Evidence map›Paper›PMID 31608849›Full record

ArticleThe British journal of psychiatry : the journal of mental science2020

Suicide risk among refugees compared with non-refugee migrants and the Swedish-born majority population.

Anna-Clara Hollander, Alexandra Pitman, Hugo Sjöqvist, Glyn Lewis, Cecilia Magnusson, James B Kirkbride, Christina Dalman

Open access · hybridAbstract read
In one paragraph

Article in The British journal of psychiatry : the journal of mental science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
7.3field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 58 citations in OpenAlex.

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  7. The social determinants of mental health and disorder: evidence, prevention and recommendations.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2024
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Anna-Clara HollanderResearch Coordinator, Department of Public Health Sciences, Karolinska Institutet, Sweden.ORCID 0000-0002-1246-5804
Alexandra PitmanAssociate Professor in Psychiatry, Division of Psychiatry, University College London, UK.ORCID 0000-0002-9742-1359
Hugo SjöqvistStatistician, Department of Public Health Sciences, Karolinska Institutet, Sweden.
Glyn LewisProfessor, Division of Psychiatry, University College London, UK.
Cecilia MagnussonProfessor, Department of Public Health Sciences, Karolinska Institutet; and Centre for Epidemiology and Community Medicine, Stockholm County Council, Sweden.
James B KirkbrideReader in Epidemiology, Division of Psychiatry, University College London, UK.ORCID 0000-0003-3401-0824
Christina DalmanProfessor, Department of Public Health Sciences, Karolinska Institutet; and Centre for Epidemiology and Community Medicine, Stockholm County Council, Sweden.
University College London · GBKarolinska Institutet · SEStockholm County Council · SE

Funding

Medical Research Council G0802441Wellcome Trust 101272/Z/13/Z
6 · The paper itself

Abstract

backgroundIt has been hypothesised that refugees have an increased risk of suicide.

aimsTo investigate whether risk of suicide is higher among refugees compared with non-refugee migrants from the same areas of origin and with the Swedish-born population, and to examine whether suicide rates among migrants converge to the Swedish-born population over time.

methodA population-based cohort design using linked national registers to follow 1 457 898 people born between 1 January 1970 and 31 December 1984, classified by migrant status as refugees, non-refugee migrants or Swedish-born. Participants were followed from their 16th birthday or date of arrival in Sweden until death, emigration or 31 December 2015, whichever came first. Cox regression models estimated adjusted hazard ratios for suicide by migrant status, controlling for age, gender, region of origin and income.

resultsThere were no significant differences in suicide risk between refugee and non-refugee migrants (hazard ratio 1.28, 95% CI 0.93-1.76) and both groups had a lower risk of suicide than Swedish born. During their first 5 years in Sweden no migrants died by suicide; however, after 21-31 years their suicide risk was equivalent to the Swedish-born population (hazard ratio 0.94, 95% CI 0.79-1.22). After adjustment for income this risk was significantly lower for migrants than the Swedish-born population.

conclusionsBeing a refugee was not an additional risk factor for suicide. Our findings regarding temporal changes in suicide risk suggest that acculturation and socioeconomic deprivation may account for a convergence of suicide risk between migrants and the host population over time. DECLARATION OF INTEREST: None.

Indexed as

RefugeesSuicideTransients and MigrantsCohort StudiesHumansSwedenepidemiologymortalitysocial deprivationSuicidetranscultural psychiatry

Identifiers

PMID31608849
PMCPMC7705666
OpenAlexW2980398697

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.