Factors Influencing Suicide Behaviours in Immigrant and Ethno-Cultural Minority Groups: A Systematic Review

Lai, Daniel W. L.; Li, Lun; Daoust, Gabrielle

doi:10.1007/s10903-016-0490-3

Cited by 50 publications

(36 citation statements)

References 75 publications

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“…Acculturation issues were also shown to be associated with difficulties gaining employment, financial stress, social isolation and poor living conditions, all of which increased the risk of suicide among study participants. This finding is consistent with previous reviews which has found a relationship between acculturation stress and both depression and suicidal ideation in refugee and immigrant populations (Lai et al, 2017;Wyatt, Ung, Park, Kwon, Trinh-Shevrin, 2015).…”

Section: Acculturationsupporting

confidence: 93%

“…Research has found a relationship between immigration and higher rates of psychological distress and mental illness which is thought to be a key risk factor for suicide (Fazel, Wheeler, & Danesh, 2005). Other common risk factors for suicide in this population include difficulties with cultural assimilation and acculturation, social isolation, language barriers, and separation from family (Lai, Li, & Daoust, 2017).…”

Section: Introductionmentioning

confidence: 99%

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Suicidality and suicide prevention in culturally and linguistically diverse (CALD) communities: A systematic review

Bowden

McCoy

Reavley

2019

International Journal of Mental Health

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Australia has one of the largest multicultural populations in the world, with cultural and linguistic diversity (CALD) a defining feature. CALD populations have unique identities and experiences of mental health and suicide, with multicultural differences, trauma and experiences of discrimination and stigma pertinent to effective suicide prevention approaches. Very little is known however about suicide and suicidality among this population in Australia. This systematic review explored literature on suicidality and suicide prevention in CALD communities as a means of informing suicide prevention research, policy and practice in the Australian context. Five electronic databases (Medline, PsycINFO, Embase, Emcare, and CINAHL) were searched. Studies were included if they examined factors associated with suicidality or described suicide prevention initiatives in CALD populations, and were conducted in OECD countries. Study quality was assessed using the CASP qualitative checklist for qualitative studies and the Quality Assessment Tool for quantitative studies. Thematic analysis was used to identify key themes in the included studies. Eighteen studies met the criteria for inclusion, including ten qualitative and eight quantitative studies. No Australian studies were identified. Key themes included acculturation difficulties, stigma, the influence of social networks and family, heterogeneity of CALD populations, and suggested prevention strategies. The review found no Australian studies looking at suicidality or suicide prevention in CALD communities. It highlights the need for a greater focus across policy, research and evaluation on suicide prevention in Australian CALD communities.

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Section: Acculturationsupporting

confidence: 93%

Section: Introductionmentioning

confidence: 99%

Suicidality and suicide prevention in culturally and linguistically diverse (CALD) communities: A systematic review

Bowden

McCoy

Reavley

2019

International Journal of Mental Health

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“…Since this is an observational study, inference on causal relations is always limited and subject to confounding by unmeasured factors. Strong cultural pressures to avoid legal implications of homicide and the stigma associated with suicide homicides and suicides may be misclassified as unintentional firearm injury deaths [40], specially when intent is not clear. This fact can also impact the garbage code redistribution process of undetermined intention deaths, specially in states where SIM present lower quality of causes of death.…”

Section: Discussionmentioning

confidence: 99%

Association between firearms and mortality in Brazil, 1990 to 2017: a global burden of disease Brazil study

Malta

Filho

Pinto

et al. 2020

Popul Health Metrics

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Background Brazil leads the world in number of firearm deaths and ranks sixth by country in rate of firearm deaths per 100,000 people. This study aims to analyze trends in and burden of mortality by firearms, according to age and sex, for Brazil, and the association between these deaths and indicators of possession and carrying of weapons using data from the global burden of diseases, injuries, and risk factors study (GBD) 2017. Methods We used GBD 2017 estimates of mortality due to physical violence and self-harm from firearms for Brazil to analyze the association between deaths by firearms and explanatory variables. Results Deaths from firearms increased in Brazil from 25,819 in 1990 to 48,493 in 2017. Firearm mortality rates were higher among men and in the 20–24 age group; the rate was 20 times higher than for women in the same age group. Homicide rates increased during the study period, while mortality rates for suicides and accidental deaths decreased. The group of Brazilian federation units with the highest firearm collection rate (median = 7.5) showed reductions in the rate of total violent deaths by firearms. In contrast, the group with the lowest firearm collection rate (median = 2.0) showed an increase in firearm deaths from 2000 to 2017. An increase in the rate of voluntary return of firearms was associated with a reduction in mortality rates of unintentional firearm deaths (r = −0.364, p < 0.001). An increase in socio-demographic index (SDI) was associated with a reduction in all firearm death rates (r = −0.266, p = 0.008). An increase in the composite index of firearms seized or collected was associated with a reduction in rates of deaths by firearm in the subgroup of females, children, and the elderly (r = −0.269, p = 0.005). Conclusions There was a change in the trend of firearms deaths after the beginning of the collection of weapons in 2004. Federation units that collected more guns have reduced rates of violent firearm deaths.

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“…There are no available records for immigration status available for analysis in the current study. Future studies could incorporate this information, in view of reviews of recent research highlighting contribution of acculturation stress to suicide risk [ 12 , 49 , 57 ]. A lack of a control group also limits how the data could be interpreted.…”

Section: Discussionmentioning

confidence: 99%

Does ethnicity matter in risk and protective factors for suicide attempts and suicide lethality?

et al. 2017

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This study explored ethnic differences in risk and protective factors for suicide attempts, for the major ethnic groups in Singapore, and ethnic differences in prediction of lethality. Three years of medical records related to suicide attempters (N = 666) who were admitted to the emergency department of a large teaching hospital in Singapore were subjected to analysis. Of the sample, 69.2% were female, 30.8% male; 63.8% Chinese, 15.8% Indian, and 15.0% Malay. Indians were over-represented in this sample, as compared with the ethnic distribution in the general population. Ages ranged from 10 to 85 years old (M = 29.7, SD = 16.1). Ethnic differences were found in risk and protective factors, and perceived lethality of suicide attempts. All available variables were subjected to regression analyses for Chinese, Indian and Malay attempters to arrive at parsimonious models for prediction of perceived lethality. The findings were discussed in regards to implications in assessment of suicide risk and primary prevention for the multiethnic society in Singapore.

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Factors Influencing Suicide Behaviours in Immigrant and Ethno-Cultural Minority Groups: A Systematic Review

Cited by 50 publications

References 75 publications

Suicidality and suicide prevention in culturally and linguistically diverse (CALD) communities: A systematic review

Suicidality and suicide prevention in culturally and linguistically diverse (CALD) communities: A systematic review

Association between firearms and mortality in Brazil, 1990 to 2017: a global burden of disease Brazil study

Does ethnicity matter in risk and protective factors for suicide attempts and suicide lethality?

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