Objective Migrant worker abuse is well recognised, but poorly characterised within the scientific literature. This study aimed to explore patterns of abuse amongst Sri Lankan women returning home after working as domestic maids. Methods Sri Lanka has over 2 million of its citizens employed overseas as international labor migrants. A cross-sectional study was conducted on Sri Lankan female domestic maids returning from the Middle East region who were referred for medico-legal opinion. Results A total of 20 women were included in the study. Average length of their employment overseas was 14 months. Complaints of physical violence directed mainly through their employers were made by 60% of women. Upon physical examination, two-thirds had evidence of injuries, with a third being subjected to repetitive/systematic violence. Eighty percent suffered some form of psychological trauma. Personal identity papers and travel documents had been confiscated by the employer in 85% of cases, with two thirds indicating they were prevented and/or restricted from leaving their place of work/residence. Conclusions Our study demonstrates that female domestic maid abuse manifests through multiple pathways. Violence against such workers span the full spectrum of physical, financial, verbal, emotional abuse and neglect, as defined by the World Health Organization. Findings from this exploratory study cannot be generalized to the large volume of migrant worker outflows. Further research is needed to determine incidence and define patterns in other migrant worker categories such as low-skilled male workers. © 2016 Elsevier Ltd and Faculty of Forensic and Legal Medicine

Migrant worker abuse Migration health Violence and health International migrants Sri Lanka Maid abuse

identifiable information domestic maid abuse food deprivation Sri Lankan Wounds and Injuries employer human injury middle aged Middle East travel violence statistics and numerical data physical violence Sri Lanka Cross-Sectional Studies Young Adult migrant worker cross-sectional study medicolegal aspect Humans Adolescent female punishment patient referral Referral and Consultation clinical article human trafficking Article workplace violence adult exploratory research migration malnutrition psychotrauma Transients and Migrants Physical Examination employment documentation Water Deprivation