The families and children migrating from Central America have suffered terrible traumatic experiences, and a recent report by Physicians for Human Rights (PHR), a non-profit advocacy group, addresses the serious, long-term medical consequences of this trauma. These important findings provide compelling support for more humane immigration policies, and inform best practices for lawyers working with immigration clients.

Trauma Suffered by Young Migrants

Multiple studies link trauma to long-term negative health outcomes, including chronic disease, impaired cognitive development, and mental health conditions. With analysis by medical school faculty and students from Weill Cornell Center for Human Rights, the report is significant for its sole focus on child asylum seekers. Out of the 183 children in the study, nearly 80% experienced direct physical violence, 71% experienced threats of violence or death, 59% witnessed acts of violence, and almost 20% experienced repeated sexual violence or exploitation. Sixty percent of the children experienced some form of gang violence, and 47% experienced violence perpetrated by family members. A constant theme among the children was the lack of protection from law enforcement in their home countries. (Eighty-nine percent were from El Salvador, Guatemala, and Honduras.)  Many also reported traumatic experiences during transit to the U.S. through dangerous terrain, with inadequate food or water, where they remained vulnerable to continued acts of violence.

For many transgender people, undergoing gender-affirming surgery is a crucial step toward a healthy gender transition. While not all transgender people need or want gender-affirming surgeries to be part of their transitions, receiving such surgeries may be life saving for some who do.

The American Medical Association has established that gender-affirming surgery is effective and medically necessary for many individuals diagnosed with gender dysphoria. Gender dysphoria is a serious medical condition resulting from an incongruence between one’s experienced or expressed gender and one’s gender assigned at birth. The symptoms of gender dysphoria can include distress, depression and suicidality.

Surveys show that 41 percent of transgender Americans report having attempted suicide, and there is a clear link between these high rates and the lack of transition-related health care coverage.