Attempted Suicide in Immigrants from Turkey: A Comparison with Swiss Suicide Attempters

Yılmaz, Ali; Riecher-Rössler, Anita

doi:10.1159/000337266

Cited by 23 publications

(32 citation statements)

References 52 publications

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“…The significant gender differences – primarily females – for consulting emergency psychiatric care might be explained by the fact that especially adolescent girls with migration background were more affected by problems related to intrafamiliar conflicts and acculturation stress [21, 23]. Adolescent girls are more strictly controlled by their families and were reported to get less psychological care compared to their male peers [20, 21, 26].…”

Section: Discussionmentioning

confidence: 99%

“…Adolescent girls are more strictly controlled by their families and were reported to get less psychological care compared to their male peers [20, 21, 26]. In addition, male youths frequently present externalizing disorders leading to problems earlier in life, psychiatric referrals and treatment whereas internalizing disorders, more predominant in (adolescent) girls, are more easily neglected.…”

Section: Discussionmentioning

confidence: 99%

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Psychiatric emergencies of minors with and without migration background

et al. 2016

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SummaryBackgroundThe conditions of children and adolescents with migration background receiving emergency psychiatric care in Europe are not well known. Migrants usually attend regular psychiatric care less frequently than the autochthonous population. We therefore speculated that, being undertreated, they would be overrepresented among psychiatric emergency care patients.MethodsWe retrospectively analyzed the records of 1093 minors aged 4‑18 years treated during a period of three years at the psychiatric emergency outpatient clinic of the Department of Child and Adolescent Psychiatry at the Medical University of Vienna.ResultsMore minors with migration background than natives consulted our emergency clinic. Most frequent reasons for referral were suicide attempts by Turkish patients, acute stress disorder in Serbian/Croatian/Bosnian and in Austrian patients. Psychiatric diagnoses like eating and personality disorders were mostly diagnosed in natives. We found gender specific differences between the groups.ConclusionsThe reasons for these differences possibly relate to deficits of adequate mental health-care in Austria, to intercultural and intrafamiliar conflicts related to acculturation distress in the migrant population. Prospective longitudinal studies focusing on the utilization of mental health care by the migrant children and the impact of the migration background on their mental health are needed for improving adequate culture-sensitive mental-health care for this population.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Psychiatric emergencies of minors with and without migration background

et al. 2016

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“…The gender differences are considerable: it is well established that prevalence rates for suicide attempts in women are twice as high as in men [1], whereas the reverse is true for the prevalence of completed suicides in many countries [2,3]. The exception is China, where as many women as men die by suicide [4].…”

Section: Introductionmentioning

confidence: 99%

Suicidality in the prospective Zurich study: prevalence, risk factors and gender

Angst

Hengartner

Rogers

et al. 2014

Eur Arch Psychiatry Clin Neurosci

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Our prospective Zurich study found that suicidal ideation had occurred in 40.5 % and suicide attempts in 6.6 % of the population by age 50. Important gender differences were found in both suicidality and its risk factors. Suicide attempts were earlier and more frequent among women than among men: 70 versus 44 % reported their first suicide attempt before 20. For women, the relative risk of suicide attempts was 1.6, but the relative risk of suicidal ideation was about equal (1.1 for women). The main risk factors for suicidal ideation in women were low social support (OR 4.0) and frequent punishment in childhood (OR 3.7), and in men, a depressive (OR 6.5) and an anxious personality (OR 4.6). The main risk factors for suicide attempts in women were a broken home (OR 10.2) and sexual abuse/violence (OR 7.9) in childhood; in men, no multivariate analyses of suicide attempt were conducted because of insufficient statistical power. AbstractOur prospective Zurich Study found that suicidal ideation had occurred in 40.5%and suicide attempts in 6.6% of the population by age 50. Important gender differences were found in both suicidality and its risk factors. Suicide attempts were earlier and more frequent among women than among men: 70% vs 44% reported their first suicide attempt before 20.For women the relative risk of suicide attempts was 1.6, but the relative risk of suicidal ideation was about equal (1.1 for women). The main risk factors for suicidal ideation in women were low social support (OR=4.0) and frequent punishment in childhood (OR=3.7), and in men a depressive (OR=6.5) and an anxious personality (OR=4.6). The main risk factors for suicide attempts in women were a broken home (OR=10.2) and sexual abuse/violence (OR=7.9) in childhood; in men no multivariate analyses of suicide attempt were conducted because of insufficient statistical power.

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“…The crucial role of social factors in the advent of suicidal behavior has already been reported in previous studies from Asian countries (Eddleston & Phillips, 2004;Parkar et al, 2012) and among Turkish immigrants in Switzerland (Brückner et al, 2011;Yilmaz & Riecher-Rössler, 2008. In line with this are the recently emerging views that suicidal behavior constitutes a complex public health problem, with psychological, social, biological, cultural and environmental factors being involved.…”

Section: Discussionmentioning

confidence: 64%