European Psychiatry
Volume 36, 2016, Pages 15-22

Mental health, migration stressors and suicidal ideation among Latino immigrants in Spain and the United States (Article)

Fortuna L.R. , Álvarez K. , Ramos Ortiz Z. , Wang Y. , Mozo Alegría X. , Cook B.L. , Alegría M.*
  • a Boston University Medical School, Boston Medical Center, Child and Adolescent Psychiatry, 850, Harrison Avenue, Dowling Building, Boston, MA 02118, United States, Disparities Research Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, 50, Staniford Street, Suite 830, Boston, MA 02114, United States
  • b Disparities Research Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, 50, Staniford Street, Suite 830, Boston, MA 02114, United States
  • c Disparities Research Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, 50, Staniford Street, Suite 830, Boston, MA 02114, United States
  • d Disparities Research Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, 50, Staniford Street, Suite 830, Boston, MA 02114, United States
  • e Hospital Universitari Vall d'Hebron, Paseo de la Vall d'Hebron, 119-129, Barcelona, 08035, Spain
  • f Health Equity Research Lab, Cambridge Health Alliance and Harvard Medical School, 1035, Cambridge Street, Cambridge, MA 02141, United States
  • g Disparities Research Unit, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, 50, Staniford Street, Suite 830, Boston, MA 02114, United States

Abstract

Background: Immigration stress appears to augment the risk for suicide behaviors for Latinos. Yet, specific risk factors that contribute to suicidal ideation (SI) among diverse Latino immigrant populations are not well established. Methods: Data were collected in Boston, Madrid and Barcelona using a screening battery assessing mental health, substance abuse risk, trauma exposure, demographics, and sociocultural factors. Prevalence rates of lifetime and 30-day SI were compared across sites. Logistic regression modeling was used to identify sociodemographic, clinical, and sociocultural-contextual factors associated with 30-day SI. Results: Five hundred and sixty-seven Latino patients from primary care, behavioral health and HIV clinics and community agencies participated. Rates of lifetime SI ranged from 29-35%; rates for 30-day SI were 21-23%. Rates of SI were not statistically different between sites. Factors associated with SI included exposure to discrimination, lower ethnic identity, elevated family conflict, and low sense of belonging (P < 0.01). In the adjusted model, higher scores on depression, posttraumatic stress disorder, and trauma exposure were significantly associated with 30-day SI (OR = 1.14, 1.04, and 7.76, respectively). Greater number of years living in the host country was significantly associated with increased odds of having SI (OR = 2.22) while having citizenship status was associated with lower odds (OR = 0.45). Conclusion: Latinos suffering depression, trauma exposure, and immigration stressors are more likely to experience SI. Despite differences in country of origin, education, and other demographic factors between countries, rates of SI did not differ. Recommendations for prevention and clinical practice for addressing suicidal ideation risk among Latino immigrants are discussed. © 2016 Elsevier Masson SAS.

Author Keywords

Social and cross-cultural psychiatry Unipolar depression Suicide posttraumatic stress disorder addiction

Index Keywords

depression immigrant mental health human immigration middle aged statistics and numerical data Stress, Psychological mental stress priority journal Substance-Related Disorders substance abuse Logistic Models drug dependence ethnology Hispanic Americans family conflict United States Humans migrant psychology Hispanic male Emigrants and Immigrants Spain female risk factor Risk Factors prevalence Article major clinical study adult migration posttraumatic stress disorder Stress Disorders, Post-Traumatic Emigration and Immigration statistical model citizenship suicidal ideation
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84973861050&doi=10.1016%2fj.eurpsy.2016.03.001&partnerID=40&md5=a025a393ba7fdbcecb32895b4b99c74d
DOI: 10.1016/j.eurpsy.2016.03.001
ISSN: 09249338
Cited by: 12
Original Language: English