Authors :
Murwanashyaka Munyanziza; Denys Uwimpuhwe; Manishimwe Elijah
Volume/Issue :
Volume 11 - 2026, Issue 3 - March
Google Scholar :
https://tinyurl.com/4tyyb8tu
Scribd :
https://tinyurl.com/4w24e9b3
DOI :
https://doi.org/10.38124/ijisrt/26mar1384
Note : A published paper may take 4-5 working days from the publication date to appear in PlumX Metrics, Semantic Scholar, and ResearchGate.
Abstract :
Food insecurity and mental health challenges are critical issues among forcibly displaced populations, yet the
longitudinal relationship between hunger and suicidal behavior in refugee contexts remains underexplored. This study
investigates how dynamic changes in food insecurity influence suicidal risk among Congolese refugees residing in Rwandan
camps between 2018 and 2026. A longitudinal panel design and Qualitative method were employed, tracking 388 individuals
across three major camps; Nyabiheke, Kiziba, and Mahama, using structured surveys, the Household Food Insecurity Access
Scale (HFIAS), and the Suicidal Behaviors Questionnaire-Revised (SBQ-R). Data were analyzed using descriptive statistics,
panel regression, and difference-in-differences models to examine temporal patterns and causal pathways.
Findings indicate that severe food insecurity increased from 33% in 2018 to 63% in 2026, while high suicidal risk rose
from 18% to 40% over the same period. Cross-tabulation revealed that individuals in severely food-insecure households
were disproportionately represented among those with high suicide risk. Vulnerability was particularly pronounced among
females and adults aged 25–34. These results provide empirical evidence of the cumulative psychological impacts of
prolonged hunger and demonstrate a clear link between food insecurity and suicidal behavior in a protracted refugee setting.
The study analyzed the strong relationship between prolonged food insecurity and suicidal behavior, providing longitudinal
evidence of causal pathways.
This study contributes to the literature by highlighting the dynamic and causal relationship between food insecurity
and mental health outcomes, offering a framework for integrating food security and mental health interventions in refugee
assistance programs. The findings underscore the urgent need for holistic humanitarian strategies that address both basic
needs and psychosocial wellbeing to reduce suicide risk among displaced populations.
Keywords :
Food Insecurity, Suicidal Behavior, Longitudinal Analysis, and Congolese Refugees.
References :
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- Calia, C., El-Gayar, A., Zuntz, A. C., Abdullateef, S., Almashhor, E., Grant, L., & Boden, L. (2025). The relationship between food insecurity and mental health among Syrians and Syrian refugees. International Journal of Environmental Research and Public Health, 22(4), 549. https://doi.org/10.3390/ijerph22040549
- Coates, J., Swindale, A., & Bilinsky, P. (2007). Household food insecurity access scale (HFIAS) for measurement of food access: Indicator guide (Version 3). FHI 360/FANTA.
- Ejiohuo, O., Onyeaka, H., Unegbu, K. C., Chikezie, O. G., Lawal, A., & Odeyemi, O. A. (2024). Nourishing the mind: How food security influences mental wellbeing. Nutrients, 16(4), 501. https://doi.org/10.3390/nu16040501
- Elgar, F. J., Pickett, W., Pförtner, T. K., Gariépy, G., Gordon, D., Georgiades, K., & Davison, C. (2021). Relative food insecurity, mental health, and wellbeing in 160 countries. Social Science & Medicine, 268, 113556. https://doi.org/10.1016/j.socscimed.2020.113556
- Food and Agriculture Organization (FAO). (2022). The state of food security and nutrition in the world 2022. FAO.
- Friedrich, H., Knefel, M., & Elbert, T. (2024). Food security and nutrition in refugee camps: A framework linking causes and effects. Food Security, 16, 735–755. https://doi.org/10.1007/s12571-024-01440-5
- García-Casal, M. N., Peña-Rosas, J. P., Malave, H. G., et al. (2023). Food insecurity and mental health among Venezuelan migrants and refugees in Peru. Nutrients, 15(14), 3102. https://doi.org/10.3390/nu15143102
- Jones, A. D. (2017). Food insecurity and mental health status: A global analysis of 149 countries. American Journal of Preventive Medicine, 53(2), 264–273. https://doi.org/10.1016/j.amepre.2017.04.008
- Koyanagi, A., Stubbs, B., Oh, H., Veronese, N., & Smith, L. (2019). Food insecurity and suicidal ideation. Journal of Affective Disorders, 243, 408–412. https://doi.org/10.1016/j.jad.2018.09.033
- Lund, C., Breen, A., Flisher, A. J., Kakuma, R., Corrigall, J., Joska, J. A., Swartz, L., & Patel, V. (2018). Poverty and common mental disorders in low- and middle-income countries: A systematic review. The Lancet Psychiatry, 5(3), 217–228. https://doi.org/10.1016/S2215-0366(18)30034-1
- Maslow, A. H. (1943). A theory of human motivation. Psychological Review, 50(4), 370–396. https://doi.org/10.1037/h0054346
- Osman, A., Bagge, C. L., Gutierrez, P. M., Konick, L. C., Kopper, B. A., & Barrios, F. X. (2001). The suicidal behaviors questionnaire-revised (SBQ-R): Validation with clinical and nonclinical samples. Assessment, 8(4), 443–454. https://doi.org/10.1177/107319110100800409
- Silove, D., Ventevogel, P., & Rees, S. (2017). The contemporary refugee crisis: Mental health challenges. The Lancet, 389(10072), 1306–1311. https://doi.org/10.1016/S0140-6736(17)30967-3
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- United Nations High Commissioner for Refugees (UNHCR). (2024). Global trends: Forced displacement in 2024. UNHCR.
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- World Health Organization (WHO). (2023). Suicide worldwide in 2023: Global health estimates. WHO.
- Zangiabadi, S., Alghalyini, B., Zoubi, F., & Tamim, H. (2024). Effect of food insecurity on depression, anxiety, and stress among resettled Syrian refugees. PLOS Global Public Health, 4(3), e0002571. https://doi.org/10.1371/journal.pgph.0002571
Food insecurity and mental health challenges are critical issues among forcibly displaced populations, yet the
longitudinal relationship between hunger and suicidal behavior in refugee contexts remains underexplored. This study
investigates how dynamic changes in food insecurity influence suicidal risk among Congolese refugees residing in Rwandan
camps between 2018 and 2026. A longitudinal panel design and Qualitative method were employed, tracking 388 individuals
across three major camps; Nyabiheke, Kiziba, and Mahama, using structured surveys, the Household Food Insecurity Access
Scale (HFIAS), and the Suicidal Behaviors Questionnaire-Revised (SBQ-R). Data were analyzed using descriptive statistics,
panel regression, and difference-in-differences models to examine temporal patterns and causal pathways.
Findings indicate that severe food insecurity increased from 33% in 2018 to 63% in 2026, while high suicidal risk rose
from 18% to 40% over the same period. Cross-tabulation revealed that individuals in severely food-insecure households
were disproportionately represented among those with high suicide risk. Vulnerability was particularly pronounced among
females and adults aged 25–34. These results provide empirical evidence of the cumulative psychological impacts of
prolonged hunger and demonstrate a clear link between food insecurity and suicidal behavior in a protracted refugee setting.
The study analyzed the strong relationship between prolonged food insecurity and suicidal behavior, providing longitudinal
evidence of causal pathways.
This study contributes to the literature by highlighting the dynamic and causal relationship between food insecurity
and mental health outcomes, offering a framework for integrating food security and mental health interventions in refugee
assistance programs. The findings underscore the urgent need for holistic humanitarian strategies that address both basic
needs and psychosocial wellbeing to reduce suicide risk among displaced populations.
Keywords :
Food Insecurity, Suicidal Behavior, Longitudinal Analysis, and Congolese Refugees.