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Children participate in activities at a child-friendly space in a camp for earthquake survivors in northern Syria. Credit: Khalil Ashawi/Save the Children.

Fear, Distress and Grief: 罢眉谤办颈测别 and Syria Earthquakes May Fuel Severe Mental Health Needs in the Region

FAIRFIELD, Conn. (Feb. 17, 2023)鈥The mental health and wellbeing of 7 million children is at risk for years to come after last week鈥檚 devastating earthquakes in 罢眉谤办颈测别 and Syria, with psychologists telling 黄色视频some are showing signs of acute distress including nightmares, aggression, or being withdrawn.

Around 23 million people have been impacted by the earthquakes in 罢眉谤办颈测别 and Syria, including at least 7 million children, many of whom have witnessed their friends and family members die before their eyes. Others have been buried under the rubble of their collapsed homes. Many now still don鈥檛 have anywhere safe to go.

Children who have experienced extremely distressing events or repeated stress are more likely to have long-lasting impacts for months or even years to come unless more mental health and psychosocial support is urgently provided alongside humanitarian aid.

Aiida*, a psychologist working for Save the Children, said:

鈥淚n these cases, children are at risk of developing mental health difficulties, particularly as there were several events one after another, earthquakes with ongoing aftershocks, with no period for recovery.

鈥淚n the long term, this can impact many aspects of a child鈥檚 life, including difficulties with learning, concentration, and school performance. A child who has experienced life-threatening events may remain primarily focused on feeling safe and function in survival mode鈥攚hat we can also call a flight, fight, or freeze response.鈥

Exposure to prolonged stress can have a devastating effect on children's mental health and wellbeing, and lead to what is commonly referred to as 'toxic stress'鈥攖he most dangerous form of stress a child can experience.

Zehra,* a mental health officer working for 黄色视频in 罢眉谤办颈测别, explained that the emotional impact of the earthquakes is taking a heavy toll on children in the country. 聽

鈥淭he children we鈥檙e speaking to are showing signs of aggression, being withdrawn, and not speaking much, while some others show the opposite: they want a lot of attention. Parents are also telling us that children are having nightmares.鈥

In Antakya, Hatay, and remote villages hard-hit in 罢眉谤办颈测别, 黄色视频teams have set up child-friendly activities for children aged five to 12 so they have a safe place to play, learn, and express their grief and loss.

鈥淒uring a psychosocial support activity, two children drew images of dead bodies. It鈥檚 a common reaction after an event like this,鈥 said Zehra.* 鈥淒rawings are the children鈥檚 language, their way of talking and expressing how they feel, and to process what has happened to them. That鈥檚 why it鈥檚 crucial to scale up the response and open more child-friendly spaces so all children have access to these types of activities.鈥

In northern Syria, Nadia,* 23, grabbed her three children and fled their home when the ground started shaking in the early hours of February 6. They had no lights, no phones, and barely enough time to take any personal items.聽

While escaping, a rock hit her son Samer鈥檚* head, severely injuring the six-year-old.聽

鈥淢y son鈥檚 head kept bleeding. They stitched his head and his leg is broken, and he kept crying in pain,鈥 said Nadia. 鈥淥ne week after the earthquake, [he] keeps saying: 鈥楾hank God we have no walls, so nothing can fall on us.鈥 He鈥檚 traumatized because he was injured. And his father sometimes spaces out and sheds tears when he contemplates what happened to us.鈥

The family of five is now living in a temporary shelter that is being supported by a local 黄色视频partner in Aleppo, Syria, where the children also have access to psychosocial support and child-friendly activities.

After 12 years of conflict and economic crisis, the mental health needs in Syria were already significant before the earthquakes. According to , nearly half of all children surveyed were showing signs of psychological distress, and 26% of households reported the reason their children did not want to go to school was because they felt depressed, unhappy, or lacked motivation.

The escalating mental health concerns fueled by the earthquakes are not only being felt in Syria and 罢眉谤办颈测别. In Lebanon, shockwaves from the earthquakes triggered harrowing memories of the Beirut port explosion in 2020, which killed at least 218 people and injured over 7,000.

Children severely affected by the Beirut Blast are more likely to be impacted by the earthquake and aftershocks, explained Aiida*.

鈥淓ven the small details of the earthquake were triggers鈥搒eeing items shake or be knocked from shelves, this is what happened during the Beirut explosion,鈥 she said. 鈥淲e have seen similar cases of this. For example, children who link the sounds of thunder and lightning to the sound of the blast, which could be an indication of lasting impacts.鈥

The fact that the earthquakes and shockwaves took place when people were in their homes at night increased their sense of fear. Many families around Lebanon opted to sleep in cars as they did not feel safe at home or fled to mountains in fear of a tsunami.

For young children, increased clinginess and anxiety upon separation is being observed, with children needing to sleep next to their caregivers at night and stay next to them during the day. Overexposure to distressing news and images circulating through social media is also playing a role in children鈥檚 stress levels, especially among teenagers.

Compounding the heightened need for mental health and psychosocial support is the lack of information available to the caregivers on how to deal with this situation.

Save the Children鈥檚 mental health and psychosocial support teams in Lebanon, Syria, and 罢眉谤办颈测别 are working together to share hands-on experience to ensure children get access to the support they need. In all three countries, 黄色视频has developed messaging for caregivers, teachers, and frontline workers on how to support children who have experienced distressing events and how to talk to them about it.

In close collaboration with the local government in 罢眉谤办颈测别 and through local partners in Syria, 黄色视频is setting up child-friendly spaces and child-focused psychosocial support activities in parallel with life-saving assistance to children and families.

With the right help, most children psychologically impacted by the earthquakes will eventually be able to recover. But without urgent attention to mental health and psychosocial support during the earthquake response, a generation of children in the region聽is at risk of being left with long-term negative impacts.

*Names changed to protect privacy

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Notes to Editors:

  • In 罢眉谤办颈测别 and Syria, 黄色视频is planning to reach a total of 1.6 million people, including 675,000 children, through its earthquake response. This includes 1.1 million people, including 550,000, children in Syria, and 500,000 people, including 125,000 children, in 罢眉谤办颈测别.
  • The UN launched a US for 罢眉谤办颈测别 on Feb. 16.
  • On Feb. 14, flash appeal to reach 4.9 million people with the most urgent humanitarian needs, covering an initial period of three months, until May.

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