Immigration-Related Inequality in Emotional Pain Within the Socially Vulnerable Group of Dual Diagnosis

Abstract

Emotional (mental) pain can precipitate a suicidal intention in humans. In contemporary society characterized by an increase in international migrations, the potential impact of immigration remains among the controversial and even quite complex topics in the sociology of suicidal behavior. In other respects, our understanding of the potential impact of immigration status on emotional pain in adults with a dual diagnosis of schizophrenic and comorbid substance use disorders remains unclear. This cross-sectional survey aimed to examine the potential impact of immigration status on the experience of emotional pain. All study participants (N = 93) gave written and signed consent before beginning to complete this individual survey. The analysis revealed significant main effects of both immigration and gender on emotional pain intensity, with the native-born and females reporting a higher intensity of emotional pain. However, no significant effects were found for immigration or gender concerning general self-efficacy. Additionally, significant interactions were found between immigration and gender for both emotional pain intensity and general self-efficacy, with native-born females exhibiting higher emotional pain intensity and general self-efficacy compared to non-native-born females. Regarding the unique contribution of general self-efficacy, the analysis showed that it (but not the lifetime patterns of psychoactive substance use) solely and significantly explained participants’ emotional pain intensity, with higher general self-efficacy associated with lower emotional pain. A mediation analysis revealed that general self-efficacy significantly mediated the relationship between immigration and emotional pain among females, but not males, suggesting that general self-efficacy played a key role in explaining how immigration influenced emotional pain for females with a dual diagnosis of schizophrenic and comorbid substance use disorders. This is the first evidence of the potential impact of immigration status on the experience emotional pain among adults with a dual diagnosis. The general self-efficacy played a key role in explaining how immigration status influenced current emotional pain for females, and not for males, with a dual diagnosis of schizophrenic and comorbid substance use disorders.