“…Eighth, cultural factors including living in extended families, larger household size, the degree of respect and high esteem offered to the elderly, all of which offer protection against loneliness and despair which otherwise may lead to suicide (Shah and De, 1998), may vary across different migrant groups. A similar hypothesis has been used to explain high elderly suicide rates in Japan (Watanabe et al, 1995;Shimuzu, 1990), Hong Kong (Yip and Tan, 1998), China (Yip et al, 2000(Yip et al, , 2005 and Taiwan (Liu et al, 2006) where the elderly have lost their traditional family role. Finally, socio-economic status and income inequality may vary across different migrant groups, and both these variables are associated with elderly suicide rates (Shah et al, 2002;Gunnell et al, 2003;Berk et al, 2006;Shah et al, 2008).…”