M. Ferradanoli et E. Sundbom, CULTURAL-BIAS IN SUICIDAL-BEHAVIOR AMONG REFUGEES WITH POSTTRAUMATIC-STRESS-DISORDER, Nordic journal of psychiatry, 50(3), 1996, pp. 185-191
The study was primarily designed to assess the prevalence of suicidal
behaviour among asylum applicants diagnosed as having post-traumatic s
tress disorder (PTSD) and the impact of cultural bias factors (such as
religion and nationality) in suicidal dynamics. The traumatic stresso
rs reported in the study included being subjected to or forced to witn
ess war atrocities, imprisonment, torture, sexual violence, other's su
icide, and summary or mock executions. The study included 64 PTSD pati
ents who were examined as part of a diagnostic and suicidal risk asses
sment after referral. Suicide risk assessments were assisted with scor
es of the SAD PERSONS Scale. Most PTSD patients reported suicidal beha
viour. Nearly half of the refugees with PSTD diagnoses had a history o
f suicide attempts. Religious proscription or nationality was not foun
d to be a significant deterrent of suicidal behaviour, and no differen
ces between the various religious groups were established on this poin
t. Another noteworthy finding in the present study was that suicidal b
ehaviour did not differ significantly between asylum applicants and re
fugees granted residence permits. Thus, the notion that asylum applica
nts might manifest a higher frequency of suicidal behaviour, possibly
due to the threat of imminent expulsion from the country, derived no s
upport from our findings. The results ratified our previous findings,
which suggested that suicidal behaviour is more closely related to PTS
D trauma diathesis and clinical features than to cultural bias.