BackgroundOver the past decade, developed Western countries have supplied increasingly stringent measures to discourage those seeking asylum.AimsTo investigate the longer-term mental health effects of mandatory detention and subsequent temporary protection on refugees.MethodLists of names provided by community leaders were supplemented by snowball sampling to recruit 241 Arabic-speaking Mandaean refugees in Sydney (60% of the total adult Mandaean population). Interviews assessed posttraumatic stress disorder (PTSD), major depressive episodes, and indices of stress related to pasttrauma, detention and temporary protection.ResultsA multilevel model which included age, gender, family clustering, pre-migration trauma and length of residency revealed that past immigration detention and ongoing temporary protection each contributed independently to risk of ongoing PTSD, depression and mental health-related disability. Longer detention was associated with more severe mental disturbance, an effect that persisted for an average of 3 years after release.ConclusionsPolicies of detention and temporary protection appear to be detrimental to the longer-term mental health of refugees.

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