In 2012, more that 58,000 refugees were resettled in the United States. “These are truly survivors of war or survivors of torture, so in that case we see a high frequency of post-traumatic stress disorder and that are difficult to treat and at times also difficult to recognize,” said Marco Gemignani, who teaches psychology at Duquesne University and works with refugees at Catholic Charities Health Clinic.

The global suicide rate per 100,000 people is 16. The U.S. rate for the general population is 12.4. A study done last year found the Bhutanese rate is higher — 20.3 among refugees resettled in the U.S. and 20.7 among those in the refugee camps in Nepal. While there were suicide deaths reported among other refugee groups during that time, the numbers are not as high.