@article{ref1,
title="Previous suicide attempt and subsequent risk of re-attempt and suicide: are there differences in immigrant subgroups compared to Swedish-born individuals?",
journal="Journal of affective disorders",
year="2020",
author="Niederkrotenthaler, Thomas and Mittendorfer-Rutz, Ellenor and Mehlum, Lars and Qin, Ping and Björkenstam, Emma",
volume="265",
number="",
pages="263-271",
abstract="BACKGROUND: Studies investigating how suicide attempting refugees and non-refugee migrants differ from Swedish-born individuals in terms of re-attempts and suicide are missing. It remains unknown how mental disorders and labour market marginalization (LMM) impact on these associations. <br><br>METHODS: This longitudinal cohort study included Swedish residents aged 20-64 with suicide attempt in 2004-2012. In total, 42,684 individuals including 2017 refugees, and 2544 non-refugee migrants were included and followed until December 31, 2016. Risks of re-attempt and suicide were calculated as hazard ratios (HR) with 95% confidence intervals (CI), and adjusted for important confounders. Stratified analyses were to assess if mental disorders or LMM modified these associations. <br><br>RESULTS: In the adjusted models, refugees had an adjusted HR (aHR) of suicide re-attempt of 0.74 (CI: 0.67-0.81), and an aHR of 0.67 (CI: 0.53-0.86) for suicide death. These estimates were very similar to those of non-refugee migrants. Refugees and non-refugee migrants with suicide attempt had a lower prevalence of specialised health care due to mental disorders compared to Swedish-born attempters (48%, 44% and 61%, respectively). Mental disorders and LMM in terms of long-term sickness absence and disability pension increased the risk of re-attempt and suicide in all three groups. LIMITATIONS: Only suicide attempts and mental disorders resulting in specialized in-and outpatient care were registered. <br><br>CONCLUSION: Migrants show considerably lower risks of re-attempt and suicide than Swedish-born individuals, with no differences between migrant groups. Despite vast differences in the prevalence of specific mental disorders, the role of mental disorders in the pathways to re-attempt and suicide does not appear to differ considerably between these groups.<br><br>Copyright © 2020 Elsevier B.V. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="0165-0327",
doi="10.1016/j.jad.2020.01.013",
url="http://dx.doi.org/10.1016/j.jad.2020.01.013"
}