TY - JOUR PY - 2009// TI - Immigration and Suicidal Behavior Among Mexicans and Mexican Americans JO - American journal of public health A1 - Borges, Guilherme L. G. A1 - Breslau, Joshua A. A1 - Su, Min A1 - Miller, Margaret A1 - Medina-Mora, Maria Elena A1 - Aguilar-Gaxiola, Sergio SP - 728 EP - 733 VL - 99 IS - 4 N2 - Objectives. We examined migration to the United States as a risk factor for suicidal behavior among people of Mexican origin. Methods. We pooled data from 2 nationally representative surveys in the United States (2001-2003; n=1284) and Mexico (2001-2002; n=5782). We used discrete time survival models to account for time-varying and time-invariant characteristics, including psychiatric disorders. Results. Risk for suicidal ideation was higher among Mexicans with a family member in the United States (odds ratio [OR]=1.50; 95% confidence interval [CI]=1.06, 2.11), Mexican-born immigrants who arrived in the United States at 12 years or younger (OR=1.84; 95% CI= 1.09, 3.09), and US-born Mexican Americans (OR= 1.56; 95% CI= 1.03, 2.38) than among Mexicans with neither a history of migration to the United States nor a family membercurrently living there. Risk forsuicide attempts was also higher among Mexicans with a family member in the United States (OR=1.68; 95% CI=1.13, 2.52) and US-born Mexican Americans (OR=1.97; 95% CI=1.06, 3.65). Selection bias caused by differential migration or differential return migration of persons at higher risk of suicidal ideation or attempt did not account for these findings. Conclusions. Public health efforts should focus on the impact of Mexico-US migrationon family membersof migrants and on US-born Mexican Americans.

Language: en

LA - en SN - 0090-0036 UR - http://dx.doi.org/10.2105/AJPH.2008.135160 ID - ref1 ER -