Perceived Risk Factors for Suicide among Nepalese Migrant Workers in South Korea
Abstract
:1. Introduction
1.1. South Korean Context
1.2. Deaths among Nepalese Migrant Workers in South Korea
2. Materials and Methods
2.1. Research Participants
2.2. Research Design
3. Results
3.1. Family Issues in Nepal
“Generally, Nepalese men get married at the age 25. I got married when I was 23 years old. While I was in Nepal, I did not have any problems. Now, I often receive phone calls from my wife about conflicts with my parents. Yesterday, I received a call from my wife; she was complaining about my mother. This gives me a lot of stress.”(Worker 2)
“Generally, the easy accessibility of the internet in Korea, and by extension, social media dating platforms create uneasiness among wives in Nepal who live far away from their spouses, i.e., young males living alone. This creates suspicions, conflict, and discord in families that further contribute to the stress among migrant workers.”(Community Leader and Worker 1)
“Without knowing the working conditions and the level of income in Korea, migrants’ families in Nepal engage in investment planning shortly after the migrant’s arrival in Korea. Some families initiate small businesses or buy land in urban areas to build a house or even start construction without knowing our income. In general, the perception about migrant workers in Nepal is that we make a lot of money.”(Community Leader and Worker 2)
“Some of the parents exaggerate their son’s/daughter’s wages to the neighbors and relatives, and parents who have heard this, but haven’t received the expected amount of money from their sons/daughters, start to complain. Oblivious to the situation in Korea, these families assume that their sons/daughters are not earning enough or they are spending money on unnecessary things. These suspicions and over-expectations of parents are also sources of tension and conflict in families. These are the reason for developing depression among migrant workers in South Korea.”(Community Leader and Worker 3)
“My sister-in-law bought land in Kathmandu; what have you done?”(Worker 6)
“My friend bought a big necklace at this festival; I want a bigger one. Send me money.”(Worker 7)
“I can’t stay with your parents; rent a house for me in the city.”(Worker 6)
3.2. Loose Camaraderie at Work
“My senior Nepalese manager told me that I will be fired soon. Distraught, I talked to the upper management who told me that I will not be fired. I reported him to the Human Resource Department and he was later fired.”(Worker 15)
“I know that in the dormitory inside the Seonse Industrial Complex, some of the high Hindu caste factory workers practice untouchability of food and water by lower castes. Moreover, they offer help to people from their caste or ethnicity and are reluctant to help or share information with others.”(Community Leader 3)
“On one occasion, I recommended one Brahmin friend to work in a company, where most workers were from Magar (a kind of indigenous group); all were angry with me.”(Community Leader and Worker 3)
3.3. Drudgery and Hazardous Work
“We are working in the 3D (dangerous, dirty, and difficult) jobs. Work is too hard. I now have back pain and am living in a shelter.”(Worker 16)
“For those who work in the agricultural sector, the working hours are very long. It causes physical and mental health problems.”(Community Leader and Worker 3)
“Work is very hazardous and difficult. It involves melting iron, die-casting, and working with various toxic chemicals. It is challenging to work all day long.”(Worker 14)
3.4. Family Nescience of Migrant Life
“Nepalese media and people only emphasize higher wages in Korea. But they fail to consider the challenges of working in Korea. The challenges of working in Korea became apparent just after we started working here. We later realized how difficult the work is and how many hours we have to work to earn a living. The gap between our expectations and the reality is very wide.”(Community Leader and Worker 3)
3.5. Addiction to Gambling
“These days, some migrant workers are addicted to casinos and gambling. First, they play for curiosity and experiment with a little amount. Fooled by a few wins, the temptation grows, and before they know it, they find themselves addicted to gambling and lose money. Still, they do not stop playing in the hope that someday they will get their money back. So they borrow money from friends and go to the casinos again. They again lose all the money. Do you know Alex? (not real name). He lost all his money. He disappeared and nobody knows where he is now.”(Community Leader and Worker 3)
“Now you feel that you are in between the two blades of a scissor. You’ve lost all your money and don’t have any and you are also obliged to return the borrowed money to a friend. At the same time, back home your family is waiting for your money. To escape the mounting pressure, many addicted gamblers commit suicide.”(Community Leader and Worker 2)
3.6. Inter-Migrant Competition
“Migrant workers compare their wages among themselves and aim to attain higher earnings similar to other migrant workers who make more money. Some of the workers tend to change jobs; however, some fail to secure a new position in time and become undocumented and risk deportation.”(Community Leader and Worker 1)
3.7. Poor Physical and Mental Health
“Isolation, loneliness, and back pain from long hours of hard work are common. As a result, many migrant workers develop physical and mental health issues. Later, they develop anxiety and depression.”(Community Leader and Worker 1)
3.8. Adaptation Problems and Communication Barriers
“In the beginning, I had a very hard time finding food I liked. I felt so weak at work. Work was also very hard. I do not eat beef and pork and most Korean foods contain pork. I ate only rice and water for months.”(Worker 13)
“Language is the biggest barrier for migrant workers in the workplace.”(Community Leader and Worker 2)
“When we go to the hospital, it is hard to explain our symptoms and health problems. We cannot express our health problems, and doctors do not understand what we say.”(Community Leader and Worker 3)
4. Discussion
Limitations
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
- WHO. Suicide: Key Facts. 2018. Available online:https://www.who.int/news-room/fact-sheets/detail/suicide (accessed on 8 May 2021).
- Adhikary, P.; Keen, S.; Van Teijlingen, E. Health Issues among Nepalese migrant workers in the Middle East.Health Sci. J.2011,5, 169–175. Available online:https://core.ac.uk/download/pdf/4898884.pdf (accessed on 8 May 2021).
- Hovey, J.D.; Magaña, C.G. Exploring the Mental Health of Mexican Migrant Farm Workers in the Midwest: Psychosocial Predictors of Psychological Distress and Suggestions for Prevention and Treatment.J. Psychol.2002,136, 493–513. [Google Scholar] [CrossRef]
- Knipe, D.; Lambert, H.; Pearson, M.; Eddleston, M.; Jayamanne, S.; Wickramage, K.; Hawton, K.; Konradsen, F.; Metcalfe, C.; Gunnell, D. Are left-behind families of migrant workers at increased risk of attempted suicide?—A cohort study of 178,000+ individuals in Sri Lanka.BMC Psychiatry2019,19, 25. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Kronfol, Z.; Saleh, M.; Al-Ghafry, M. Mental health issues among migrant workers in Gulf Cooperation Council countries: Literature review and case illustrations.Asian J. Psychiatry2014,10, 109–113. [Google Scholar] [CrossRef] [PubMed]
- Hovey, J.D.; Magaña, C.G. Suicide Risk Factors Among Mexican Migrant Farmworker Women in the Midwest United States.Arch. Suicide Res.2003,7, 107–121. [Google Scholar] [CrossRef]
- Almaskari, F.; Shah, S.M.; Al-Sharhan, R.; Al-Haj, E.; Al-Kaabi, K.; Khonji, D.; Schneider, J.D.; Nagelkerke, N.J.; Bernsen, R.M. Prevalence of Depression and Suicidal Behaviors Among Male Migrant Workers in United Arab Emirates.J. Immigr. Minor. Heal.2011,13, 1027–1032. [Google Scholar] [CrossRef]
- Ayalon, L. Suicidal and Depressive Symptoms in Filipino Home Care Workers in Israel.J. Cross Cultural Gerontol.2012,27, 51–63. [Google Scholar] [CrossRef] [PubMed]
- Georgatos, G. Migrant suicides—More than 1 in 4 Australian Suicides are of Migrants but Discussion is Lost in Translation.The Stringer—Independent News. 26 April 2016. Available online:https://thestringer.com.au/migrant-suicides-more-than-1-in-4-australian-suicides-are-of-migrants-but-discussion-is-lost-in-translation-11871#.XQNc09IzZhE (accessed on 8 May 2021).
- Forte, A.; Trobia, F.; Gualtieri, F.; Lamis, D.A.; Cardamone, G.; Giallonardo, V.; Fiorillo, A.; Girardi, P.; Pompili, M. Suicide Risk among Immigrants and Ethnic Minorities: A Literature Overview.Int. J. Environ. Res. Public Health2018,15, 1438. [Google Scholar] [CrossRef] [Green Version]
- Spallek, J.; Reeske, A.; Norredam, M.; Nielsen, S.S.; Lehnhardt, J.; Razum, O. Suicide among immigrants in Europe—A systematic literature review.Eur. J. Public Health2014,25, 63–71. [Google Scholar] [CrossRef]
- Cheung, T.; Lam, S.C.; Lee, P.H.; Xiang, Y.T.; Yip, P.S.F. The International Research Collaboration on COVID-19 Global Imperative of Suicidal Ideation in 10 Countries Amid the COVID-19 Pandemic.Front. Psychiatry2021,11, 588781. [Google Scholar] [CrossRef]
- Ellis, B.H.; Lankau, E.W.; Ao, T.; Benson, M.A.; Miller, A.B.; Shetty, S.; Cardozo, B.L.; Geltman, P.L.; Cochran, J. Understanding Bhutanese refugee suicide through the interpersonal-psychological theory of suicidal behavior.Am. J. Orthopsychiatry2015,85, 43–55. [Google Scholar] [CrossRef] [PubMed]
- Hagaman, A.K.; Sivilli, T.I.; Ao, T.; Blanton, C.; Ellis, H.; Cardozo, B.L.; Shetty, S. An Investigation into Suicides Among Bhutanese Refugees Resettled in the United States Between 2008 and 2011.J. Immigr. Minor. Heal.2016,18, 819–827. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Regmi, P.R.; Aryal, N.; Van Teijlingen, E.; Simkhada, P.; Adhikary, P. Nepali Migrant Workers and the Need for Pre-departure Training on Mental Health: A Qualitative Study.J. Immigr. Minor. Health2020,22, 973–981. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Knox, K.L.; Conwell, Y.; Caine, E.D. If Suicide Is a Public Health Problem, What Are We Doing to Prevent It?Am. J. Public Health2004,94, 37–45. [Google Scholar] [CrossRef] [PubMed]
- Joiner, T.Why People Die by Suicide; Harvard University Press: Cambridge, MA, USA, 2005. [Google Scholar]
- Kim, A.E. Global migration and South Korea: Foreign workers, foreign brides and the making of a multicultural society.Ethn. Racial Stud.2009,32, 70–92. [Google Scholar] [CrossRef]
- Seol, D.-H. The citizenship of foreign workers in South Korea.Citizsh. Stud.2012,16, 119–133. [Google Scholar] [CrossRef]
- Ock, H. Korean Perceptions of Migrant Workers Worsen: Survey.The Korea Herald. 3 January 2018. Available online:http://www.koreaherald.com/view.php?ud=20180103000696 (accessed on 9 May 2021).
- Seo, S.; Skelton, T. Regulatory migration regimes and the production of space: The case of Nepalese workers in South Korea.Geoforum2017,78, 159–168. [Google Scholar] [CrossRef]
- Cha, O. The Current Situation of Immigrant Workers and Resulted Problems and Their Solutions: Focusing on the Furniture Complex in Namyangju.Discourse 2012013,16, 165–193. [Google Scholar] [CrossRef]
- Kim, K. A Qualitative Case Study on Foreign Migrant Workers’ Experience with Hope and Exclusion in Korea.AJMAHS2017,7, 747–756. [Google Scholar] [CrossRef]
- Kim, H.-J.; Choi, H.-J.; Lee, K.-W.; Li, G.-M. Acculturation strategies used by unskilled migrant workers in South Korea.Ethn. Racial Stud.2018,41, 1691–1709. [Google Scholar] [CrossRef]
- Lee, H.; Ahn, H.; Miller, A.; Park, C.G.; Kim, S.J. Acculturative Stress, Work-related Psychosocial Factors and Depression in Korean-Chinese Migrant Workers in Korea.J. Occup. Health2012,54, 206–214. [Google Scholar] [CrossRef] [Green Version]
- Lee, S.W.; Kim, K.S.; Kim, T.W. The Status and Characteristics of Industrial Accidents for Migrant Workers in Korea Compared with Native Workers.Korean J. Occup. Environ. Med.2008,20, 351–361. [Google Scholar] [CrossRef]
- Ministry of Justice, Korea Immigration Service. 2020. Available online:http://www.immigration.go.kr/immigration/1569/subview.do (accessed on 10 May 2021). (In Korean).
- Ki, M. Dead end of the Korean dream: Why So Many Nepali Workers in Korea Committing Suicide?Nepali Times. 7 October 2019. Available online:https://www.nepalitimes.com/here-now/dead-end-of-the-korean-dream/ (accessed on 8 May 2021).
- Nepal Embassy in Seoul.Study Report of Nepalese Death in South Korea; The Embassy of Nepal: Seoul, Korea, 2013. Available online:https://kr.nepalembassy.gov.np/wp-content/uploads/2018/06/Study_Report_on_Nepalese_Death_Cases_in_Korea_13.pdf (accessed on 8 May 2021).
- Nepal Embassy in Seoul.Cause of Nepalese Death in Korea (2007-April 2019); The Embassy of Nepal: Seoul, Korea, 2019. [Google Scholar]
- Ko, H. Tragic Death of a Nepali Migrant Worker.HANKYOREH. 13 August 2017. Available online:http://english.hani.co.kr/arti/english_edition/e_international/806571.html (accessed on 8 May 2021).
- Van Orden, K.A.; Witte, T.K.; Cukrowicz, K.C.; Braithwaite, S.R.; Selby, E.A.; Joiner, T.E. The interpersonal theory of suicide.Psychol. Rev.2010,117, 575–600. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Rousseau, C.; Mekki-Berrada, A.; Moreau, S. Trauma and Extended Separation from Family among Latin American and African Refugees in Montreal.Psychiatry2001,64, 40–59. [Google Scholar] [CrossRef] [Green Version]
- Thapa, N.; Paudel, M.; Guragain, A.M.; Thapa, P.; Puri, R.; Thapa, P.; Aryal, K.K.; Paudel, B.K.; Thapa, R.; Stray-Pedersen, B. Status of migration and socio-reproductive impacts on migrants and their families left behind in Nepal.Migr. Dev.2019,8, 394–417. [Google Scholar] [CrossRef]
- Warner, F.R. Social Support and Distress among Q’eqchi’ Refugee Women in Maya Tecún, Mexico.Med Anthr. Q.2007,21, 193–217. [Google Scholar] [CrossRef]
- Stewart, M.J.; Makwarimba, E.; Beiser, M.; Neufeld, A.; Simich, L.; Spitzer, D. Social support and health: Immigrants’ and refugees’ perspectives.Divers Equal Health Care2010,7, 1–14. [Google Scholar]
- Bhadra, C.International Labor Migration of Nepalese Women: Impact of their Remittances on Poverty Reduction; Working Paper Series No. 44; ARTNeT: Berlin, Germany, 2007. [Google Scholar]
- Gartaula, H.N.; Visser, L.; Niehof, A. Socio-Cultural Dispositions and Wellbeing of the Women Left Behind: A Case of Migrant Households in Nepal.Soc. Indic. Res.2011,108, 401–420. [Google Scholar] [CrossRef] [Green Version]
- Silver, A. Families Across Borders: The Emotional Impacts of Migration on Origin Families.Int. Migr.2011,52, 194–220. [Google Scholar] [CrossRef]
- Byoun, S.-J.; Leung, P. Understanding the cultural adaptation of foreign wives of South Korean men.Asia Pac. J. Soc. Work. Dev.2014,25, 124–132. [Google Scholar] [CrossRef]
- Chung, G.H.; Yoo, J.P. Using the Multicultural Family Support Centers and Adjustment Among Interethnic and Interracial Families in South Korea.Fam. Relat.2013,62, 241–253. [Google Scholar] [CrossRef]
- Froese, F.J.; Peltokorpi, V.; Ko, K.A. The influence of intercultural communication on cross-cultural adjustment and work attitudes: Foreign workers in South Korea.Int. J. Intercult. Relat.2012,36, 331–342. [Google Scholar] [CrossRef]
Participants | Age | Gender | Job Type | Length of Stay |
---|---|---|---|---|
Worker_1 | 30 | Male | Manufacturing | 5 years |
Worker_2 | 25 | Male | Manufacturing | 2 years |
Worker_3 | 31 | Male | Garment | 9 years |
Worker_4 | 26 | Male | Agriculture | 2 years |
Worker_5 | 23 | Male | Construction | 3 years |
Worker_6 | 29 | Male | Construction | 6 years |
Worker_7 | 34 | Male | Furniture | 8 years |
Worker_8 | 22 | Male | Construction | 11 months |
Worker_9 | 29 | Male | Agriculture | 3 years |
Worker_10 | 34 | Female | Manufacturing | 4 years |
Worker_11 | 38 | Male | Manufacturing | 7 years |
Workers_12 | 34 | Male | Welding | 5 years |
Worker_13 | 36 | Female | Manufacturing | 5 years |
Worker_14 | 29 | Male | Currently in shelter | 4 years |
Worker_15 | 33 | Female | Plastic company | 5 years |
Worker_16 | 38 | Male | Currently in shelter | 5 years |
Worker_17 | 39 | Male | Furniture | 6 years |
Community leader and worker_1 | 38 | Male | Construction | 4 years |
Community leader and worker_2 | 35 | Male | Welding | 5 years |
Community leader and worker_3 | 41 | Male | Manufacturing | 7 years |
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Atteraya, M.S.; Ebrahim, N.B.; Gnawali, S. Perceived Risk Factors for Suicide among Nepalese Migrant Workers in South Korea.Int. J. Environ. Res. Public Health2021,18, 6368. https://doi.org/10.3390/ijerph18126368
Atteraya MS, Ebrahim NB, Gnawali S. Perceived Risk Factors for Suicide among Nepalese Migrant Workers in South Korea.International Journal of Environmental Research and Public Health. 2021; 18(12):6368. https://doi.org/10.3390/ijerph18126368
Chicago/Turabian StyleAtteraya, Madhu Sudhan, Nasser B. Ebrahim, and Shreejana Gnawali. 2021. "Perceived Risk Factors for Suicide among Nepalese Migrant Workers in South Korea"International Journal of Environmental Research and Public Health 18, no. 12: 6368. https://doi.org/10.3390/ijerph18126368
APA StyleAtteraya, M. S., Ebrahim, N. B., & Gnawali, S. (2021). Perceived Risk Factors for Suicide among Nepalese Migrant Workers in South Korea.International Journal of Environmental Research and Public Health,18(12), 6368. https://doi.org/10.3390/ijerph18126368