Authors: E. Höhne; T. Banaschewski; M. Bajbouj; K. Böge; T. Sukale; I. Kamp-Becker · Research

How Does Being Alone Impact Mental Health in Young Refugees?

Study reveals unaccompanied refugee minors face significantly higher mental health risks than those with families

Source: Höhne, E., Banaschewski, T., Bajbouj, M., Böge, K., Sukale, T., & Kamp-Becker, I. (2021). Prevalences of mental distress and its associated factors in unaccompanied refugee minors in Germany. European Child & Adolescent Psychiatry, 32, 1211-1217. https://doi.org/10.1007/s00787-021-01926-z

What you need to know

  • Unaccompanied refugee minors show significantly higher rates of depression and mental distress compared to those who arrive with family
  • Regular contact with family members is the strongest protective factor for mental wellbeing
  • School attendance and language skills help reduce mental distress, while fear of deportation increases it

The Hidden Struggles of Young Refugees

Imagine being a teenager forced to flee your home country - not just leaving behind everything familiar, but having to make this terrifying journey completely alone. This is the reality for many unaccompanied refugee minors arriving in countries like Germany. While all young refugees face significant challenges, those who arrive without parents or guardians are particularly vulnerable to mental health difficulties.

A Tale of Two Groups

This research compared the mental health of refugee minors who arrived alone versus those who came with family members. The differences were stark - over 80% of unaccompanied minors showed clinical levels of mental distress, compared to about 54% of those with family. Similarly, around 62% of unaccompanied youth met criteria for depression, while this was true for only 31% of accompanied refugees.

What Makes the Difference?

The researchers identified several key factors that influence mental wellbeing in unaccompanied refugee youth:

  • Regular contact with family back home (even remotely) was the strongest protective factor
  • Having experienced more traumatic events increased risk
  • Being female was associated with higher distress
  • Uncertainty about deportation significantly increased mental health problems
  • Attending school and developing German language skills helped reduce distress

The Power of Connection

One of the most striking findings was how important family contact remained, even from afar. Youth who maintained weekly contact with family members through phone calls or messaging showed significantly better mental health outcomes. This suggests that helping young refugees maintain these vital connections should be a priority.

What This Means for You

If you work with refugee youth or are involved in support services:

  • Prioritize helping unaccompanied minors maintain contact with family members where possible
  • Focus on getting youth enrolled in school quickly
  • Provide robust language learning support
  • Address fears about deportation through clear communication and legal support
  • Pay special attention to female refugees who may need additional support
  • Remember that trauma history plays a major role in current mental health

Conclusions

  • Unaccompanied refugee minors need specialized mental health support and screening
  • Maintaining family connections should be prioritized even when reunion isn’t possible
  • Practical support like school enrollment and language classes plays a vital role in mental wellbeing
  • Clear communication about immigration status can help reduce anxiety and uncertainty
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