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Int. J. Environ. Res. Public Health 2016, 13(11), 1070; doi:10.3390/ijerph13111070

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

1,2,†,* , 3,†
and
4,5,6,†
1
Département de Médecine Générale, Faculté de Médecine, Université de Lorraine, 9 Avenue de la Forêt de Haye, CS50184, Vandoeuvre-lès-Nancy F-54505, France
2
INSERM Centre d’Investigations Cliniques Plurithématique 1433, UMR 1116, CHU de Nancy, Vandoeuvre-lès-Nancy F-54511, France
3
Service de Pédopsychiatrie, Faculté de Médecine, Université de Lorraine, Hôpital d’Enfants de Nancy-Brabois, Vandoeuvre-lès-Nancy F-54500, France
4
INSERM, U1178, Paris F-75014, France
5
Univ Paris-Sud, UMR-S1178, Paris F-75014, France
6
Univ Paris Descartes, UMR-S1178, Paris F-75014, France
These authors contributed equally to this work.
*
Author to whom correspondence should be addressed.
Academic Editors: Jimmy T. Efird and Pollie Bith-Melander
Received: 10 September 2016 / Revised: 24 October 2016 / Accepted: 25 October 2016 / Published: 1 November 2016
(This article belongs to the Special Issue Refugee Health)
View Full-Text   |   Download PDF [467 KB, uploaded 1 November 2016]   |  

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. View Full-Text
Keywords: immigrant adolescents; suicide behaviors; socioeconomic factors; school; behavior; health difficulties; risk factors immigrant adolescents; suicide behaviors; socioeconomic factors; school; behavior; health difficulties; risk factors
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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Chau, K.; Kabuth, B.; Chau, N. 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. Int. J. Environ. Res. Public Health 2016, 13, 1070.

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