Skip to main content

Advertisement

Log in

Factors Influencing Suicide Behaviours in Immigrant and Ethno-Cultural Minority Groups: A Systematic Review

  • Review Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

Abstract

This paper reviews recent literature on factors influencing suicide behaviours, including thoughts, plans, and attempts, in immigrant and ethno-cultural minority groups, to inform a more comprehensive understanding of suicide behaviours in increasingly culturally diverse populations. Thirty-three studies published between 2002 and 2013 were identified through digital databases searches and included in this review. Analysis of study findings focused on impacts of ethno-cultural identity and acculturation, other cultural and immigration influences, and family and community supports on suicide behaviours. Policy, practice, and research recommendations are identified, to inform relevant suicide prevention efforts and enhance mental health supports for immigrant and ethno-cultural minority populations.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

References

  1. World Health Organization (WHO). Suicide prevention (SUPRE); 2011. http://www.who.int/mental_health/prevention/suicide/suicideprevent/en/.

  2. Statistics Canada. Suicide rates: an overview; 2012. http://www.statcan.gc.ca/pub/82-624-x/2012001/article/11696-eng.htm.

  3. Centers for Disease Control and Prevention. National center for injury prevention and control. Web-based injury statistics query and reporting system (WISQARS); 2010. www.cdc.gov/injury/wisqars/index.html.

  4. Statistics Canada. Immigration and ethno-cultural diversity in Canada; 2014. http://www12.statcan.gc.ca/nhs-enm/2011/as-sa/99-010-x/99-010-x2011001-eng.cfm.

  5. United States Census Bureau. The foreign-born population in the United States: 2010; 2012. http://www.census.gov/population/foreign/.

  6. United Nations. Report of the department of economic and social affairs population division: international migration; 2009. http://www.un.org/esa/population/publications/2009Migration_Chart/ittmig_wallchart09.pdf.

  7. Earner I. Immigrant families and public child welfare: barriers to services and approaches for change. Child Welf. 2007;86(4):63–91.

    Google Scholar 

  8. Zhou M. Growing up American: the challenge confronting immigrant children and children of immigrants. Annu Rev Sociol. 1997;23:63–95.

    Article  Google Scholar 

  9. John DA, de Castro AB, Martin DP, et al. Does an immigrant health paradox exist among Asian Americans? associations of nativity and occupational class with self-rated health and mental disorders. Soc Sci Med. 2012;75(12):2085–98.

    Article  PubMed  Google Scholar 

  10. Oh Y, Koeske GF, Sales E. Acculturation, stress, and depressive symptoms among Korean immigrants in the United States. J Soc Psychol. 2002;142(4):511–26.

    Article  PubMed  Google Scholar 

  11. Shin HS, Han HR, Kim MT. Predictors of psychological well-being amongst Korean immigrants to the United States: a structured interview survey. Int J Nurs Stud. 2007;44(3):415–26.

    Article  PubMed  Google Scholar 

  12. Ayers JW, Hofstetter CR, Usita P, et al. Sorting out the competing effects of acculturation, immigrant stress, and social support on depression: a report on Korean women in California. J Nerv Ment Dis. 2009;197(10):742–7.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Choi J, Miller A, Wilbur J. Acculturation and depressive symptoms in Korean immigrant women. J Immigr Minor Health. 2009;11(1):13–9.

    Article  PubMed  Google Scholar 

  14. Fenta H, Hyman I, Noh S. Determinants of depression among Ethiopian immigrants and refugees in Toronto. J Nerv Ment Dis. 2004;192(5):363–72.

    Article  PubMed  Google Scholar 

  15. Zhang W, Ta VM. Social connections, immigration-related factors, and self-rated physical and mental health among Asian Americans. Soc Sci Med. 2009;68(12):2104–12.

    Article  PubMed  Google Scholar 

  16. Beautrais AL. Risk factors for suicide and attempted suicide among young people. Aust N Z J Psychiatry. 2000;34(3):420–36.

    Article  CAS  PubMed  Google Scholar 

  17. Brown GK, Beck AT, Steer RA, et al. Risk factors for suicide in psychiatric outpatients: a 20-year prospective study. J Consult Clin Psychol. 2000;68(3):371–7.

    Article  CAS  PubMed  Google Scholar 

  18. Cheng AT, Chen TH, Chen CC, et al. Psychosocial and psychiatric risk factors for suicide: case-control psychological autopsy study. Br J Psychiatry. 2000;177(4):360–5.

    Article  CAS  PubMed  Google Scholar 

  19. Conwell Y, Duberstein PR, Caine ED. Risk factors for suicide in later life. Biol Psychiatry. 2002;52(3):193–204.

    Article  PubMed  Google Scholar 

  20. Fergusson DM, Woodward LJ, Horwood LJ. Risk factors and life processes associated with the onset of suicidal behaviour during adolescence and early adulthood. Psychol Med. 2000;30(01):23–39.

    Article  CAS  PubMed  Google Scholar 

  21. Statistics Canada. National household survey: data tables. Catalogue no. 99-010-X2011032; 2011. https://www12.statcan.gc.ca/nhs-enm/2011/dp-pd/dt-td/Lp-eng.cfm?LANG=E&APATH=3&DETAIL=0&DIM=0&FL=A&FREE=0&GC=0&GID=0&GK=0&GRP=0&PID=0&PRID=0&PTYPE=105277&S=0&SHOWALL=0&SUB=0&Temporal=2013&THEME=95&VID=0&VNAMEE=&VNAMEF=.

  22. Banting K, Soroka S. Minority nationalism and immigrant integration in Canada. Nations Natl. 2012;18(1):156–76.

    Article  Google Scholar 

  23. Aubert P, Daigle MS, Daigle J. Cultural traits and immigration: hostility and suicidality in Chinese Canadian students. Transcult Psychiatry. 2004;41(4):514–32.

    Article  PubMed  Google Scholar 

  24. Gomez J, Miranda R, Polanco L. Acculturative stress, perceived discrimination, and vulnerability to suicide attempts among emerging adults. J Youth Adolesc. 2011;40(11):1465–76.

    Article  PubMed  Google Scholar 

  25. Hirsch JK, Chang EC, Jeglic EL. Social problem solving and suicidal behavior: ethnic differences in the moderating effects of loneliness and life stress. Arch Suicide Res. 2012;16(4):303–15.

    Article  PubMed  Google Scholar 

  26. O’Donnell S, Meyer IH, Schwartz S. Increased risk of suicide attempts among Black and Latino lesbians. Am J Public Health. 2011;101(6):1055–9.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Malenfant EC. Suicide in Canada’s immigrant population. Health Rep. 2004;15(2):9–17.

    PubMed  Google Scholar 

  28. Hansson EK, Tuck A, Lurie S. Rates of mental illness and suicidality in immigrant, refugee, ethnocultural, and racialized groups in Canada: a review of the literature. Can J Psychiatry. 2012;57(2):111–21.

    Article  PubMed  Google Scholar 

  29. Trovato F. Migration and survival: the mortality experience of immigrants in Canada. Research report submitted to the Prairie Centre for Research on Immigration and Integration. Edmonton: University of Alberta; 2003.

  30. Eggertson L. Canada lacks national suicide prevention strategy. Lancet. 2015;385(9987):2562–3.

    Article  PubMed  Google Scholar 

  31. Olson R. Suicide prevention and cultural sensitivity. Centre for Suicide Prevention InfoExchange 7; 2012. https://suicideinfo.ca/LinkClick.aspx?fileticket=DVmkaQX4ScU%3D&tabid=592.

  32. Canadian Association for Suicide Prevention. The CASP blueprint for a Canadian national suicide prevention strategy. Winnipeg: Canadian Association for Suicide Prevention; 2009.

    Google Scholar 

  33. Canadian Mental Health Association. Preventing suicide; 2014. https://www.cmha.ca/mental-health/mental-health-brochures/?offset=10.

  34. Health Canada. Suicide prevention; 2009. http://www.hc-sc.gc.ca/hl-vs/iyh-vsv/diseases-maladies/suicide-eng.php.

  35. Abe-Kim J, Takeuchi DT, Hong S, et al. Use of mental health-related services among immigrant and US-born Asian Americans: results from the National Latino and Asian American Study. Am J Public Health. 2007;97(1):91–8.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Leong FT, Lau AS. Barriers to providing effective mental health services to Asian Americans. Ment Health Serv Res. 2001;3(4):201–14.

    Article  CAS  PubMed  Google Scholar 

  37. Bridges AJ, Andrews AR, Deen TL. Mental health needs and service utilization by Hispanic immigrants residing in mid-southern United States. J Transcult Nurs. 2012;23(4):359–68.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Fortuna LR, Porche MV, Alegria M. Political violence, psychosocial trauma, and the context of mental health services use among immigrant Latinos in the United States. Ethn Health. 2008;13(5):435–63.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Huang SL, Spurgeon A. The mental health of Chinese immigrants in Birmingham, UK. Ethn Health. 2006;11(4):365–87.

    Article  PubMed  Google Scholar 

  40. Shin JK. Help-seeking behaviors by Korean immigrants for depression. Issues Ment Health Nurs. 2002;23(5):461–76.

    Article  PubMed  Google Scholar 

  41. Guiao I, Thompson AE. Ethnicity and problem behaviors among adolescent females in the United States. Health Care Women Int. 2004;25:296–310.

    Article  PubMed  Google Scholar 

  42. Outlaw AY, Phillips G, Hightow-Weidman LB, et al. Age of MSM sexual debut and risk factors: results from a multisite study of racial/ethnic minority YMSM living with HIV. AIDS Patient Care STDS. 2011;25(1):S23–9.

    Article  PubMed  Google Scholar 

  43. Zayas L, Gulbas LE, Fedoravicius N, et al. Patterns of distress, precipitating events, and reflections on suicide attempts by young Latinas. Soc Sci Med. 2010;70(11):1773–9.

    Article  PubMed  PubMed Central  Google Scholar 

  44. Garlow SJ, Purselle DC, Heninger M. Cocaine and alcohol use preceding suicide in African American and White adolescents. J Psychiatr Res. 2007;41:530–6.

    Article  PubMed  Google Scholar 

  45. Supple AJ, Graves K, Kiang L, et al. Ethnic, gender, and age differences in adolescent nonfatal suicidal behaviors. Death Stud. 2013;37:830–47.

    Article  PubMed  Google Scholar 

  46. Wong SS, Sugimoto-Matsuda JJ, Chang JY, et al. Ethnic differences in risk factors for suicide among American high school students, 2009: the vulnerability of multiracial and Pacific Islander adolescents. Arch Suicide Res. 2012;16:159–73.

    Article  PubMed  Google Scholar 

  47. Winterrowd E, Canetto SS, Chavez EL. Friendship factors and suicidality: common and unique patterns in Mexican American and European American youth. Suicide Life Threat Behav. 2011;41(1):50–65.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Bhugra D. Suicide and gender: cultural factors. Harv Health Policy Rev. 2006;7(2):166–80.

    Google Scholar 

  49. Langhinrichsen-Rohling J, Friend J, Powell A. Adolescent suicide, gender, and culture: a rate and risk factor analysis. Aggress Violent Behav. 2009;14:402–14.

    Article  Google Scholar 

  50. Lipsicas CB, Mäkinen IH, Apter A, et al. Attempted suicide among immigrants in European countries: an international perspective. Soc Psychiatry Psychiatr Epidemiol. 2012;47:241–51.

    Article  Google Scholar 

  51. Mirsky J, Kohn R, Dolberg P, et al. Suicidal behavior among immigrants. Soc Psychiatry Psychiatr Epidemiol. 2011;46:1133–41.

    Article  PubMed  Google Scholar 

  52. Han CS, Oliffe JL, Ogrodniczuk JS. Suicide among East Asians in North America: a scoping review. J Ment Health. 2013;22:361–71.

    Article  PubMed  Google Scholar 

  53. Cho YB, Haslam N. Suicidal ideation and distress among immigrant adolescents: the role of acculturation, life stress, and social support. J Youth Adolesc. 2010;39(4):370–9.

    Article  PubMed  Google Scholar 

  54. Else IRN, Goebert DA, Bell CK, et al. The relationship between violence and youth suicide indicators among Asian American and Pacific Islander youth. Aggress Violent Behav. 2009;14(6):470–7.

    Article  Google Scholar 

  55. Greenfield B, Rousseau C, Slatkoff J, et al. Profile of a metropolitan North American immigrant suicidal adolescent population. Can J Psychiatry. 2006;51(3):155–9.

    Article  PubMed  Google Scholar 

  56. Kennedy MA, Parhar KK, Samra J, et al. Suicide ideation in different generations of immigrants. Can J Psychiatry. 2005;50(6):353–6.

    Article  PubMed  Google Scholar 

  57. Winterrowd E, Canetto SS, Chavez EL. Friendships and suicidality among Mexican American adolescent girls and boys. Death Stud. 2010;34(7):641–60.

    Article  PubMed  PubMed Central  Google Scholar 

  58. Borges G, Angst J, Nock MK, et al. A risk index for 12-month suicide attempts in the National Comorbidity Survey Replication (NCS-R). Psychol Med. 2006;36(12):1747–57.

    Article  PubMed  PubMed Central  Google Scholar 

  59. Kang HJ, Stewart R, Jeong BO, et al. Suicidal ideation in elderly Korean population: a two-year longitudinal study. Int Psychogeriatr. 2014;26(1):59–67.

    PubMed  Google Scholar 

  60. Wilkinson P, Kelvin R, Roberts C, et al. Clinical and psychosocial predictors of suicide attempts and nonsuicidal self-injury in the Adolescent Depression Antidepressants and Psychotherapy Trial (ADAPT). Am J Psychiatry. 2011;168(5):495–501.

    Article  PubMed  Google Scholar 

  61. Miranda R, Scott M, Hicks R, et al. Suicide attempt characteristics, diagnoses, and future attempts: comparing multiple attempters to single attempters and ideators. J Am Acad Child Adolesc Psychiatry. 2008;47(1):32–40.

    Article  PubMed  Google Scholar 

  62. Statistics Canada. Definitions, data sources and methods: variables: Ethno-cultural minority of person; 2012. http://www.statcan.gc.ca/concepts/definitions/minority-minorite1-eng.htm.

  63. De Maio FG, Kemp E. The deterioration of health status among immigrants to Canada. Global Public Health. 2010;5(5):462–78.

    Article  PubMed  Google Scholar 

  64. Premji S, Duguay P, Messing K, Lippel K. Are immigrants, ethnic and linguistic minorities over-represented in jobs with a high level of compensated risk? results from a Montréal, Canada study using census and workers’ compensation data. Am J Ind Med. 2010;53(9):875–85.

    PubMed  Google Scholar 

  65. Samuel J, Basavarajappa K. The ethno-cultural minority population in Canada: a review of numbers, growth and labour force issues. Can Stud Popul. 2006;33(2):241–69.

    Google Scholar 

  66. Teixeira C, Lo L, Truelove M. Immigrant entrepreneurship, institutional discrimination, and implications for public policy: a case study in Toronto. Environ Plan C Gov Policy. 2007;25(2):176–93.

    Article  Google Scholar 

  67. Borum V. African American women’s perceptions of depression and suicide risk and protection. J Women Soc Work. 2012;27(3):316–27.

    Article  Google Scholar 

  68. Walker RL, Obasi EM, Wingate LR, et al. An empirical investigation of acculturative stress and ethnic identity as moderators for depression and suicidal ideation in college students. Cultur Divers Ethnic Minor Psychol. 2008;14(1):75–82.

    Article  PubMed  Google Scholar 

  69. Kaslow NJ, Price AW, Wyckoff S, et al. Person factors associated with suicidal behavior among African American women and men. Cultur Divers Ethnic Minor Psychol. 2004;10(1):5–22.

    Article  PubMed  Google Scholar 

  70. Street JC, Taha F, Jones AD, et al. Racial identity and reasons for living in African American female suicide attempters. Cultur Divers Ethnic Minor Psychol. 2012;18(4):416–23.

    Article  PubMed  Google Scholar 

  71. van Leeuwen N, Rodgers R, Regner I, et al. The role of acculturation in suicidal ideation among second-generation immigrant adolescents in France. Transcult Psychiatry. 2010;47(5):812–32.

    Article  PubMed  Google Scholar 

  72. Walker RL, Lester D, Joe S. Lay theories of suicide: an examination of culturally relevant suicide beliefs and attributions among African Americans and European Americans. J Black Psychol. 2006;32(3):320–34.

    Article  PubMed  PubMed Central  Google Scholar 

  73. Oquendo MA, Dragatsi D, Harkavy-Friedman J, et al. Protective factors against suicidal behavior in Latinos. J Nerv Ment Dis. 2005;193(7):438–43.

    Article  PubMed  Google Scholar 

  74. Castle K, Conner K, Kaukeinen K, et al. Perceived racism, discrimination, and acculturation in suicidal ideation and suicide attempts among Black young adults. Suicide Life Threat Behav. 2011;41(3):342–51.

    Article  PubMed  Google Scholar 

  75. Chung I. Sociocultural study of immigrant suicide-attempters: an ecological perspective. J Soc Work. 2012;12(6):614–29.

    Article  Google Scholar 

  76. van Bergen DD, van Balkom AJLM, Smit JH, et al. ‘I felt so hurt and lonely’: suicidal behavior in South Asian, Surinamese, Turkish, and Moroccan women in the Netherlands. Transcult Psychiatry. 2012;49(1):69–86.

    Article  PubMed  Google Scholar 

  77. Kamya HA, White E. Expanding cross-cultural understanding of suicide among immigrants: the case of the Somali. Fam Soc. 2011;92(4):419–25.

    Article  Google Scholar 

  78. Palmer D. An exploration into the impact of the resettlement experience, traditional health beliefs and customs on mental ill-health and suicide rates in the Ethiopian community in London. Int J Migr Health Soc Care. 2007;3(1):44–55.

    Article  Google Scholar 

  79. Baldwin S, Griffiths P. Do specialist community public health nurses assess risk factors for depression, suicide, and self-harm among South Asian mothers living in London? Public Health Nurs. 2009;26(3):277–89.

    Article  PubMed  Google Scholar 

  80. Anglin DM, Gabriel KOS, Kaslow NJ. Suicide acceptability and religious well-being: a comparative analysis in African American suicide attempters and non-attempters. J Psychol Theol. 2005;33(2):140–50.

    Google Scholar 

  81. Noh E. Asian American women and suicide: problems of responsibility and healing. Women Ther. 2007;30(3/4):87–107.

    Article  Google Scholar 

  82. Donnelly TT, Hwang JJ, Este D, et al. If I was going to kill myself, I wouldn’t be calling you. I am asking for help: challenges influencing immigrant and refugee women’s mental health. Issues Ment Health Nurs. 2011;32(5):279–90.

    Article  PubMed  Google Scholar 

  83. Baumann AA, Kuhlberg JA, Zayas LH. Familism, mother–daughter mutuality, and suicide attempts of adolescent Latinas. J Fam Psychol. 2010;24(5):616–24.

    Article  PubMed  Google Scholar 

  84. Kuhlberg JA, Pena JB, Zayas LH. Familism, parent–adolescent conflict, self-esteem, internalizing behaviors and suicide attempts among adolescent Latinas. Child Psychiatry Hum Dev. 2010;41(4):425–40.

    Article  PubMed  Google Scholar 

  85. Ahmed A, Stewart DE, Teng L, Wahoush O, Gagnon AJ. Experiences of immigrant new mothers with symptoms of depression. Arch Women Ment Health. 2008;11(4):295–303.

    Article  Google Scholar 

  86. Wong ST, Yoo GJ, Stewart AL. An empirical evaluation of social support and psychological well-being in older Chinese and Korean immigrants. Ethn Health. 2007;12(1):43–67.

    Article  PubMed  Google Scholar 

  87. Sadavoy J, Meier R, Ong AYM. Barriers to access to mental health services for ethnic seniors: the Toronto study. Can J Psychiatry. 2004;49(3):192–9.

    Article  PubMed  Google Scholar 

  88. Arnette NC, Mascaro N, Santana MC, et al. Enhancing spiritual well-being among suicidal African American female survivors of intimate partner violence. J Clin Psychol. 2007;63(10):909–24.

    Article  PubMed  Google Scholar 

  89. Hirsch JK, Visser PL, Chang EC, et al. Race and ethnic differences in hope and hopelessness as moderators of the association between depressive symptoms and suicidal behavior. J Am Coll Health. 2012;60(2):115–25.

    Article  PubMed  Google Scholar 

  90. Iliceto P, Pompili M, Candilera G, et al. Suicide risk and psychotherapy in immigrants: a multi-group confirmatory factor analysis. Soc Psychiatry Psychiatr Epidemiol. 2013;48(7):1105–14.

    Article  PubMed  Google Scholar 

  91. Ron P. Depression, hopelessness, and suicidal ideation among the elderly: a comparison between veterans and new immigrants. Illn Crisis Loss. 2007;15(1):25–38.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Daniel W. L. Lai.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Lai, D.W.L., Li, L. & Daoust, G.D. Factors Influencing Suicide Behaviours in Immigrant and Ethno-Cultural Minority Groups: A Systematic Review. J Immigrant Minority Health 19, 755–768 (2017). https://doi.org/10.1007/s10903-016-0490-3

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-016-0490-3

Keywords

Navigation