This study published in the Canadian Medical Association Journal details findings that immigrants and refugee youths in Canada are far more likely to require emergency room help for mental health reasons. The true number may be far higher, as these newcomers may often face stigmas. "There’s a bit of the impact of poverty, there’s a bit of the impact of culture, there’s a bit of the impact of where the services are, and then there’s the impact of who offers the services and whether they speak your language” (Dr. Kwame McKenzie).