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Suicide and Suicide Attempts Among Asylum-Seekers in Denmark
Archives of Suicide Research ( IF 2.833 ) Pub Date : 2021-12-08 , DOI: 10.1080/13811118.2021.2011809
D Khan Amiri , Trine Madsen , Marie Norredam , Svend Erik Brande , Ellenor Mittendorfer-Rutz , Merete Nordentoft , Annette Erlangsen

Abstract

Objective

There are concerns that asylum-seekers are at increased risk of suicide attempt and suicide mortality. Yet, largescale nationwide studies are limited. Our aim was to examine whether asylum-seekers in Denmark had higher rates of suicide attempt and suicide when compared to the general population.

Methods

A retrospective cohort design was used. Data on asylum-seekers and the general population living in Denmark during 2009–2019 were obtained from the Immigration services and national registers. Indirect standardization was applied to adjust for differences with respect to age group and sex and Incidence Rate Ratios (IRR) with 95% confidence intervals were calculated.

Results

In a population of 78,666 asylum-seekers, a total of 601 suicide attempts and 9 suicides were recorded. The rate of suicide attempt was 842.0 per 100,000 person-years for asylum-seekers and 92.3 per 100,000 person-years for the general population. When adjusting for differences related to age group and sex, an IRR of 8.5 (95% CI: 7.6−9.5) was found for suicide attempt between 2014-2019. The IRR for suicide attempt unaccompanied minors between 2015 and 2019 was 5.8 (95% CI: 4.3−7.5) when adjusting for age group. We did not find an elevated rate of suicide among asylum-seekers (IRR: 1.6, 95% CI: 0.6−3.5).

Conclusions

Asylum-seekers were found to have higher rates of suicide attempt than the general population in Denmark. This also applied to unaccompanied minors. Our study emphasizes the need for awareness and preventive measures targeting mental health and suicidal behavior among asylum-seekers.

  • HIGHLIGHTS

  • Asylum-seekers had an 8-fold higher rate of suicide attempt than the general population.

  • The suicide attempt rate for asylum-seekers reached its lowest levels during recent years.

  • Unaccompanied minors had a 5-fold higher frequency of suicide attempt when compared to peers in the general population.

  • We did not find elevated rates of death by suicide among asylum-seekers. No suicide deaths were recorded among unaccompanied minors



中文翻译:

丹麦寻求庇护者的自杀和自杀企图

摘要

客观的

人们担心寻求庇护者自杀未遂和自杀死亡的风险增加。然而,大规模的全国性研究是有限的。我们的目的是检查丹麦的寻求庇护者与一般人群相比是否有更高的自杀未遂率和自杀率。

方法

使用回顾性队列设计。2009-2019 年期间居住在丹麦的寻求庇护者和一般人口的数据是从移民服务和国家登记处获得的。应用间接标准化来调整年龄组和性别方面的差异,并计算具有 95% 置信区间的发病率比 (IRR)。

结果

在 78,666 名寻求庇护者中,共记录了 601 次自杀未遂和 9 次自杀。寻求庇护者的自杀未遂率为每 100,000 人年 842.0 人,普通人群为每 100,000 人年 92.3 人。在调整与年龄组和性别相关的差异时,发现 2014-2019 年间自杀未遂的 IRR 为 8.5(95% CI:7.6-9.5)。调整年龄组后,2015 年至 2019 年间无人陪伴未成年人自杀未遂的 IRR 为 5.8(95% CI:4.3-7.5)。我们没有发现寻求庇护者的自杀率升高(IRR:1.6,95% CI:0.6-3.5)。

结论

发现寻求庇护者的自杀未遂率高于丹麦的一般人群。这也适用于无人陪伴的未成年人。我们的研究强调需要针对寻求庇护者的心理健康和自杀行为提高认识和采取预防措施。

  • 强调

  • 寻求庇护者的自杀未遂率是普通人群的 8 倍。

  • 寻求庇护者的自杀未遂率达到近年来的最低水平。

  • 与一般人群中的同龄人相比,举目无亲的未成年人自杀未遂的频率高出 5 倍。

  • 我们没有发现寻求庇护者的自杀死亡率升高。无人陪伴的未成年人中没有自杀死亡记录

更新日期:2021-12-08
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