Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy.
Department of Clinical and Experimental medicine, University of Foggia, Foggia, Italy.
Int Rev Psychiatry. 2024 Jun-Aug;36(4-5):413-423. doi: 10.1080/09540261.2024.2327389. Epub 2024 Mar 12.
Suicidality among migrants represents a multifaceted and complex issue with significant implications and challenges for public mental health and policies. This narrative review aims to explore the factors contributing to suicidality within the migrant groups, consequently highlighting the need for tailored interventions and supporting strategies. Firstly, we reviewed the evidences on the prevalence of suicidal ideation, attempted suicides, and deaths by suicide among migrants. The results were extremely heterogeneous, mostly depending on the different migrant group considered. Significant differences in suicide risk have been found depending on the legal status of migrants and their country of origin/migration. The second section explored the protective and risk factors for suicidal ideation and behaviours in different migrant groups. The analysis concluded that a set of factors may interact in various ways, contributing to a heterogeneous and complex framework underpinning the phenomenon of suicide. Migration itself may be a challenging and traumatizing experience, characterized by social isolation, cultural dislocation and adjustment, as well as economic and financial distress, all of which may exacerbate pre-existing mental health vulnerabilities or trigger new mental disorders. Acculturative stress, discrimination, and language barriers further compound these challenges, often hindering access to mental health services.
移民中的自杀问题是一个多方面且复杂的问题,对公众心理健康和政策都具有重大影响和挑战。本叙述性综述旨在探讨导致移民群体自杀倾向的因素,从而强调需要制定针对性的干预措施和支持策略。首先,我们回顾了移民群体中自杀意念、自杀未遂和自杀死亡的流行率的证据。结果非常多样化,主要取决于所考虑的不同移民群体。移民的法律地位及其原籍国/移民国家的不同,导致自杀风险存在显著差异。第二节探讨了不同移民群体中自杀意念和行为的保护和风险因素。分析得出,一组因素可能以各种方式相互作用,导致一个支持自杀现象的异质且复杂的框架。移民本身可能是一种具有挑战性和创伤性的经历,其特点是社会孤立、文化错位和调整以及经济和财务困境,所有这些都可能加剧先前存在的心理健康脆弱性或引发新的精神障碍。文化适应压力、歧视和语言障碍进一步加剧了这些挑战,往往阻碍了获得心理健康服务的机会。