Suicidal ideation and suicide attempts among ethnic minority groups in England: results of a national household survey

Background. Socio-cultural factors impact on the extent of suicidal ideation and attempted suicide but the relative importance of these factors among people from different ethnic groups in Britain has not been explored. We examined the prevalence of suicidal ideation, the incidence of attempted suicide, and the extent of service utilization following attempted suicide among representative samples of White, Irish, Black Caribbean, Bangladeshi, Indian and Pakistani individuals living in England. Method. We conducted a secondary analysis of data from the EMPIRIC study, a cross-sectional survey of 4281 adults aged 16–74 years, living in private households in England. Results. Lifetime suicidal ideation was generally lower in ethnic minority groups but higher among those born in the UK than those who migrated to England as adults. Risk factors for suicidal ideation have much in common across different ethnic groups; current symptoms of mental distress being the most important. White British and Irish respondents were twice as likely to receive medical attention following attempted suicide than those from other ethnic groups. Conclusions. Services need to adapt in order to ensure that people from ethnic minorities receive appropriate psychological and medical care following attempted suicide.

[1]  B. Barraclough International variation in the suicide rate of 15–24 year olds , 1988, Social Psychiatry and Psychiatric Epidemiology.

[2]  B. Erens,et al.  Common mental disorders and ethnicity in England: the EMPIRIC Study , 2004, Psychological Medicine.

[3]  R. Murray,et al.  Parasuicide in Camberwell-ethnic differences , 1996, Social Psychiatry and Psychiatric Epidemiology.

[4]  J. Catalan,et al.  Randomized controlled trial of brief cognitive behaviour therapy versus treatment as usual in recurrent deliberate self-harm: the POPMACT study , 2003, Psychological Medicine.

[5]  S. Stansfeld,et al.  Ethnic variations in pathways to and use of specialist mental health services in the UK , 2003, British Journal of Psychiatry.

[6]  P. Allebeck,et al.  Suicide in first- and second-generation immigrants in Sweden A comparative study , 2002, Social Psychiatry and Psychiatric Epidemiology.

[7]  J. Nazroo Ethnic Minority Psychiatric Illness Rates in the Community (EMPIRIC) , 2002 .

[8]  C. Chew‐Graham,et al.  Randomised controlled trial of brief psychological intervention after deliberate self poisoning. , 2001, BMJ.

[9]  J. Hovey,et al.  Acculturative stress, depression, and suicidal ideation in Mexican immigrants. , 2000, Cultural diversity & ethnic minority psychology.

[10]  D. Bhugra,et al.  Attempted suicide in west London, I. Rates across ethnic communities , 1999, Psychological Medicine.

[11]  D. Bhugra,et al.  Attempted suicide in west London, II. Inter-group comparisons , 1999, Psychological Medicine.

[12]  D. Lester,et al.  Native American Suicide Rates, Acculturation Stress and Traditional Integration , 1999, Psychological reports.

[13]  S. Wessely,et al.  Ethnic minority suicide: a small area geographical study in south London , 1999, Psychological Medicine.

[14]  M. Crawford,et al.  A national target for reducing suicide , 1999, BMJ.

[15]  J Lellouch,et al.  Prevalence of suicide ideation and suicide attempts in nine countries , 1999, Psychological Medicine.

[16]  P. Burvill Migrant suicide rates in Australia and in country of birth , 1998, Psychological Medicine.

[17]  M. Khan,et al.  Suicide and attempted suicide in Pakistan. , 1998, Crisis.

[18]  D. Halpern,et al.  Tolerance of suicide, religion and suicide rates: an ecological and individual study in 19 Western countries , 1997, Psychological Medicine.

[19]  J. Nazroo Ethnicity and mental health: findings from a national community survey , 1997 .

[20]  James Nazroo,et al.  Ethnic Minorities in Britain: diversity and disadvantage , 1997 .

[21]  C. King,et al.  Acculturative stress, depression, and suicidal ideation among immigrant and second-generation Latino adolescents. , 1996, Journal of the American Academy of Child and Adolescent Psychiatry.

[22]  S. M. Bhat,et al.  Suicide attempters in a general hospital unit in India: their socio‐demographic and clinical profile — emphasis on cross‐cultural aspects , 1996, Acta psychiatrica Scandinavica.

[23]  V. Raleigh Suicide patterns and trends in people of Indian subcontinent and Caribbean origin in England and Wales. , 1996, Ethnicity & health.

[24]  M. Marmot,et al.  Deriving a survey measure of social support: the reliability and validity of the Close Persons Questionnaire. , 1992, Social science & medicine.

[25]  G Lewis,et al.  Measuring psychiatric disorder in the community: a standardized assessment for use by lay interviewers , 1992, Psychological Medicine.

[26]  S. Platt,et al.  Unemployment and suicidal behaviour: a review of the literature. , 1984, Social science & medicine.

[27]  A. Burke Attempted Suicide Among Asian Immigrants in Birmingham , 1976, British Journal of Psychiatry.