326 Reactivation of torture-related trauma in refugees during healthcare

Abstract PTH 3: Mental Health and Refugees 1, B307 (FCSH), September 3, 2025, 17:00 - 17:54 Aim Millions of refugees worldwide have survived torture, leaving them with severe psychological and physical trauma. Healthcare environments, while intended to provide care and healing, can inadvertently contain elements that resemble past traumatic experiences, triggering distress and reactivating the torture-related trauma causing re-traumatization. This study explores how healthcare settings contribute to re-traumatization among refugee torture survivors and aims to: Methods We conducted in-depth qualitative interviews with refugee torture survivors to understand their experiences within healthcare systems. Participants were asked about specific encounters, procedures, or interactions that evoked distress, as well as their perspectives on how healthcare environments could be improved. Thematic analysis was applied to identify key patterns and factors associated with re-traumatization. Results Our analysis revealed several recurring triggers of re-traumatization, including power imbalances, lack of informed consent, use of equipment, operating theaters, and medical procedures. Participants highlighted the absence of trauma-informed care and limited cultural competence among healthcare providers as contributing factors. Survivors expressed the need for greater sensitivity among healthcare professionals, improved communication, and adjustments in medical procedures to reduce distress. Conclusions Healthcare settings must adopt trauma-informed approaches to minimize re-traumatization risks for refugee torture survivors. Key recommendations include enhancing provider training on trauma-sensitive care, ensuring transparent communication and informed consent, modifying clinical procedures to reduce distress, and creating culturally responsive healthcare environments. By implementing these adjustments, healthcare institutions can foster a more supportive system that prioritizes the well-being of this highly vulnerable population.