International Journal of Public Health (May 2022)

Role of Foreign-Born Status on Suicide Mortality in Spain Between 2000 and 2019: An Age-Period-Cohort Analysis

  • Gonzalo Martínez-Alés,
  • Gonzalo Martínez-Alés,
  • Gonzalo Martínez-Alés,
  • Catherine Gimbrone,
  • Caroline Rutherford,
  • Katherine Keyes,
  • Teresa López-Cuadrado

DOI
https://doi.org/10.3389/ijph.2022.1604538
Journal volume & issue
Vol. 67

Abstract

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Objectives: To examine recent age-period-cohort effects on suicide among foreign-born individuals, a particularly vulnerable sociodemographic group in Spain.Methods: Using 2000–2019 mortality data from Spain’s National Institute of Statistics, we estimated age-period-cohort effects on suicide mortality, stratified by foreign-born status (native- vs. foreign-born) and, among the foreign-born, by Spanish citizenship status, a proxy for greater socioeconomic stability.Results: Annual suicide mortality rates were lower among foreign- than native-born individuals. There was heterogeneity in age-period-cohort effects between study groups. After 2010, suicide mortality increased markedly among the foreign-born—especially for female cohorts born around 1950, and slightly among native-born women—especially among female cohorts born after the 1960s. Among native-born men, suicide increased linearly with age and remained stable over time. Increases in suicide among the foreign-born were driven by increases among individuals without Spanish citizenship—especially among cohorts born after 1975.Conclusion: After 2010, suicide in Spain increased markedly among foreign-born individuals and slightly among native-born women, suggesting an association between the downstream effects of the 2008 economic recession and increases in suicide mortality among socioeconomically vulnerable populations.

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