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Suicide risk among native- and foreign-origin persons in Sweden: a longitudinal examination of the role of unemployment status.

Abstract：

PURPOSE:Prior research has documented an association between unemployment and elevated suicide risk. Yet, few Swedish studies have explicitly considered how such risk may vary by different migration background characteristics among persons of foreign-origin, who often experience diverse forms of labor market marginalization. This study examines the extent to which unemployment status may differentially influence suicide risk among the foreign-origin by generational status, region of origin, age at arrival, and duration of residence. METHODS:Population-based registers were used to conduct a longitudinal, open cohort study of native-origin and foreign-origin Swedish residents of working age (25-64 years) from 1993 to 2008. Hazard ratios and 95% confidence intervals for suicide mortality were estimated using gender-stratified Cox proportional hazards models. RESULTS:Elevated suicide risk observed among foreign-origin unemployed groups was generally of a similar or lower magnitude than that found in unemployed native-origin, although unemployed second-generation Swedish men demonstrated significantly greater (p < 0.05) excess risk of suicide than that observed among their native-origin counterparts. Unemployed foreign-born men with a younger age at arrival and longer duration of residence demonstrated an increased risk of suicide, while those who arrived as adults, and a shorter duration of residence did not show any increased risk. Among foreign-born women, excess suicide risk persisted regardless of age at arrival and duration of residence in the long-term unemployed. CONCLUSIONS:Multiple migration background characteristics should be considered when examining relationships between employment status and suicide among the foreign-origin.

journal_name

Soc Psychiatry Psychiatr Epidemiol

journal_title

Social psychiatry and psychiatric epidemiology

authors

Dunlavy AC,Juárez S,Toivanen S,Rostila M

doi

10.1007/s00127-018-1621-z

subject

Has Abstract

pub_date

2019-05-01 00:00:00

pages

579-590

issue

eissn

0933-7954

issn

1433-9285

pii

10.1007/s00127-018-1621-z

journal_volume

pub_type

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Suicide risk among native- and foreign-origin persons in Sweden: a longitudinal examination of the role of unemployment status.