Revisiting the immigrant paradox: Suicidal ideations and suicide attempts among immigrant and non-immigrant adolescents

Abstract The current study examined the immigrant paradox in suicidal ideations and attempts, whether rates and correlates varied across immigrant/non-immigrant youth in a nationally representative sample of 7,287 Swiss adolescents (10.2% 1st generation immigrants, 10.3% 2nd generation, and 16.1% mixed parentage; M age  = 17.45, SD  = 1.85, 46.6% females). Known risk and protective factors for suicidal ideations and attempts (depressive symptoms, family and peer connectedness, and demographics) were used as correlates, and their effects were compared across groups. About 27% of youth thought about suicide in past 12 months, while 5.5% reported attempting suicide once in their lifetime. After controlling for known predictors and nationality, being an immigrant adolescent (1st, 2nd generation, or mixed parentage) lowered the risk for suicidal ideations as compared to native Swiss youth; immigrant status was unrelated to attempts. Findings provide mixed support for the immigrant paradox; both immigrant and native youth would benefit from effective intervention strategies.