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Abstract
Objectives: To compare frequencies of suicide attempt repetition in immigrants and local European populations, and the timing of repetition in these groups. Method: Data from 7 European countries, comprising 10 574 local and 3032 immigrant subjects, were taken from the World Health Organization European Multicentre Study on Suicidal Behaviour and the ensuing Monitoring Suicidal Behaviour in Europe (commonly referred to as MONSUE) project. The relation between immigrant status and repetition of suicide attempt within 12-months following first registered attempt was analyzed with binary logistic regression, controlling for sex, age, and method of attempt. Timing of repetition was controlled for sex, age, and the recommended type of aftercare. Results: Lower odds of repeating a suicide attempt were found in Eastern European (OR 0.50; 95% CI 0.41 to 0.61, P < 0.001) and non-European immigrants (OR 0.68; 95% CI 0.51 to 0.90, P < 0.05), compared with the locals. Similar patterns were identified in the sex-specific analysis. Eastern European immigrants tended to repeat their attempt much later than locals (OR 0.58; 95% CI 0.35 to 0.93, P < 0.05). In general, 32% of all repetition occurred within 30 days. Repetition tended to decrease with age and was more likely in females using harder methods in their index attempt (OR 1.29; 95% CI 1.08 to 1.54, P < 0.01). Large variations in the general repetition frequency were identified between the collecting centres, thus influencing the results. Conclusions: The lower repetition frequencies in non-Western immigrants, compared with locals, in Europe stands in contrast to their markedly higher tendency to attempt suicide in general, possibly pointing to situational stress factors related to their suicidal crisis that are less persistent over time. Our findings also raise the possibility that suicide attempters and repeaters constitute only partially overlapping populations.
Keywords
suicide attempt, suicide attempt repetition, immigration, Europe, culture, DELIBERATE SELF-HARM, RISK-FACTORS, NONFATAL REPETITION, ETHNIC-DIFFERENCES, GENDER-DIFFERENCES, COMPLETED SUICIDE, MULTICENTER, INTENT, RATES, BEHAVIOR

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Citation

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Chicago
Lipsicas, Cendrine Bursztein, Ilkka Henrik Mäkinen, Danuta Wasserman, Alan Apter, Ad Kerkhof, Konrad Michel, Ellinor Salander Renberg, Cornelis Van Heeringen, Airi Värnik, and Armin Schmidtke. 2014. “Repetition of Attempted Suicide Among Immigrants in Europe.” Canadian Journal of Psychiatry-revue Canadienne De Psychiatrie 59 (10): 539–547.
APA
Lipsicas, C. B., Mäkinen, I. H., Wasserman, D., Apter, A., Kerkhof, A., Michel, K., Renberg, E. S., et al. (2014). Repetition of attempted suicide among immigrants in Europe. CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE, 59(10), 539–547.
Vancouver
1.
Lipsicas CB, Mäkinen IH, Wasserman D, Apter A, Kerkhof A, Michel K, et al. Repetition of attempted suicide among immigrants in Europe. CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE. 2014;59(10):539–47.
MLA
Lipsicas, Cendrine Bursztein et al. “Repetition of Attempted Suicide Among Immigrants in Europe.” CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE 59.10 (2014): 539–547. Print.
@article{5853096,
  abstract     = {Objectives: To compare frequencies of suicide attempt repetition in immigrants and local European populations, and the timing of repetition in these groups. 
Method: Data from 7 European countries, comprising 10 574 local and 3032 immigrant subjects, were taken from the World Health Organization European Multicentre Study on Suicidal Behaviour and the ensuing Monitoring Suicidal Behaviour in Europe (commonly referred to as MONSUE) project. The relation between immigrant status and repetition of suicide attempt within 12-months following first registered attempt was analyzed with binary logistic regression, controlling for sex, age, and method of attempt. Timing of repetition was controlled for sex, age, and the recommended type of aftercare. 
Results: Lower odds of repeating a suicide attempt were found in Eastern European (OR 0.50; 95% CI 0.41 to 0.61, P < 0.001) and non-European immigrants (OR 0.68; 95% CI 0.51 to 0.90, P < 0.05), compared with the locals. Similar patterns were identified in the sex-specific analysis. Eastern European immigrants tended to repeat their attempt much later than locals (OR 0.58; 95% CI 0.35 to 0.93, P < 0.05). In general, 32% of all repetition occurred within 30 days. Repetition tended to decrease with age and was more likely in females using harder methods in their index attempt (OR 1.29; 95% CI 1.08 to 1.54, P < 0.01). Large variations in the general repetition frequency were identified between the collecting centres, thus influencing the results. 
Conclusions: The lower repetition frequencies in non-Western immigrants, compared with locals, in Europe stands in contrast to their markedly higher tendency to attempt suicide in general, possibly pointing to situational stress factors related to their suicidal crisis that are less persistent over time. Our findings also raise the possibility that suicide attempters and repeaters constitute only partially overlapping populations.},
  author       = {Lipsicas, Cendrine Bursztein and Mäkinen, Ilkka Henrik and Wasserman, Danuta and Apter, Alan and Kerkhof, Ad and Michel, Konrad and Renberg, Ellinor Salander and Van Heeringen, Cornelis and Värnik, Airi and Schmidtke, Armin},
  issn         = {0706-7437},
  journal      = {CANADIAN JOURNAL OF PSYCHIATRY-REVUE CANADIENNE DE PSYCHIATRIE},
  keywords     = {suicide attempt,suicide attempt repetition,immigration,Europe,culture,DELIBERATE SELF-HARM,RISK-FACTORS,NONFATAL REPETITION,ETHNIC-DIFFERENCES,GENDER-DIFFERENCES,COMPLETED SUICIDE,MULTICENTER,INTENT,RATES,BEHAVIOR},
  language     = {eng},
  number       = {10},
  pages        = {539--547},
  title        = {Repetition of attempted suicide among immigrants in Europe},
  url          = {http://publications.cpa-apc.org/media.php?mid=1885},
  volume       = {59},
  year         = {2014},
}

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