Cited by 8Suicide and Self-Harm StudiesMigration, Health and TraumaMental Health Treatment and Access

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Despair and Suicide-Related Behaviours in Palorinya Refugee Settlement, Moyo, Uganda

Open access
Bwesige, MosesMukasa, Snider, Leslie·2021·Intervention

Abstract

This descriptive study illustrates the multitude of intertwining factors contributing to suicidal ideation and attempts, and deaths by suicide among South Sudanese refugees in Moyo/Obongi Palorinya settlements in northern Uganda. It was conducted from 2019 to 2020 due to escalating rates of suicide attempts and deaths by suicide noted in a rapid assessment by Lutheran World Federation mental health and psychosocial support (MHPSS) workers. This study aimed to better understand factors contributing to suicidal ideation and attempts among refugees, to tailor MHPSS interventions and prevent potential escalation of suicidality across the region, including nearby refugee hosting districts in Adjumani/Lamwo. Data collection techniques included key informant interviews, focus group discussions, case studies and review of the lead author’s therapy recovery notes. The findings highlighted the following factors contributing to escalating suicidality among the refugees: war stressors (experiencing and witnessing violent acts), daily stressors, social fragmentation, normalised violence, social isolation, lack of economic opportunities, loss of assets and loss of confidence and hope, among others. The assessment found that the spiking trend of increased suicidal behaviour is apparently unique to Moyo/Obongi, compared to neighbouring settlements, but emphasises the need for monitoring and preventive interventions in neighbouring districts. The psychosocial as well as economic impact of a reduction in funding for MHPSS programming is underlined, emphasising the need for long-term funding to consolidate programme effects and respond to realities on the ground. Community-based psychosocial support interventions provided by Lutheran World Federation are described that have subsequently helped to mitigate and respond to the escalating trend in suicidality and reflections given to strengthen the ongoing response with lessons learned for other contexts.

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Cites

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Cited by

Metadata

Authors
Bwesige, M., & Snider, L.
Affiliations
Save the Children (US)
Venue
Intervention
Published
2021
Volume
19
Issue
2
Pages
224
ISSN
1571-8883 (ISSN-L)
OpenAlex
W3196757355
Cited by
8
References
1
Citations by year
2026: 1 · 2025: 2 · 2023: 4 · 2022: 1
FWCI
0.85
Type
journal article
Language
en
Open access
Licence
cc-by-nc-sa
Locations
  • Intervention (publishedVersion, cc-by-nc-sa)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
  • Social Sciences › Psychology › Clinical Psychology › Migration, Health and Trauma
  • Health Sciences › Medicine › Psychiatry and Mental health › Mental Health Treatment and Access
Keywords
suicide, suicidal ideation, suicide attempts, South Sudanese refugees, refugee mental health, psychosocial support, witnessing violence, social fragmentation, social isolation, economic hardship, community-based intervention, Lutheran World Federation

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