Overrepresentation of unaccompanied refugee minors in inpatient XXXX care.

@entity1 @entity6004 @entity1479 @entity146
BACKGROUND: Unaccompanied refugee minors (URMs) have high levels of @entity146 symptoms, and concerns for their access to mental health services have been raised. From the mid-2000s, an increasing number of asylum-seeking URMs, mainly adolescent @entity1 from Afghanistan, have been referred to the @entity1 _ Adolescent Psychiatry emergency unit in Malm  , Sweden. The aim of the study was to compare inpatient @entity146 care between URMs and non-URMs. FINDINGS: All admissions in 2011 at the emergency unit were identified and divided into URMs (n   =   56) and non-URMs (n   =   205). On the basis of unique @entity1 ' first treatment occasion, a group level analysis was performed on gender, age, treatment duration, additional treatment occasions/ @entity1 , involuntary care, involuntary care by gender, and @entity1479 -10 principal diagnosis. To retrieve further sample characteristics, a questionnaire was administered to the physicians responsible for admitting @entity1 in 2011. More URMs than non-URMs exhibited self-harm or suicidal behaviour in conjunction with referral. 86% of URMs were admitted with symptoms relating to stress in the asylum process. In the catchment area, 3.40% of the URM population received inpatient care and 0.67% inpatient involuntary care, compared to 0.26% and 0.02% respectively of the non-URM population, both comparisons p   <   0.001. There were more @entity1 in the URM group (95%) compared to the non-URM group (29%). A difference in use of involuntary care disappeared after adjusting for gender. No differences were found in diagnoses except for @entity6004 (F40-48), which were more common in the URM group. CONCLUSION: From an epidemiological perspective, URMs were overrepresented in inpatient @entity146 care.
