Depression and mortality inside a longitudinal study: 1952-2011

  1. Kevin Pottie[10], MD MClSc
  2. for that Canadian Collaboration for Immigrant and Refugee Health (CCIRH)
  1. In the Division of Social and Transcultural Psychiatry (Kirmayer), McGill College, and also the Culture &amp Mental Health Research Unit, Lady Davis Institute, Jewish General Hospital, PRAIDA (Narasiah, Munoz), CSSS en Montagne, Montréal, Que., Department of Family and Community Medicine (Rashid), College of Toronto, Toronto, Ont., the Department of Psychology (Ryder), Concordia College, and also the Culture &amp Mental Health Research Unit, Jewish General Hospital, the Division of Social and Transcultural Psychiatry (Guzder, Rousseau), the Department of Psychiatry, McGill College, the Department of kid Psychiatry (Guzder), Jewish General Hospital, the Department of Psychology (Hassan), Université du Québec à Montréal, Youth Mental Health (Rousseau), CSSS en Montagne (CLSC Parc Extension), Montréal, Que., and also the Departments of Family Medicine and Community Health insurance and Epidemiology, Institute of Population Health (Pottie), College of Ottawa, Ottawa, Ont.
  1. Correspondence to:
    Dr. Laurence J. Kirmayer, Institute of Community &amp Family Psychiatry, Jewish General Hospital, 4333 Côte Ste Catherine Rd., Montréal QC H3T 1E4


Background: Recognizing and appropriately treating mental health issues among new immigrants and refugees in primary care poses challenging due to variations in language and culture and due to specific stressors connected with migration and resettlement. We aimed to recognize risks and techniques within the method of mental health assessment and also to treatment and prevention of common mental health issues for immigrants in primary care.

Methods: We looked and compiled literature on prevalence and risks for common mental health issues associated with migration, the result of cultural influences on health insurance and illness, and clinical ways of improve mental healthcare for immigrants and refugees. Publications were selected based on relevance, utilization of recent data and quality in consultation with experts in immigrant and refugee mental health.

Results: The migration trajectory could be split into three components: premigration, migration and postmigration resettlement. Each phase is connected with specific risks and exposures. The prevalence of specific kinds of mental health issues is affected by the character from the migration experience, when it comes to adversity experienced before, after and during resettlement. Specific challenges in migrant mental health include communication difficulties due to language and cultural variations the result of cultural shaping of signs and symptoms and illness conduct on diagnosis, coping and treatment variations in family structure and process affecting adaptation, acculturation and intergenerational conflict and facets of acceptance through the receiving society affecting employment, social status and integration. These problems can be handled through specific inquiry, using trained interpreters and culture brokers, conferences with families, and consultation with community organizations.

Interpretation: Systematic inquiry into patients’ migration trajectory and subsequent follow-on culturally appropriate indicators of social, vocational and family functioning with time allows clinicians to acknowledge problems in adaptation and undertake mental health promotion, disease prevention or treatment interventions inside a timely way.


  1. ^ Laurence J. Kirmayer (world wide
  2. ^ (world wide
  3. ^ Lavanya Narasiah (world wide
  4. ^ Marie Munoz (world wide
  5. ^ Meb Rashid (world wide
  6. ^ Andrew G. Ryder (world wide
  7. ^ Jaswant Guzder (world wide
  8. ^ Ghayda Hassan (world wide
  9. ^ Cécile Rousseau (world wide
  10. ^ Kevin Pottie (world wide

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