Aid workers say that 360 migrants rescued from the latest boat disaster were heavily traumatised and many couldn't communicate.
They were on a vessel which got into trouble off the coast of Libya on Wednesday, and many were rescued by the Irish boat, the LE Niamh.
Only around 25 bodies have been found - but there are fears more than 200 others could have died.
Barbara Molinario from the UN's refugee agency is in Italy and working with survivors.