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

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

JOURNAL=International Journal of Public Health

VOLUME=67

YEAR=2022

URL=https://www.ssph-journal.org/journals/international-journal-of-public-health/articles/10.3389/ijph.2022.1604538

DOI=10.3389/ijph.2022.1604538

ISSN=1661-8564

ABSTRACT=<p><bold>Objectives:</bold> To examine recent age-period-cohort effects on suicide among foreign-born individuals, a particularly vulnerable sociodemographic group in Spain.</p><p><bold>Methods:</bold> 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.</p><p><bold>Results:</bold> 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.</p><p><bold>Conclusion:</bold> 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.</p>