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Repetition of attempted suicide among immigrants in Europe
Karolinska Institute.
Södertörn University, School of Social Sciences, Sociology. Södertörn University, School of Social Sciences, SCOHOST (Stockholm Centre on Health of Societies in Transition). Uppsala University.
Karolinska Institute / Collaborating Centre of Mental Health Problems and Suicide Across Europe, Stockholm.
Schneider Children Medical Center, Petah-Tikva, Israel .
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2014 (English)In: Canadian journal of psychiatry, ISSN 0706-7437, Vol. 59, no 10, 539-547 p.Article in journal (Refereed) Published
Abstract [en]

Objectives: To compare frequencies of suicide attempt repetition in immigrants and local European populations, and the timing of repetition in these groups. Method: Data from 7 European countries, comprising 10 574 local and 3032 immigrant subjects, were taken from the World Health Organization European Multicentre Study on Suicidal Behaviour and the ensuing Monitoring Suicidal Behaviour in Europe (commonly referred to as MONSUE) project. The relation between immigrant status and repetition of suicide attempt within 12-months following first registered attempt was analyzed with binary logistic regression, controlling for sex, age, and method of attempt. Timing of repetition was controlled for sex, age, and the recommended type of aftercare. Results: Lower odds of repeating a suicide attempt were found in Eastern European (OR 0.50; 95% CI 0.41 to 0.61, P < 0.001) and non-European immigrants (OR 0.68; 95% CI 0.51 to 0.90, P < 0.05), compared with the locals. Similar patterns were identified in the sex-specific analysis. Eastern European immigrants tended to repeat their attempt much later than locals (OR 0.58; 95% CI 0.35 to 0.93, P < 0.05). In general, 32% of all repetition occurred within 30 days. Repetition tended to decrease with age and was more likely in females using harder methods in their index attempt (OR 1.29; 95% CI 1.08 to 1.54, P < 0.01). Large variations in the general repetition frequency were identified between the collecting centres, thus influencing the results. Conclusions: The lower repetition frequencies in non-Western immigrants, compared with locals, in Europe stands in contrast to their markedly higher tendency to attempt suicide in general, possibly pointing to situational stress factors related to their suicidal crisis that are less persistent over time. Our findings also raise the possibility that suicide attempters and repeaters constitute only partially overlapping populations.

Place, publisher, year, edition, pages
2014. Vol. 59, no 10, 539-547 p.
Keyword [en]
Culture, Europe, Immigration, Suicide attempt, Suicide attempt repetition
National Category
URN: urn:nbn:se:sh:diva-25490ISI: 000346375200007PubMedID: 25565687ScopusID: 2-s2.0-84911900532OAI: diva2:771617
Available from: 2014-12-15 Created: 2014-12-15 Last updated: 2015-01-15Bibliographically approved

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Mäkinen, Ilkka Henrik
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