Substance use, affective symptoms, and suicidal ideation among Russian, Somali, and Kurdish migrants in Finland

Salama, Essi; Castaneda, Anu E.; Suvisaari, Jaana; Rask, Shadia; Laatikainen, Tiina; Niemelä, Solja

doi:10.1177/1363461520906028

Cited by 13 publications

(15 citation statements)

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“…SI can be influenced by multiple indicators among adolescents, like age, gender, mental disorders, educational levels, social support, interpersonal difficulties, and family conflict (Ahorsu et al, 2020;Salama et al, 2020;Xiao et al, 2019). In addition, a large body of studies suggested that childhood maltreatment is a salient risk factor for SI (Falgares et al, 2018;Stickley et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Childhood maltreatment and suicidal ideation in Chinese children and adolescents: the mediation of resilience

Xue

Jiang

Liu

et al. 2021

PeerJ

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Background Childhood maltreatment could increase the risk of suicidal ideation (SI) in adolescents. However, the mediation of resilience in this association remains unclear. Methods A population-based cross-sectional study has been done among 3,146 Chinese adolescents. We collected relevant information from the study participants by using self-administered questionnaire. Chinese version of the Childhood Trauma Questionnaire (CTQ), the Resilience Scale for Chinese Adolescents (RSCA), and the Beck Scale for Suicide Ideation (BSSI) were used to measure childhood maltreatment, resilience, and SI, respectively. Univariate and multivariate binary Logistic regression models were employed to estimate crude and adjusted associations between childhood maltreatment, resilience, and SI. Path analysis has subsequently been performed to measure the mediation of resilience in this association. Results Multivariate Logistic regression models revealed that compared to non-abused counterparts, adolescents who had ever experienced any type of childhood maltreatment was 1.74 times likely to report SI. Among the specific types of childhood maltreatment, emotional abuse showed the strongest association with SI (adjusted OR = 3.01, 95% CI [2.37–3.82]). Path model suggested that over one-third (39.8%) of the total association between childhood maltreatment and SI was mediated via resilience. Emotion regulation and interpersonal assistance were the most prominent mediators among all dimensions of resilience. Conclusions Resilience played as a significant mediator in the association between childhood maltreatment and SI. Resilience-oriented intervention measures could be considered for suicidal risk prevention among abused Chinese adolescents.

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Section: Introductionmentioning

confidence: 99%

Childhood maltreatment and suicidal ideation in Chinese children and adolescents: the mediation of resilience

Xue

Jiang

Liu

et al. 2021

PeerJ

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“…For example, in our previous study 11% of Russian men and 51% of Kurdish men reported abstaining from alcohol use . Furthermore, we have indicated that comorbid affective symptoms are more common among substance using Kurds in particular . This study will expand previous knowledge on pre‐migration traumatic experiences, post‐migration perceived discrimination and substance use .…”

Section: Introductionmentioning

confidence: 54%

“…It includes 25 items on depressive and anxiety symptoms during the preceding week, rated on a scale from 1, ‘not at all bothered’ to 4, ‘extremely bothered’. Mean scores for the HSCL‐25 were calculated, and a cut‐off point of 1.75 was applied to create a dichotomized variable for clinically significant symptoms (no/yes), as previously used .…”

Section: Methodsmentioning

confidence: 99%

Pre‐migration traumatic experiences, post‐migration perceived discrimination and substance use among Russian and Kurdish migrants—a population‐based study

et al. 2020

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Background and aims The associations between traumatic events, substance use and perceived discrimination have been rarely studied among migrants in host countries. We examined whether pre-migration potentially traumatic experiences (PTEs) or perceived discrimination (PD) are associated with substance use among migrants with voluntary (Russians) and forced (Kurds) migration backgrounds. Design Cross-sectional interview and health examination data from the Finnish Migrant Health and Wellbeing Study were used. The target sample (n = 1000 for each group) was drawn from the national population register using stratified random sampling by participants' country of birth and native language.Setting Population-based data were collected from six cities in Finland during 2010-12. Participants The participation rates were 68% (Russians) and 59% (Kurds). The analytical sample size varied (Russians n = 442-687, Kurds n = 459-613), as some participants completed only interview, health examination or short interview. The majority of Kurds had a refugee background (75%) while Russians had mainly migrated for other reasons (99%).Measurements The three main outcomes were self-reported binge drinking, daily smoking and life-time cannabis use.PTEs and PD were self-reported in the interview. Socio-demographic background, migration-related factors and current affective symptoms were adjusted for. Findings Among Kurds, PTEs were associated with binge drinking [adjusted odds ratio (aOR) = 2.65, 95% confidence interval (CI) = 1.30-5.42] and PD was associated with life-time cannabis use (aOR = 3.89, 95% CI = 1.38-10.97) after adjusting for contextual factors. Among Russians, PTEs were associated with life-time cannabis use adjusting for contextual factors (aOR = 2.17, 95% CI = 1. 12-4.18). Conclusions In Finland, pre-migration traumatic experiences appear to be associated with life-time cannabis use among the Russian migrant population (voluntary migration) and binge drinking among the Kurdish migrant population (forced migration). Perceived discrimination in Finland appears to be associated with life-time cannabis use among Kurdish migrants.

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“…Among the studies with general samples, 37 [ 16 – 18 , 21 , 25 , 30 , 32 , 35 , 44 , 45 , 47 – 49 , 52 , 54 , 55 , 60 , 61 , 64 , 66 , 70 , 71 , 75 , 77 – 80 , 82 – 84 , 86 , 88 , 90 ] reported on the prevalence of suicidal ideation ( Table 4 ). The findings were ordered by prevalence timeframe and sub-grouped by population type.…”

Section: Resultsmentioning

confidence: 99%

Suicide rates and suicidal behaviour in displaced people: A systematic review

et al. 2022

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Background Refugees, and other forcibly displaced people, face mental distress and may be disproportionately affected by risk factors for suicide. Little is known about suicidal behaviour in these highly mobile populations because collecting timely, relevant, and reliable data is challenging. Methods and findings A systematic review was performed to identify studies of any design reporting on suicide, suicide attempts, or suicidal ideation among populations of displaced people. A sensitive electronic database search was performed in August 2020, and all retrieved studies were screened for relevance by two authors. Studies were categorised by the population being evaluated: refugees granted asylum, refugees living in temporary camps, asylum seekers, or internally displaced people. We distinguished between whether the sampling procedure in the studies was likely to be representative, or the sample examined a specific non-representative subgroup of displaced people (such as those already diagnosed with mental illness). Data on the rates of suicide or the prevalence of suicide attempts or suicidal ideation were extracted by one reviewer and verified by a second reviewer from each study and converted to common metrics. After screening 4347 articles, 87 reports of 77 unique studies were included. Of these, 53 were studies in representative samples, and 24 were based on samples of specific target populations. Most studies were conducted in high-income countries, and the most studied population subgroup was refugees granted asylum. There was substantial heterogeneity across data sources and measurement instruments utilised. Sample sizes of displaced people ranged from 33 to 196,941 in studies using general samples. Suicide rates varied considerably, from 4 to 290 per 100,000 person-years across studies. Only 8 studies were identified that compared suicide rates with the host population. The prevalence of suicide attempts ranged from 0.14% to 15.1% across all studies and varied according to the prevalence period evaluated. Suicidal ideation prevalence varied from 0.17% to 70.6% across studies. Among refugees granted asylum, there was evidence of a lower risk of suicide compared with the host population in 4 of 5 studies. In contrast, in asylum seekers there was evidence of a higher suicide risk in 2 of 3 studies, and of a higher risk of suicidal ideation among refugees living in camps in 2 of 3 studies compared to host populations. Conclusion While multiple studies overall have been published in the literature on this topic, the evidence base is still sparse for refugees in camps, asylum seekers, and internally displaced people. Less than half of the included studies reported on suicide or suicide attempt outcomes, with most reporting on suicidal ideation. International research networks could usefully define criteria, definitions, and study designs to help standardise and facilitate more research in this important area. Registration PROSPERO CRD42019137242.

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Substance use, affective symptoms, and suicidal ideation among Russian, Somali, and Kurdish migrants in Finland

Cited by 13 publications

References 94 publications

Childhood maltreatment and suicidal ideation in Chinese children and adolescents: the mediation of resilience

Childhood maltreatment and suicidal ideation in Chinese children and adolescents: the mediation of resilience

Pre‐migration traumatic experiences, post‐migration perceived discrimination and substance use among Russian and Kurdish migrants—a population‐based study

Suicide rates and suicidal behaviour in displaced people: A systematic review

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