Evidence map›Paper›PMID 31858922›Full record

ArticlePsychological medicine2021

Suicide attempt and suicide in refugees in Sweden - a nationwide population-based cohort study.

Ridwanul Amin, Magnus Helgesson, Bo Runeson, Petter Tinghög, Lars Mehlum, Ping Qin, Emily A Holmes, Ellenor Mittendorfer-Rutz

Open access · hybridAbstract read
In one paragraph

Article in Psychological medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
5.5field-weighted citation impact, top 4% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 31 citations in OpenAlex.

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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

8 authors at 5 institutions in 2 countries.

Ridwanul AminDivision of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77Stockholm, Sweden.ORCID 0000-0002-4491-3990
Magnus HelgessonDivision of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77Stockholm, Sweden.
Bo RunesonDepartment of Clinical Neuroscience, Centre for Psychiatry Research, S.t Göran's Hospital, Karolinska Institutet, Stockholm County Council, SE-112 81Stockholm, Sweden.
Petter TinghögSwedish Red Cross University College, Hälsovägen 11, SE-141 57Huddinge, Sweden.
Lars MehlumNational Centre for Suicide Research and Prevention, University of Oslo, Sognsvannsveien 21, NO-0374Oslo, Norway.
Ping QinNational Centre for Suicide Research and Prevention, University of Oslo, Sognsvannsveien 21, NO-0374Oslo, Norway.
Emily A HolmesDivision of Psychology, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77Stockholm, Sweden.
Ellenor Mittendorfer-RutzDivision of Insurance Medicine, Department of Clinical Neuroscience, Karolinska Institutet, SE-171 77Stockholm, Sweden.
Karolinska Institutet · SEUniversity of Oslo · NORöda Korsets Högskola · SEStockholm County Council · SEUppsala University · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite a reported high rate of mental disorders in refugees, scientific knowledge on their risk of suicide attempt and suicide is scarce. We aimed to investigate (1) the risk of suicide attempt and suicide in refugees in Sweden, according to their country of birth, compared with Swedish-born individuals and (2) to what extent time period effects, socio-demographics, labour market marginalisation (LMM) and morbidity explain these associations.

methodsThree cohorts comprising the entire population of Sweden, 16-64 years at 31 December 1999, 2004 and 2009 (around 5 million each, of which 3.3-5.0% refugees), were followed for 4 years each through register linkage. Additionally, the 2004 cohort was followed for 9 years, to allow analyses by refugees' country of birth. Crude and multivariate hazard ratios (HRs) with 95% confidence intervals (CIs) were computed. The multivariate models were adjusted for socio-demographic, LMM and morbidity factors.

resultsIn multivariate analyses, HRs regarding suicide attempt and suicide in refugees, compared with Swedish-born, ranged from 0.38-1.25 and 0.16-1.20 according to country of birth, respectively. Results were either non-significant or showed lower risks for refugees. Exceptions were refugees from Iran (HR 1.25; 95% CI 1.14-1.41) for suicide attempt. The risk for suicide attempt in refugees compared with the Swedish-born diminished slightly across time periods.

conclusionsRefugees seem to be protected from suicide attempt and suicide relative to Swedish-born, which calls for more studies to disentangle underlying risk and protective factors.

Indexed as

AdolescentAdultAfricaAsiaChileCohort StudiesFemaleHumansMaleMental DisordersMiddle AgedPensionsProportional Hazards ModelsRefugeesRegistriesRisk FactorsLabour market marginalisationmigrationrefugeessick leavesuicidesuicide attempt

Identifiers

PMID31858922
PMCPMC7893509
OpenAlexW2994689221

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.