Demographic and Psychosocial Factors Associated with Suicidal Ideation among Resettled Bhutanese Refugees

Surendra Bir Adhikari, Raminta Daniulaityte, Dharma Nand Bhatta

Research output: Contribution to journalArticlepeer-review

4 Scopus citations


This study aims to identify socio-demographic and psychosocial characteristics associated with the suicidal ideation among resettled Bhutanese refugees in the United States. Structured interviews were conducted with 200 resettled Bhutanese refugees in Columbus, Ohio. Multivariable logistic regression analysis was conducted to identify variables associated with suicidal ideation. Most participants were male (59.0%), married (77.9%), 55% reported no formal education, 12% were of Dalit (“lower”) caste, and 6.2% reported suicidal ideation. Multivariable logistic regression analysis included four variables that were significant at p < 0.05 in bivariate analyses: caste, post-settlement difficulties, mental health diagnosis, and social support. Higher odds of suicidal ideation were linked to mental health diagnosis [adjusted odds ratio (AOR): 8.7], low social support (AOR: 23.6), and post-settlement difficulties (AOR: 1.4). In the multivariable model, untouchable caste had elevated odds of suicidal ideation but statistically not significant. Culturally competent mental health services are needed to support individuals at risk for suicidal ideation.

Original languageEnglish (US)
Pages (from-to)511-518
Number of pages8
JournalJournal of Immigrant and Minority Health
Issue number3
StatePublished - Jun 2021


  • Dalit caste
  • Mental health
  • Post-settlement difficulties
  • Resettled refugees
  • Suicidal ideation

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health


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