worsening decline, which will lead to increased self-harm and suicide. This article summarises recent suicide deaths in Australia, positing practical assistance and support for asylum seekers living in the community. Therapeutic engagement should be trauma-informed wherever possible, helping asylum seekers to reframe their sense of lethal hopelessness.Keywords
Funding Information
- University of South Australia
- Murdoch University
This publication has 26 references indexed in Scilit:
- Suicide first aid guidelines for Sri Lanka: a Delphi consensus studyInternational Journal of Mental Health Systems, 2016
- Afghan Refugee Explanatory Models of Depression: Exploring Core Cultural Beliefs and Gender VariationsMedical Anthropology Quarterly, 2016
- Paradoxical narratives of transcultural encounters of the “other”: Civic engagement with refugees and migrants in LondonTransnational Social Review, 2016
- Understanding Bhutanese refugee suicide through the interpersonal-psychological theory of suicidal behavior.American Journal of Orthopsychiatry, 2015
- Mental Disorders in Asylum SeekersJournal of Nervous & Mental Disease, 2015
- Directed Forgetting in Post-Traumatic-Stress-Disorder: A Study of Refugee Immigrants in GermanyFrontiers in Behavioral Neuroscience, 2013
- Psychological partner violence and women's vulnerability to depression, stress, and anxietyInternational Journal of Mental Health Nursing, 2012
- Safe in our hands?: A study of suicide and self-harm in asylum seekersJournal of Forensic and Legal Medicine, 2008
- Impact of sexual violence on disclosure during Home Office interviewsThe British Journal of Psychiatry, 2007
- Participant distress in psychiatric research: a systematic reviewPsychological Medicine, 2007