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Titel
Labour market marginalisation subsequent to suicide attempt in young migrants and native Swedes
Verfasser / VerfasserinNiederkrotenthaler, Thomas ; Wang, M. ; Helgesson, M. ; Wilcox, H. ; Gould, M. ; Mittendorfer-Rutz, E.
Erschienen in
Social Psychiatry and Psychiatric Epidemiology, 2017, Jg. 52, H. 5, S. 549-558
ErschienenSpringer, 2017
SpracheEnglisch
DokumenttypAufsatz in einer Zeitschrift
Schlagwörter (EN)Suicide attempt / Migration / Labour market / Unemployment / Sweden
URNurn:nbn:at:at-ubmuw:3-3331 Persistent Identifier (URN)
DOI10.1007/s00127-017-1344-6 
Zugriffsbeschränkung
 Das Werk ist frei verfügbar
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Labour market marginalisation subsequent to suicide attempt in young migrants and native Swedes [0.52 mb]
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Zusammenfassung (Englisch)

Purpose

This study aimed to compare young individuals who differed in terms of birth region and history of suicide attempt regarding socio-demographic and healthcare factors, and with regard to their risks of subsequent unemployment, sickness absence and disability pension.

Methods

Prospective cohort study based on register linkage of 2,801,558 Swedish residents, aged 1640 years in 2004, without disability pension and with known birth country, followed up 20052011. Suicide attempters treated in inpatient care during 20022004 (N = 9149) were compared to the general population of the same age without attempt 19872011 (N = 2,792,409). Hazard ratios (HR) and 95% confidence intervals (CIs) for long-term unemployment (>180 days), sickness absence (>90 days), and disability pension were calculated with Cox regression, adjusted for several risk markers.

Results

Compared to Swedish natives with suicide attempt, migrants of non-Western origin with attempt received less specialised mental healthcare. Distinct differences between native Swedes and migrants were present for the three labour market outcomes, but differences between migrant subgroups were inconsistent. As compared to native Swedes without attempts, non-European migrants with suicide attempt had adjusted HRs and CIs for subsequent unemployment 2.8 (2.53.1), sickness absence 2.0 (1.72.3) and disability pension 2.2 (1.82.6). Respective estimates for natives with suicide attempt were 2.0 (1.92.1); 2.7 (2.62.9) and 3.4 (3.23.6), respectively.

Conclusions

Migrant suicide attempters receive less specialised mental health care before their attempt than native Swedes, and their marginalzation patterns are different. Healthcare and policy makers need to take the differential risk profile for migrant and native populations into account.

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CC-BY-Lizenz (4.0)Creative Commons Namensnennung 4.0 International Lizenz