Forced migration and the resettlement experience combine to produce a set of social, cultural, economic and psychological challenges for forced migrants which may affect integration, mental and physical health, and access to health and social care. There is very little research on the resettlement experience of Ethiopian forced migrants in London, particularly on causes of mental illness and access to mental health care. Few studies have examined whether and how traditional beliefs and customs affect the experiences of this group in health care. The paper reports on a pilot study consisting of interviews with an Ethiopian priest, community leaders and Ethiopians working in the community health sector with the aims of improving our understanding of the issues, and to inform further study. Initial analysis suggests that this group faces multiple forms of disadvantage which affect mental health. A further interesting dynamic is the relation between lack of ‘help seeking behaviour’, due to cultural expectations and norms, and lack of access and engagement with Western treatments. Religious mechanisms and activities were also reported as bolstering coping mechanisms. Perhaps most significant was concern about the increasing suicide rate among this group, many respondents suggesting a direct causal link between suicide and maladjustment in exile. © 2007, Emerald Group Publishing Limited

suicide rates resettlement Ethiopian community in London Mental illhealth Customs Health beliefs

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