Healthcare use before and after suicide attempt in refugees and Swedish-born individuals

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Healthcare use before and after suicide attempt in refugees and Swedish-born individuals

Amin, Ridwanul (author): Karolinska Institutet,Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, S-17177 Stockholm, Sweden

Rahman, Syed (author): Karolinska Institutet,Karolinska Inst, Dept Global Publ Hlth, S-17177 Stockholm, Sweden

Tinghög, Petter (author): Röda Korsets Högskola,Hälsovetenskapliga institutionen,Swedish Red Cross Univ Coll, S-14157 Huddinge, Sweden

Helgesson, Magnus (author): Karolinska Institutet,Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, S-17177 Stockholm, Sweden

Runeson, Bo (author): Karolinska Institutet,Karolinska Inst, Ctr Psychiat Res, St Görans Hosp, Dept Clin Neurosci, Stockholm Cty Council, S-11281 Stockholm, Sweden

Björkenstam, Emma (author): Karolinska Institutet,Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, S-17177 Stockholm, Sweden

Qin, Ping (author): University of Oslo, Oslo, Norway,Univ Oslo, Natl Ctr Suicide Res & Prevent, N-0374 Oslo, Norway

Mehlum, Lars (author): University of Oslo, Oslo, Norway,Univ Oslo, Natl Ctr Suicide Res & Prevent, N-0374 Oslo, Norway

Holmes, Emily A. (author): Uppsala universitet,Karolinska Institutet,Institutionen för psykologi,Karolinska Inst, Dept Clin Neurosci CNS, Psychol, K8, S-17177 Stockholm, Sweden

Mittendorfer-Rutz, Ellenor (author): Karolinska Institutet,Karolinska Inst, Dept Clin Neurosci, Div Insurance Med, S-17177 Stockholm, Sweden

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2020-06-16
2021
English.
In: Social Psychiatry and Psychiatric Epidemiology. - : Springer. - 0933-7954 .- 1433-9285. ; 56:2, s. 325-338

Related links:: https://doi.org/10.1...; show more...; https://link.springe...; https://uu.diva-port... (primary) (Raw object); https://urn.kb.se/re...; https://doi.org/10.1...; http://kipublication...; https://urn.kb.se/re...; show less...

Journal article (peer-reviewed)

Abstract Subject headings

PURPOSE: There is a lack of research on whether healthcare use before and after a suicide attempt differs between refugees and the host population. We aimed to investigate if the patterns of specialised (inpatient and specialised outpatient) psychiatric and somatic healthcare use, 3 years before and after a suicide attempt, differ between refugees and the Swedish-born individuals in Sweden. Additionally, we aimed to explore if specialised healthcare use differed among refugee suicide attempters according to their sex, age, education or receipt of disability pension.METHODS: All refugees and Swedish-born individuals, 20-64 years of age, treated for suicide attempt in specialised healthcare during 2004-2013 (n = 85,771 suicide attempters, of which 4.5% refugees) were followed 3 years before and after (Y - 3 to Y + 3) the index suicide attempt (t0) regarding their specialised healthcare use. Annual adjusted prevalence with 95% confidence intervals (CIs) of specialised healthcare use were assessed by generalized estimating equations (GEE). Additionally, in analyses among the refugees, GEE models were stratified by sex, age, educational level and disability pension.RESULTS: Compared to Swedish-born, refugees had lower prevalence rates of psychiatric and somatic healthcare use during the observation period. During Y + 1, 25% (95% CI 23-28%) refugees and 30% (95% CI 29-30%) Swedish-born used inpatient psychiatric healthcare. Among refugees, a higher specialised healthcare use was observed in disability pension recipients than non-recipients.CONCLUSION: Refugees used less specialised healthcare, before and after a suicide attempt, relative to the Swedish-born. Strengthened cultural competence among healthcare professionals and better health literacy among the refugees may improve healthcare access in refugees.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Keyword

Attempted suicide
Cohort
Disability pension
Healthcare
Migration
Refugees

Publication and Content Type

ref (subject category)
art (subject category)

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By the author/editor: Amin, Ridwanul; Rahman, Syed; Tinghög, Petter; Helgesson, Magnu ...; Runeson, Bo; Björkenstam, Emm ...; show more...; Qin, Ping; Mehlum, Lars; Holmes, Emily A.; Mittendorfer-Rut ...; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

Articles in the publication: Social Psychiatr ...

By the university: Red Cross University College; Karolinska Institutet; Uppsala University

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