Suicide among first-generation and second-generation immigrants in Sweden: association with labour market marginalisation and morbidity

Thiene, Domitilla Di; Alexanderson, Kristina; Tinghög, Petter; Torre, Giuseppe La; Mittendorfer‐Rutz, Ellenor

doi:10.1136/jech-2014-204648

Cited by 43 publications

(35 citation statements)

References 29 publications

(25 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Lehti’s 2013 study in Finland found that children with two migrant parents had an increased likelihood of being diagnosed with autism [38], a direct opposite to the findings of the similar high-quality paper. Di Thiene’s 2015 study in Sweden concluded that migrants had a significantly lower risk of attempting suicide than the settled population [39]. Laubjerg’s study found that international adoptees have higher psychotic disorder rates than non-adoptees [40].…”

Section: Resultsmentioning

confidence: 99%

What do register-based studies tell us about migrant mental health? A scoping review

Patel

Kouvonen

et al. 2017

Syst Rev

View full text Add to dashboard Cite

BackgroundPrevious studies investigating the mental health of migrants have shown mixed results. The increased availability of register data has led to a growing number of register-based studies in this research area. This is the first scoping review on the use of registry and record-linkage data to examine the mental health of migrant populations. The aim of this scoping review is to investigate the topics covered and to assess the results yielded from these studies.MethodsWe used a scoping review methodology to search MedLine, PubMed, PsychINFO, Web of Science, and SCOPUS for all register-based studies on the mental health of migrants. Two reviewers screened all papers, independently, using iteratively applied inclusion and exclusion criteria. Using gradually broadening inclusion and exclusion criteria for maximum “scope,” newly published criteria developed to appraise the methodological quality of record-linkage studies were applied to eligible papers and data were extracted in a charting exercise.ResultsA total of 1309 papers were screened and appraised, 51 of which met the eligibility and quality criteria and were included in the review. This review identified four major domains of register-based research within the topic of migrant mental health: rates and risks of psychiatric disorders, rates and risks of suicide mortality, the use of psychotropic drugs, and health service utilisation and mental health-related hospitalisation rates. We found that whilst migrants can be at an increased risk of developing psychotic disorders and suicide mortality, they are less likely to use psychotropic medication and mental health-related services.ConclusionsThis review systematically charts the register-based studies on migrants’ mental health for the first time. It shows the main topics and gaps in knowledge in this research domain, discusses the disadvantages of register-based studies, and suggests new directions for forthcoming studies.Electronic supplementary materialThe online version of this article (doi:10.1186/s13643-017-0463-1) contains supplementary material, which is available to authorized users.

show abstract

Section: Resultsmentioning

confidence: 99%

What do register-based studies tell us about migrant mental health? A scoping review

Patel

Kouvonen

et al. 2017

Syst Rev

View full text Add to dashboard Cite

show abstract

“…Another important task for future research is to investigate whether inequalities in health and mortality continue to exist among children of foreign-born individuals. In fact, some findings from the US have suggested that mortality risks increase in these children [24, 25], while evidence for changed suicide and gynaecological cancer mortality risks in second-generation immigrants in Sweden also exists [30, 31]. Based on the findings from this review there is also a clear need to stimulate more research within the field in the Nordic countries besides Sweden, and to compare mortality risks by country of birth between the Nordic countries using a comparative approach.…”

Section: Discussionmentioning

confidence: 99%

Mortality by country of birth in the Nordic countries – a systematic review of the literature

Honkaniemi

Bacchus-hertzman

Fritzell³

et al. 2017

BMC Public Health

View full text Add to dashboard Cite

BackgroundImmigration to the Nordic countries has increased in the last decades and foreign-born inhabitants now constitute a considerable part of the region’s population. Several studies suggest poorer self-reported health among foreign-born compared to natives, while results on mortality and life expectancy are inconclusive. To date, few studies have summarized knowledge on mortality differentials by country of birth. This article aims to systematically review previous results on all-cause and cause-specific mortality by country of birth in the Nordic countries.MethodsThe methodology was conducted and documented systematically and transparently using a narrative approach. We identified 43 relevant studies out of 6059 potentially relevant studies in August 2016, 35 of which used Swedish data, 8 Danish and 1 Norwegian.ResultsOur findings from fully-adjusted models on Swedish data support claims of excess mortality risks in specific categories of foreign-born. Most notably, immigrants from other Nordic countries, especially Finland, experience increased risk of mortality from all causes, and specifically by suicide, breast and gynaecological cancers, and circulatory diseases. Increased risks in people from Central and Eastern Europe can also be found. On the contrary, decreased risks for people with Southern European and Middle Eastern origins are found for all-cause, suicide, and breast and gynaecological cancer mortality. The few Danish studies are more difficult to compare, with conflicting results arising in the analysis. Finally, results from the one Norwegian study suggest significantly decreased mortality risks among foreign-born, to be explored in further research.ConclusionsWith new studies being published on mortality differentials between native and foreign-born populations in the Nordic countries, specific risk patterns have begun to arise. Regardless, data from most Nordic countries remains limited, as does the information on specific causes of death. The literature should be expanded in upcoming years to capture associations between country of birth and mortality more clearly.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-017-4447-9) contains supplementary material, which is available to authorized users.

show abstract

“…In the inpatient care register, external codes are reported separately from the main and side diagnoses. We included events of undetermined intent in the final analysis in line with a number of previous papers [4, 10], to limit under-reporting and also to adjust for regional differences in ascertainment methods. A sensitivity analysis revealed the comparability of the estimates for the two outcome measures (i.e.…”

Section: Methodsmentioning

confidence: 99%

“…While some 50 years ago, predominantly individuals with a European background formed the bulk of the workforce immigrants to Sweden, the last 30 years have seen increasing migration from refugees and non-European migrants with more diverse cultural and ethnic origins than the Swedish native population [7]. This diversity of migrant populations is reflected in differences with regard to access and use of healthcare [8], educational level [9], and prevalence of suicide attempt, [1] which all may impact on the risk of labour market marginalization [10]. …”

Section: Introductionmentioning

confidence: 99%

Labour market marginalisation subsequent to suicide attempt in young migrants and native Swedes

Niederkrotenthaler

Wang

Helgesson

et al. 2017

Soc Psychiatry Psychiatr Epidemiol

View full text Add to dashboard Cite

PurposeThis study aimed to compare young individuals who differed in terms of birth region and history of suicide attempt regarding socio-demographic and healthcare factors, and with regard to their risks of subsequent unemployment, sickness absence and disability pension.MethodsProspective cohort study based on register linkage of 2,801,558 Swedish residents, aged 16–40 years in 2004, without disability pension and with known birth country, followed up 2005–2011. Suicide attempters treated in inpatient care during 2002–2004 (N = 9149) were compared to the general population of the same age without attempt 1987–2011 (N = 2,792,409). Hazard ratios (HR) and 95% confidence intervals (CIs) for long-term unemployment (>180 days), sickness absence (>90 days), and disability pension were calculated with Cox regression, adjusted for several risk markers.ResultsCompared to Swedish natives with suicide attempt, migrants of non-Western origin with attempt received less specialised mental healthcare. Distinct differences between native Swedes and migrants were present for the three labour market outcomes, but differences between migrant subgroups were inconsistent. As compared to native Swedes without attempts, non-European migrants with suicide attempt had adjusted HRs and CIs for subsequent unemployment 2.8 (2.5–3.1), sickness absence 2.0 (1.7–2.3) and disability pension 2.2 (1.8–2.6). Respective estimates for natives with suicide attempt were 2.0 (1.9–2.1); 2.7 (2.6–2.9) and 3.4 (3.2–3.6), respectively.ConclusionsMigrant suicide attempters receive less specialised mental health care before their attempt than native Swedes, and their marginalzation patterns are different. Healthcare and policy makers need to take the differential risk profile for migrant and native populations into account.

show abstract

Suicide among first-generation and second-generation immigrants in Sweden: association with labour market marginalisation and morbidity

Cited by 43 publications

References 29 publications

What do register-based studies tell us about migrant mental health? A scoping review

What do register-based studies tell us about migrant mental health? A scoping review

Mortality by country of birth in the Nordic countries – a systematic review of the literature

Labour market marginalisation subsequent to suicide attempt in young migrants and native Swedes

Contact Info

Product

Resources

About