Background: The mental health of asylum seekers is a growing international health concern in the 21st century, especially in high-income countries like Australia, where migration policies can influence health outcomes. Accumulated stressors expose asylum seekers to risks before, during, and after migration, increasing their vulnerability to mental health disorders. However, evidence specific to the Australian context remains limited. This study aims to systematically review and critically evaluate existing evidence on the psychological well-being of asylum seekers in Australia.
Methods: A systematic review was conducted in accordance with the PRISMA 2020 guidelines. Multiple electronic databases and grey literature sources were searched for studies published between 2010 and 2025. The PECO framework was used to assess the eligibility of the included studies, focusing on asylum seekers in Australia with records of mental health outcomes. A standard tool was used to extract and synthesize available evidence, and the methodological quality of studies was assessed using established appraisal tools.
Results and Discussion: A total of 2,150 records were identified, and 8 studies met the inclusion criteria. The evidence revealed that mental disorders, including depression, anxiety, and post-traumatic stress disorder (PTSD) were commonly associated with asylum seekers. Pre-migration trauma was closely linked to psychological distress, as were immigration detention, visa insecurity, and social isolation post-migration stressors. Long-term incarceration was associated with severe mental health decline, including self-harm and suicidal thoughts. Inadequate access to culturally competent mental health services also emerged as a major issue.
Conclusion: The findings show that psychological distress among asylum seekers in Australia is caused by both personal trauma and structural issues. Policy changes to reduce detention and improve visa stability, along with increased access to trauma-informed care, are essential. Future research should include long-term studies and intervention research to build better evidence- based outcomes.
Psychological Well-Being and Mental Health Challenges Among Asylum Seekers in Australia: A Systematic Review
Epidemiology and Health Data Insights, 2(5), 2026, ehdi064, https://doi.org/10.63946/ehdi/19858
Publication date: Nov 06, 2026
ABSTRACT
KEYWORDS
CITATION (Vancouver)
Ndulue B, Douglas T, Foster-Pagaebi E. Psychological Well-Being and Mental Health Challenges Among Asylum Seekers in Australia: A Systematic Review. Epidemiology and Health Data Insights. 2026;2(5):ehdi064. https://doi.org/10.63946/ehdi/19858
APA
Ndulue, B., Douglas, T., & Foster-Pagaebi, E. (2026). Psychological Well-Being and Mental Health Challenges Among Asylum Seekers in Australia: A Systematic Review. Epidemiology and Health Data Insights, 2(5), ehdi064. https://doi.org/10.63946/ehdi/19858
Harvard
Ndulue, B., Douglas, T., and Foster-Pagaebi, E. (2026). Psychological Well-Being and Mental Health Challenges Among Asylum Seekers in Australia: A Systematic Review. Epidemiology and Health Data Insights, 2(5), ehdi064. https://doi.org/10.63946/ehdi/19858
AMA
Ndulue B, Douglas T, Foster-Pagaebi E. Psychological Well-Being and Mental Health Challenges Among Asylum Seekers in Australia: A Systematic Review. Epidemiology and Health Data Insights. 2026;2(5), ehdi064. https://doi.org/10.63946/ehdi/19858
Chicago
Ndulue, Bartholomew, Tamunomiebi Douglas, and Evelyn Foster-Pagaebi. "Psychological Well-Being and Mental Health Challenges Among Asylum Seekers in Australia: A Systematic Review". Epidemiology and Health Data Insights 2026 2 no. 5 (2026): ehdi064. https://doi.org/10.63946/ehdi/19858
MLA
Ndulue, Bartholomew et al. "Psychological Well-Being and Mental Health Challenges Among Asylum Seekers in Australia: A Systematic Review". Epidemiology and Health Data Insights, vol. 2, no. 5, 2026, ehdi064. https://doi.org/10.63946/ehdi/19858
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REFERENCES
- UNHCR. Global trends: Forced displacement in 2022. United Nations High Commissioner for Refugees. https://www.unhcr.org/global-trends-report-2022. Published 2023. Accessed March 20, 2026.
- Ziersch A, Due C, Walsh M. Discrimination: A health hazard for people from refugee and asylum-seeking backgrounds resettled in Australia. BMC Public Health. 2020;20(1):108. https://doi.org/10.1186/s12889-019-8068-3
- Blackmore R, Gray KM, Boyle JA, et al. Systematic review and meta-analysis: the prevalence of mental illness in child and adolescent refugees and asylum seekers. J Am Acad Child Adolesc Psychiatry. 2020;59(6):705-14. https://doi.org/10.1016/j.jaac.2019.11.011
- Von Werthern M, Robjant K, Chui Z, et al. The impact of immigration detention on mental health: a systematic review. BMC Psychiatry. 2018;18(1):382. https://doi.org/10.1186/s12888-018-1945-y
- Newnham EA, Pearman A, Olinga-Shannon S, Nickerson A. The mental health effects of visa insecurity for refugees and people seeking asylum: a latent class analysis. Int J Public Health. 2019;64(5):763-72. https://doi.org/10.1007/s00038-019-01249-6
- Forrest W, Steel Z. The impact of immigration detention on the mental health of refugees and asylum seekers. J Trauma Stress. 2023;36(3):642-53. https://doi.org/10.1002/jts.22944
- Newman L, Proctor N, Dudley M. Seeking asylum in Australia: immigration detention, human rights and mental health care. Australas Psychiatry. 2013;21(4):315-20. https://doi.org/10.1177/1039856213491991
- Durham J, Brolan CE, Lui CW, Whittaker M. The need for a rights-based public health approach to Australian asylum seeker health. Public Health Rev. 2016;37(1):6. https://doi.org/10.1186/s40985-016-0020-9
- Steel Z, Chey T, Silove D, Marnane C, Bryant RA, Van Ommeren M. Association of torture and other potentially traumatic events with mental health outcomes among populations exposed to mass conflict and displacement: a systematic review and meta-analysis. JAMA. 2009;302(5):537-49. https://doi.org/10.1001/jama.2009.1132
- Miller KE, Rasmussen A. The mental health of civilians displaced by armed conflict: an ecological model of refugee distress. Epidemiol Psychiatr Sci. 2017;26(2):129-38. https://doi.org/10.1017/S2045796016000172
- Coffey GJ, Kaplan I, Sampson RC, Tucci MM. The meaning and mental health consequences of long-term immigration detention for people seeking asylum. Soc Sci Med. 2010;70(12):2070-9. https://doi.org/10.1016/j.socscimed.2010.02.042
- Hedrick K, Armstrong G, Borschmann R. Self-harm among asylum seekers in Australian immigration detention. Lancet Public Health. 2019;4(12):e604. https://doi.org/10.1016/S2468-2667(19)30221-X
- Hedrick K, Armstrong G, Coffey G, Borschmann R. Self-harm among asylum seekers in Australian onshore immigration detention: how incidence rates vary by held detention type. BMC Public Health. 2020;20(1):592. https://doi.org/10.1186/s12889-020-08717-2
- Mares S, Zwi K. Sadness and fear: The experiences of children and families in remote Australian immigration detention. J Paediatr Child Health. 2015;51(7):663. https://doi.org/10.1111/jpc.12954
- Fleay C, Hartley L. 'I feel like a beggar': asylum seekers living in the Australian community without the right to work. J Int Migr Integr. 2016;17(4):1031-48. https://doi.org/10.1007/s12134-015-0453-x
- Hynie M. The social determinants of refugee mental health in the post-migration context: A critical review. Can J Psychiatry. 2018;63(5):297-303. https://doi.org/10.1177/0706743717746666
- World Health Organization. Mental health of refugees and migrants: Risk and protective factors and access to care (Global Evidence Review on Health and Migration (GEHM) series). https://www.who.int/publications/i/item/9789240081840. Published 2023. Accessed March 20, 2026.
- Kirkbride JB, Anglin DM, Colman I, et al. The social determinants of mental health and disorder: evidence, prevention and recommendations. World Psychiatry. 2024;23(1):58-90. https://doi.org/10.1002/wps.21160
- Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71. https://doi.org/10.1136/bmj.n71
- Critical Appraisal Skills Programme. CASP qualitative studies checklist. https://casp-uk.net/casp-tools-checklists/qualitative-studies-checklist/. Accessed March 20, 2026.
- Critical Appraisal Skills Programme. CASP (Cohort Study) Checklist. https://casp-uk.net/casp-tools-checklists. Published 2024. Accessed March 20, 2026.
- Critical Appraisal Skills Programme. CASP (Descriptive/Cross-Sectional) Studies Checklist. https://casp-uk.net/. Published 2024. Accessed March 20, 2026.
- Tosif S, Graham H, Kiang K, et al. Health of children who experienced Australian immigration detention. PLoS One. 2023;18(3):e0282798. https://doi.org/10.1371/journal.pone.0282798
- Hartley L, Fleay C, Tye ME. Exploring physical activity engagement and barriers for asylum seekers in Australia coping with prolonged uncertainty and no right to work. Health Soc Care Community. 2017;25(3):1190-8. https://doi.org/10.1111/hsc.12419
- Shishehgar S, Gholizadeh L, DiGiacomo M, Davidson PM. Arrived, yet in-between: Experiences of Iranian asylum-seeker women living with insecure residency in Australia. J Int Migr Integr. 2023;24(4):1981-2001. https://doi.org/10.1007/s12134-023-01054-4
- Shishehgar S, Gholizadeh L, DiGiacomo M, Davidson PM. Asylum-seeker women: Coping strategies and mental wellbeing. Int J Soc Psychiatry. 2025;71(2):307-14. https://doi.org/10.1177/00207640241291498
- Van Kooy J, Bowman D. 'Surrounded with so much uncertainty': Asylum seekers and manufactured precarity in Australia. J Ethn Migr Stud. 2019;45(5):693-710. https://doi.org/10.1080/1369183X.2018.1427563
- Blackmore R, Boyle JA, Fazel M, et al. The prevalence of mental illness in refugees and asylum seekers: A systematic review and meta-analysis. PLoS Med. 2020;17(9):e1003337. https://doi.org/10.1371/journal.pmed.1003337
- Turrini G, Purgato M, Ballette F, Nosè M, Ostuzzi G, Barbui C. Common mental disorders in asylum seekers and refugees: umbrella review of prevalence and intervention studies. Int J Ment Health Syst. 2017;11(1):51. https://doi.org/10.1186/s13033-017-0156-0
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