1) a mental illness marked by fixed delusions, e.g. of persecution (paranoia)
2) a person who has been forced to leave her or his home or country because of danger from floods, war, political persecution etc (refugee)
(an act of) readiness to cause pain or suffering to others
brutality, harshness
(an instance of) serious suffering; difficult conditions
personal burden
(something that causes) severe bodily or mental pain or suffering
severe mental distress
the causing of mental or physical suffering, especially to get information; (a) pain caused or suffered
severe mental or physical pain
(a cause of) trouble, grief
pain, unhappiness