Psychological abuse was equally devastating, according to the report. Hostages were isolated and forced to witness acts of violence. Survivors reported intense trauma, including dissociative episodes, severe nightmares, and an overwhelming sense of guilt for leaving loved ones behind. Many remain unable to adjust to normal life, haunted by the horrors they endured.

The report’s release has triggered mixed reactions. While it validates the survivors’ suffering, it also reopens emotional wounds for families and returnees. “The detailed documentation underscores the urgency for international intervention,” said Dr. Hagai Levine, head of the Health Team for Hostages and Missing Families Forum.

Levine emphasized the complexity of treating released hostages. “They face profound psychological challenges, including PTSD, anxiety, depression, and difficulty reintegrating into daily life,” he explained. “Children often experience developmental regression and heightened anxiety. Rehabilitation requires a multidisciplinary, long-term approach.”

A bloodied handprint stains a wall in a Nir Oz house after Hamas terrorists attacked this kibbutz days earlier near the border of Gaza. (Alexi J. Rosenfeld/Getty Images)

Minister Busso’s statement to the U.N. was unequivocal: “The testimonies presented in this report serve as a wake-up call for the international community to apply increased pressure on Hamas and its supporters to free all the hostages without delay. It is a moral and humanitarian imperative, and the time to act is running out.”