Social Resilience and Mental Health Among Eritrean Asylum-Seekers in Switzerland

Qual Health Res. 2019 Jan;29(2):222-236. doi: 10.1177/1049732318800004. Epub 2018 Sep 15.

Abstract

Eritreans comprise the largest group of asylum-seekers in Switzerland. Gaining recognized refugee status can take up to 36 months, during which time asylum-seekers live in a state of legal limbo, intensifying threats to their well-being. Resilience and mental health among this population is poorly understood. We interviewed 10 asylum-seekers residing in Switzerland using qualitative, in-depth interviews. Data were analyzed using the Framework Method. Results indicated that mental health was understood as a binary state rather than a continuum and that trusted friends and family were responsible for recognizing and attempting to treat mental health problems. Pathways to care were potentially interrupted for asylum-seekers. Capital building, considered through the lens of social resilience, consisted of language learning, establishing of new individual- and community-level social networks, and proactive symbolic capital building through volunteering. We contextualize the asylum-seekers' experience into a resilience framework and offer practical recommendations for improving mental health care access.

Keywords: Eritrea; Switzerland; asylum-seeker; mental health; migration; qualitative; resilience.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Emigrants and Immigrants / psychology*
  • Eritrea / ethnology
  • Evaluation Studies as Topic
  • Health Knowledge, Attitudes, Practice / ethnology
  • Health Services Accessibility / organization & administration
  • Humans
  • Interviews as Topic
  • Language
  • Male
  • Mental Health / ethnology*
  • Mental Health Services / organization & administration*
  • Qualitative Research
  • Refugees / psychology*
  • Resilience, Psychological*
  • Social Networking
  • Switzerland / epidemiology
  • Young Adult