Mental Health

Mental Health and Resilience in Eritrean and Somali Refugees in Switzerland: A Cross-Sectional Study.

TL;DR

While overall levels of resilience are impressively high among Eritrean and Somali refugees in Switzerland, a large proportion exhibited symptoms of somatic disorders and harmful levels of alcohol use well beyond the early adaptation phase, highlighting the need for long-term mental healthcare beyond the time of arrival.

Key Findings

Almost three-quarters of refugee participants had high resilience scores.

  • 69 of 99 participants (70%) had high resilience scores
  • Median resilience score was 86
  • Resilience was assessed using a validated questionnaire
  • Participants had a median stay of 8.6 years in Switzerland, indicating resilience persisted well beyond initial arrival

Low frequencies of moderate or severe PTSD, anxiety, and depression symptoms were found among participants.

  • Moderate or severe PTSD symptoms were found in 7% of participants
  • Moderate or severe anxiety symptoms were found in 0% of participants
  • Moderate or severe depression symptoms were found in 1% of participants
  • Screening used validated questionnaires for each condition

Symptoms of somatic disorders and harmful levels of alcohol use were relatively common among the refugee participants.

  • 18% of participants exhibited symptoms of somatic disorders
  • 12% of participants exhibited harmful levels of alcohol use
  • These conditions were described as 'more common' relative to PTSD, anxiety, and depression
  • These symptoms were present despite participants having lived in Switzerland for a median of 8.6 years, indicating they persisted 'well beyond the early adaptation phase'

The study sample was predominantly young, Eritrean, and male with long periods of residence in Switzerland.

  • 102 participants were enrolled in Basel and Zurich, Switzerland
  • Median age was 34 years
  • 88 participants (86%) were Eritrean; the remainder were Somali
  • 62 participants were male
  • Median duration of stay in Switzerland was 8.6 years
  • Participants were aged ≥16 years

The study used a cross-sectional design with validated questionnaires to assess multiple mental health conditions and resilience.

  • Screening covered PTSD, somatic disorders, anxiety, depression, alcohol use, and resilience
  • All participants were refugees aged ≥16 years residing in Basel and Zurich, Switzerland
  • Validated questionnaires were used for each assessed condition
  • Total sample size was 102 participants

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Citation

Giovanoli Evack J, Abongomera C, Okuma J, Kurscheid J, Melake Y, Chernet A, et al.. (2026). Mental Health and Resilience in Eritrean and Somali Refugees in Switzerland: A Cross-Sectional Study.. International journal of public health. https://doi.org/10.3389/ijph.2026.1608308