Invisible wounds: Syria’s child mental health crisis


Shelling, airstrikes and the ongoing violence are having a devastating psychological impact on Syria’s children.

Our new report, Invisible Wounds – the largest study of its kind conducted during the course of the civil war which started six years ago next Wednesday – has revealed a terrifying mental health crisis among children trapped in Syria.

We interviewed more than 450 children and adults from seven of Syria’s 14 regions. Their testimonies reveal heartbreaking stories of children living in almost constant fear.

Self-harm and suicide attempts

Those we spoke to described increases in self-harm, suicide attempts, bedwetting, speech problems and aggressive or withdrawn behaviour.

Eighty-nine per cent of those interviewed said children have become more fearful and nervous as the war has gone on.

Mental health experts have also warned that Syrian children are showing signs of ‘toxic stress’, which can lead to developmental issues and lifelong health problems.

Severe emotional distress

Seven-year-old Razan.
Seven-year-old Razan’s* mother and sister were killed when a missile fell on their home. She was pulled from the rubble alive and couldn’t stop screaming. Now she suffers frequent hallucinations.

After almost six years of war, two out of every three children in Syria has lost a loved one, had their home bombed or been injured.

Many have seen friends or family members killed in front of them.

Saif*, a teenager from rural Aleppo, told us: “I get angry when someone in my family or my friends die.

“My chest hurts and I can’t breathe, so I sit alone because I don’t want to scream at anyone or hit anyone.”

Psychologically crushed

An aid worker in the besieged town of Madaya described how children are “psychologically crushed and tired”, saying: “When we do activities like singing with them, they don’t respond at all.

“They draw images of children being butchered in the war, or tanks, or the siege and the lack of food.”

Children’s emotional distress is compounded by dire shortages of food, clean water and medical care.

Hala, a teacher from Madaya told us that children “wish they were hit by a sniper, because if they got injured they would go to the hospital and leave the siege and eat whatever they want.”

Toxic stress

Ahmed* saw his father's body after he was killed by shelling. He couldn't speak for days afterwards. He has also seen beheadings and lashings carried out in ISIS-held areas.
Ahmed*, now nine, witnessed beheadings and lashings in ISIS-held areas. When they saw his father’s body after he was killed by shelling, Ahmed and his sisters couldn’t speak for days afterwards.

Experts warn that prolonged exposure to traumatic events, such as bombing and violence, is putting Syrian children at high risk of toxic stress – the most dangerous form of stress response.

According to Alexandra Chen, Child Protection and Mental Health Specialist at Harvard University, this is likely to have a life-long and devastating impact on these children’s mental and physical health.

It disrupts the development of the brain and other organs and increases the risk of heart disease, substance abuse, depression and other mental health disorders into adulthood.

A tipping point

As the six-year anniversary of Syria’s war approaches, the country’s child mental health crisis is reaching a tipping point.

With family support structures and official services collapsing, children’s chances of recovering fully are dwindling by the day.

Dr Marcia Brophy, our Senior Middle East Mental Health and Psychosocial Support Adviser, says: “We are failing children inside Syria, some of whom are being left to cope with harrowing experiences – from witnessing their parents killed in front of them to the horrors of life under siege – without proper support.

“We need to ensure that children who have already lost six years of their lives to war don’t have to lose their whole future as well.”

A generation at risk

When a car bomb exploded outside the house where Hamid* and his family were staying, windows shattered onto his bed. Now he’s in Turkey, but he’s still showing signs of distress as a result of the violence he witnessed.

Our work in Syria has shown us that with the right support and early interventions, children can recover from traumatic experiences.

But if we don’t act now, we risk losing a generation of Syrian children to the terror of war.

That’s why we’re calling for the UN to step up and help bring about an immediate ceasefire. Until this happens, children can’t begin to come to terms with the horrors they’ve been through.

Funding must also be found for child protection and psychosocial programmes to help children cope with everything they’ve experienced.

And the voices of Syria’s children must be heard on the international stage. Children are Syria’s future – they must be given a chance to reshape their country.

Help protect children in war: sign our petition now

*Names have been changed to protect identities.


Leave a Reply


  • An entire generation of people is growing up without any sense of connection to their own sense of humanity or their place in any kind of larger social fabric. The implications of this are massive. Please, please step up actions for a cease fire and resolutions to protect the most innocent.

  • Ashleigh Hammerel

    Asking for a seize fire or end to the war. Please evacuate the children so they can begin their journey of healing

  • Maria Archiga

    No child deserves to have these horrible thoughts. They do not deserve to feel this way. Especially this large percentage in these area’s.

  • Nicola Holme

    You have my support <3

  • Ryszard

    I hope that this petition will make a difrence…

  • Amber Knowsley


  • Izabel

    I want to help this poor little children to have a better life.

    I want to help with my work,if it is a possibility.

  • Hi Izabel, thank you so much for getting in touch, it’s wonderful that you would like to help. You can find more information on how to get involved here and current job openings here