ArticleSocial psychiatry and psychiatric epidemiology2021
Healthcare use before and after suicide attempt in refugees and Swedish-born individuals.
Article in Social psychiatry and psychiatric epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 12 citations in OpenAlex.
- Sociodemographic predictors of mental health service utilization among young adults with support in daily living in Sweden: a register-based study.BMC psychiatry · 2025Article
- Treatment Patterns for Incident Bipolar Disorder Among Nonrefugee Immigrants, Refugees, Second-Generation Immigrants, and Host Population in Sweden.Bipolar disorders · 2025Article
- Help-Seeking Needs Related to Suicide Prevention for Individuals in Contact With Mental Health Services: A Rapid Scoping Review.Journal of psychiatric and mental health nursing · 2025Article
- The Etiopathogenic Mosaic of Suicidal Behaviour.Behavioral sciences (Basel, Switzerland) · 2025Review
- Article
- Association between migration status and subsequent labour market marginalisation among individuals with posttraumatic stress disorder: a Swedish nationwide register-based cohort study.Social psychiatry and psychiatric epidemiology · 2022Article
- Risk of suicide attempt and suicide in young adult refugees compared to their Swedish-born peers: a register-based cohort study.Social psychiatry and psychiatric epidemiology · 2021Article
- Trajectories of antidepressant use before and after a suicide attempt among refugees and Swedish-born individuals: a cohort study.International journal for equity in health · 2021Article
- Country of birth, time period of resettlement and subsequent treated common mental disorders in young refugees in Sweden.European journal of public health · 2020Article
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Authors and funding
10 authors at 5 institutions in 2 countries.
Funding
Abstract
purposeThere is a lack of research on whether healthcare use before and after a suicide attempt differs between refugees and the host population. We aimed to investigate if the patterns of specialised (inpatient and specialised outpatient) psychiatric and somatic healthcare use, 3 years before and after a suicide attempt, differ between refugees and the Swedish-born individuals in Sweden. Additionally, we aimed to explore if specialised healthcare use differed among refugee suicide attempters according to their sex, age, education or receipt of disability pension.
methodsAll refugees and Swedish-born individuals, 20-64 years of age, treated for suicide attempt in specialised healthcare during 2004-2013 (n = 85,771 suicide attempters, of which 4.5% refugees) were followed 3 years before and after (Y - 3 to Y + 3) the index suicide attempt (t0) regarding their specialised healthcare use. Annual adjusted prevalence with 95% confidence intervals (CIs) of specialised healthcare use were assessed by generalized estimating equations (GEE). Additionally, in analyses among the refugees, GEE models were stratified by sex, age, educational level and disability pension.
resultsCompared to Swedish-born, refugees had lower prevalence rates of psychiatric and somatic healthcare use during the observation period. During Y + 1, 25% (95% CI 23-28%) refugees and 30% (95% CI 29-30%) Swedish-born used inpatient psychiatric healthcare. Among refugees, a higher specialised healthcare use was observed in disability pension recipients than non-recipients.
conclusionRefugees used less specialised healthcare, before and after a suicide attempt, relative to the Swedish-born. Strengthened cultural competence among healthcare professionals and better health literacy among the refugees may improve healthcare access in refugees.
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