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