Evaluating asylum seekers/torture survivors in urban primary care: A collaborative approach at the Bronx Human Rights Clinic

Ramil G. Asgary, Eva E. Metalios, Clyde L. Smith, Gerald A. Paccione, Jr.

Research output: Contribution to journalArticle

16 Citations (Scopus)

Abstract

Primary care providers who evaluate torture survivors often lack formal training to identify and address their specific needs. We assessed 89 asylum seekers from 30 countries to evaluate the pattern, spectrum, and presentation of abuses and the outcomes of the medico-legal process of seeking asylum. Commonly reported reasons for abuse were political opinion/activity (59%), ethnicity (42%), and religion (32%). The most common means of abuse were punching/kicking (79%), sharp objects (28%), genital electric shock (8%), witnessing murder/decapitation (8%), and rape (7%). Persistent psychological symptoms were common; 40% had post-traumatic stress disorder. The high success rate of asylum approval (79%) in this sample highlights the need for physician witnesses trained in identification and documentation of torture, working in collaboration with human rights organizations.

Original languageEnglish (US)
Pages (from-to)164-179
Number of pages16
JournalHealth and Human Rights
Volume9
Issue number2
DOIs
StatePublished - 2006

Fingerprint

Torture
Refugees
asylum seeker
torture
Survivors
Primary Health Care
human rights
abuse
Decapitation
Rape
Homicide
Religion
Politics
Post-Traumatic Stress Disorders
Documentation
political opinion
Shock
legal process
posttraumatic stress disorder
Organizations

ASJC Scopus subject areas

  • Sociology and Political Science
  • Health(social science)
  • Political Science and International Relations

Cite this

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