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Association between Suicide Ideation and Attempts and Being an Immigrant among Adolescents, and the Role of Socioeconomic Factors and School, Behavior, and Health-Related Difficulties

Author

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  • Kénora Chau

    (Département de Médecine Générale, Faculté de Médecine, Université de Lorraine, 9 Avenue de la Forêt de Haye, CS50184, Vandoeuvre-lès-Nancy F-54505, France
    INSERM Centre d’Investigations Cliniques Plurithématique 1433, UMR 1116, CHU de Nancy, Vandoeuvre-lès-Nancy F-54511, France
    These authors contributed equally to this work.)

  • Bernard Kabuth

    (Service de Pédopsychiatrie, Faculté de Médecine, Université de Lorraine, Hôpital d’Enfants de Nancy-Brabois, Vandoeuvre-lès-Nancy F-54500, France
    These authors contributed equally to this work.)

  • Nearkasen Chau

    (INSERM, U1178, Paris F-75014, France
    Univ Paris-Sud, UMR-S1178, Paris F-75014, France
    Univ Paris Descartes, UMR-S1178, Paris F-75014, France
    These authors contributed equally to this work.)

Abstract

The risk of suicide behaviors in immigrant adolescents varies across countries and remains partly understood. We conducted a study in France to examine immigrant adolescents’ likelihood of experiencing suicide ideation in the last 12 months (SI) and lifetime suicide attempts (SA) compared with their native counterparts, and the contribution of socioeconomic factors and school, behavior, and health-related difficulties. Questionnaires were completed by 1559 middle-school adolescents from north-eastern France including various risk factors, SI, SA, and their first occurrence over adolescent’s life course (except SI). Data were analyzed using logistic regression models for SI and Cox regression models for SA (retaining only school, behavior, and health-related difficulties that started before SA). Immigrant adolescents had a two-time higher risk of SI and SA than their native counterparts. Using nested models, the excess SI risk was highly explained by socioeconomic factors (27%) and additional school, behavior, and health-related difficulties (24%) but remained significant. The excess SA risk was more highly explained by these issues (40% and 85%, respectively) and became non-significant. These findings demonstrate the risk patterns of SI and SA and the prominent confounding roles of socioeconomic factors and school, behavior, and health-related difficulties. They may be provided to policy makers, schools, carers, and various organizations interested in immigrant, adolescent, and suicide-behavior problems.

Suggested Citation

  • Kénora Chau & Bernard Kabuth & Nearkasen Chau, 2016. "Association between Suicide Ideation and Attempts and Being an Immigrant among Adolescents, and the Role of Socioeconomic Factors and School, Behavior, and Health-Related Difficulties," IJERPH, MDPI, vol. 13(11), pages 1-15, November.
    • Handle: RePEc:gam:jijerp:v:13:y:2016:i:11:p:1070-:d:81913
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    References listed on IDEAS

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    1. Michèle Baumann & Kénora Chau & Bernard Kabuth & Nearkasen Chau, 2014. "Association Between Health-Related Quality of Life and Being an Immigrant Among Adolescents, and the Role of Socioeconomic and Health-Related Difficulties," IJERPH, MDPI, vol. 11(2), pages 1-21, January.
    2. Usha George & Mary S. Thomson & Ferzana Chaze & Sepali Guruge, 2015. "Immigrant Mental Health, A Public Health Issue: Looking Back and Moving Forward," IJERPH, MDPI, vol. 12(10), pages 1-25, October.
    3. Monica Swahn & Robert Bossarte & Marie Choquet & Christine Hassler & Bruno Falissard & Nearkasen Chau, 2012. "Early substance use initiation and suicide ideation and attempts among students in France and the United States," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 57(1), pages 95-105, February.
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    Cited by:

    1. Jimmy T. Efird & Pollie Bith-Melander, 2018. "Refugee Health: An Ongoing Commitment and Challenge," IJERPH, MDPI, vol. 15(1), pages 1-3, January.
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