Almost 2,000 Yazidi children who have returned to their families after being held captive by the armed group calling itself Islamic State (IS) are facing a physical and mental health crisis, Amnesty International warned in a new report published today.

The report, Legacy of Terror: The Plight of Yezidi Child Survivors of ISIS, also addresses the urgent need to end the enforced separation of women and their children born of sexual violence by IS members.

Between 2014 and 2017, IS committed war crimes, crimes against humanity, and what the UN describes as genocide against the Yazidi community in Iraq.

The 57-page report reveals the extensive challenges now faced by the estimated 1,992 children who have returned to their families after being abducted, tortured, forced to fight, raped and subjected to numerous other horrendous human rights abuses by IS.

“While the nightmare of their past has receded, hardships remain for these children. After enduring the horrors of war at an extremely young age, they now need urgent support from the national authorities in Iraq and the international community to build their future,” said Matt Wells, Amnesty International’s Crisis Response Deputy Director – Thematic Issues.

“Survivors of horrific crimes, these children now face a legacy of terror. Their physical and mental health must be a priority in the years ahead if they are to fully reintegrate into their families and community.”

Many child survivors have returned from IS captivity with debilitating long-term injuries, illnesses or physical impairments. The most common mental health conditions experienced by these children include post-traumatic stress, anxiety and depression. Symptoms and behaviours often displayed include aggression, flashbacks, nightmares, withdrawal from social situations, and severe mood swings.

Physical and mental health crisis

Humanitarian workers, mental health professionals and caregivers told Amnesty International about particular challenges for two groups of child survivors: former child soldiers, and girls subjected to sexual violence.

Thousands of Yazidi boys captured by IS were starved, tortured and forced to fight. As a result, these former child soldiers are especially likely to suffer from serious health conditions or physical disabilities, such as lost arms or legs.

Yazidi boys are often isolated upon their return, as their families and communities struggle to acknowledge their experiences during captivity. They have often been subjected to intense propaganda, indoctrination and military training, deliberately intended to erase their former identities, language, and names.

Of the 14 former child soldiers interviewed, more than half told Amnesty International they had not received any form of support – whether psychosocial, health, financial, or otherwise – after their return.

Sahir*, who was forcibly recruited at the age of 15, said: “I was forced to fight. I had to do it or die. I didn’t have any other option. It was out of my control. To survive, I did the fighting. It’s the worst thing that can happen to any human, the most degrading… [After returning from captivity] what I was looking for is just someone to care about me, some support, to tell me, ‘I am here for you’… This is what I have been looking for, and I have never found it.”

Yazidi girls suffered a wide range of abuses in IS captivity, including sexual violence. Girl survivors of sexual violence suffer from a range of health issues, including traumatic fistulas, scarring, and difficulties conceiving or carrying a child to term.

Randa*, a 14-year-old who was in IS captivity for five years, said: “I was a child when they made me marry. They made me suffer. I want my future to be better. I want IS to be held accountable for what they did to me.”

One doctor, whose organization has provided medical and psychosocial care for hundreds of women and girl survivors, said that almost every girl she had treated between the ages of nine and 17 had been raped or subjected to other sexual violence. Amnesty International found that existing services and programmes for survivors of sexual violence have largely neglected girls.

“These children were systematically subjected to the horror of life under IS, and now they’ve been left to pick up the pieces. They must be given the support they desperately need to rebuild their lives as part of the Yazidi community’s future,” said Matt Wells.

Women with children born of sexual violence

Yazidi women and girls gave birth to hundreds of children as a result of sexual enslavement by IS fighters. Many of these children have largely been denied a place in the Yazidi community due to a number of factors, including the stance of the Yazidi Supreme Spiritual Council and the current legal framework in Iraq, which mandates that any child of an ‘unknown’ or Muslim father must be registered as Muslim.

Several women interviewed by Amnesty International said they were pressured, coerced or even deceived into leaving their children behind, causing severe mental anguish. These women were also falsely assured that they would be able to visit or reunite with their children at a later stage. All of the women interviewed who were separated from their children said they had no contact with or access to them. They said they felt unable to speak with their families or community about wanting to reunite with their children, due to fears for their own safety.

Janan*, 22, said: “I want to tell [our community] and everyone in the world, please accept us, and accept our children… I didn’t want to have a baby from these people. I was forced to have a son. I would never ask to be reunited with his father, but I need to be reunited with my son.”

Hanan*, 24, whose daughter was taken from her, said: “My feeling is the same feeling as all the other mothers [in the same situation]. We have all thought about killing ourselves, or tried to do it… We are human, we have our rights, and we want our children to be with us. Whatever we experienced with IS, we are going through something worse now. We need a solution.”

Amnesty International called for international organizations such as the UNHCR to prioritize and fast-track these women and children for resettlement or humanitarian relocation, with the co-operation of the national authorities and foreign governments.

“These women were enslaved, tortured and subjected to sexual violence. They should not suffer any further punishment. They need to be reunited with their children, and any future separations must be prevented. They must be offered the opportunity of international resettlement or relocation together with their children, given the enormous risks they face in Iraq,” said Matt Wells.