class: title-slide # Immigration Enforcement, Sanctuary Cities, and Rising Hispanic Suicide Rates ## Immigration Enforcement and Hispanic Suicide .pull-left[ **Hussain Hadah**<sup>1,2</sup> <div style="color: white; font-size: 18px; margin-top: 10px;"> October 22, 2025 </div> <div style="font-size: 0.8em; margin-top: 10px;"> <sup>1</sup>The Murphy Institute <sup>2</sup>Economics Department, Tulane University<br> </div> ] --- layout: true <div style="position: absolute;left:20px;bottom:5px;color:black;font-size: 12px;">Hussain Hadah (Tulane/Murphy Institute) | Immigration Enforcement and Hispanic Suicide | Murphy Institute Health Policy Seminar October 22 2025</div> <!--- Immigration Enforcement and Hispanic Suicide | 22 October 2025--> --- class: title-slide background-image: url("assets/TulaneLogo-white.svg"), url("assets/title-image1.jpg") background-position: 10% 90%, 100% 50% background-size: 160px, 50% 100% background-color: #0148A4 name: toc <style type="text/css"> /* Table width = 100% max-width */ .remark-slide table{ width: auto !important; /* Adjusts table width */ } /* Change the background color to white for shaded rows (even rows) */ .remark-slide thead, .remark-slide tr:nth-child(2n) { background-color: white; } .remark-slide thead, .remark-slide tr:nth-child(n) { background-color: white; } </style> # .text-shadow[.white[Today's Presentation]] <ol> <li><h4 class="white"><a href="#motivation-sec">Motivation</a></h4></li> <li><h4 class="white"><a href="#background-sec">Background</a></h4></li> <li><h4 class="white"><a href="#data-sec">Data</a></h4></li> <li><h4 class="white"><a href="#empirical-strategy-sec">Empirical Strategy</a></h4></li> <li><h4 class="white"><a href="#results-sec">Results</a></h4></li> <li><h4 class="white"><a href="#hetero-sec">Heterogeneity Analysis and Mechanisms</a></h4></li> </ol> --- class: segue-yellow background-image: url("assets/TulaneLogo.svg") background-size: 20% background-position: 95% 95% name: motivation-sec # Motivation --- name: motivation-slide ## .large[Motivation] <br> ### Immigration enforcement has intensified in recent years <div style="margin-top: 10px;"></div> ### .brand-medallion[**11-12 million**] undocumented immigrants live in mixed-status families .tiny[(Passel and Krogstad, 2025)] <div style="margin-top: 10px;"></div> ### Enforcement creates ripple effects beyond targeted individuals --- name: econ-lit ## .large[Economists studies the effects of immigration enforcement on various outcomes] <br><br> ### Welfare take-up .tiny[(Alsan and Yang, 2024)] <div style="margin-top: 10px;"></div> ### Labor market outcomes .tiny[(East, Hines, Luck, Mansour, and Velásquez, 2023)] <div style="margin-top: 10px;"></div> ### Infant health outcomes .tiny[(Vu, 2024)] --- name: examples-enforcement ## Examples of recent immigration enforcement <img src="hadah-oct-22-2025_files/figure-html/plot-0-1.png" width="70%" style="display: block; margin: auto;" /> --- name: immigration-lit ## .large[The effects of immigration enforcement on mental health is understudied] <br><br> ### As immigration enforcement intensifies and becomes more pervasive, understanding its broader impacts is crucial ### These laws, designed to enhance security, they generate significant unintended consequences .tiny[(Vu, 2024; Alsan and Yang, 2024; East, Hines, Luck et al., 2023; Cox and Miles, 2013)] --- name: research-question ## .large[I use the recent developments in DiD literature to answer the following question] <svg viewBox="0 0 512 512" style="height:1em;display:inline-block;position:fixed;top:10;right:10;" xmlns="http://www.w3.org/2000/svg"> <path d="M256 8C119.043 8 8 119.083 8 256c0 136.997 111.043 248 248 248s248-111.003 248-248C504 119.083 392.957 8 256 8zm0 448c-110.532 0-200-89.431-200-200 0-110.495 89.472-200 200-200 110.491 0 200 89.471 200 200 0 110.53-89.431 200-200 200zm107.244-255.2c0 67.052-72.421 68.084-72.421 92.863V300c0 6.627-5.373 12-12 12h-45.647c-6.627 0-12-5.373-12-12v-8.659c0-35.745 27.1-50.034 47.579-61.516 17.561-9.845 28.324-16.541 28.324-29.579 0-17.246-21.999-28.693-39.784-28.693-23.189 0-33.894 10.977-48.942 29.969-4.057 5.12-11.46 6.071-16.666 2.124l-27.824-21.098c-5.107-3.872-6.251-11.066-2.644-16.363C184.846 131.491 214.94 112 261.794 112c49.071 0 101.45 38.304 101.45 88.8zM298 368c0 23.159-18.841 42-42 42s-42-18.841-42-42 18.841-42 42-42 42 18.841 42 42z"></path></svg> <br><br> ### What is the .brand-crawfest[**causal effect**] of immigration enforcement on suicide rates among .brand-blue[**Hispanic**] populations in the United States? -- <br><br> #### I use the .brand-crawfest[**staggered rollout**] of .brand-blue[**Secure Communities**] (2008-2013)---a deportation expansion program---to estimate .brand-crawfest[**triple difference-in-differences (DDD)**] --- name: results-preview ## .brand-blue[**Preview of Results**] ### Key Findings: - **.brand-mardigras[Hispanic children (5-14)]**: .brand-blue[**35-100% decrease**] in suicide rates relative to Whites - **.brand-crawfest[Hispanic adults (34+)]**: .brand-red[**18-60% increase**] in suicide rates relative to Whites - **.brand-blue[Sanctuary cities]**: Protective effects across most age groups - **.brand-blue[Low unemployment]**: Key mechanism moderating effects - **.brand-blue[Political affiliation]**: Democratic counties show larger increases in adult suicide rates ### Implications: - Immigration enforcement creates .brand-crawfest[**substantial spillover effects**] beyond direct targets. - Local policies can .brand-blue[**mitigate harm**]. --- class: segue-yellow background-image: url("assets/TulaneLogo.svg") background-size: 20% background-position: 95% 95% name: background-sec # Background --- name: secure-communities # .brand-blue[**Secure Communities**] (2008-2014) <br> ### Immigration enforcement program run by the .brand-blue[**Immigration and Customs Enforcement (ICE)**] ### Operated from 2008 to 2014, counties opted into the program voluntarily until the federal mandates the participation in 2013 ### Fingerprints of all arrestees automatically shared with .brand-blue[**ICE**] for immigration status checks ### .brand-blue[**ICE**] issued "detainer" requests to hold individuals for up to 48 hours for potential deportation --- name: secure-communities-rollout ## Map: .brand-blue[**Secure Communities**] staggered rollout (2008-2013) <div style="text-align: center;"> <img src="assets/figures/secure_communities_rollout.gif" style="width:80%; max-width:900px;"> </div> --- name: secure-communities-rollout ## The .brand-crawfest[**staggered rollout**] of .brand-blue[**Secure Communities**] <img src="hadah-oct-22-2025_files/figure-html/plot-1-1.png" width="70%" style="display: block; margin: auto;" /> --- name: sanctuary-cities ## Local and state governments that resisted .brand-blue[**Secure Communities**] implementation were designated as .brand-blue[**sanctuary cities**] <br> ### Local jurisdictions that limited cooperation with federal immigration enforcement and refused .brand-blue[**ICE**]' detainer requests -- ### Three main types of .brand-blue[**sanctuary policies**]: #### • "Don't ask" - prohibit inquiring about immigration status #### • "Don't enforce" - limit local enforcement of immigration law #### • "Don't tell" - restrict information sharing with federal authorities --- class: segue-yellow background-image: url("assets/TulaneLogo.svg") background-size: 20% background-position: 95% 95% name: data-sec # Data --- name: data-sources-one ## I use multiple data sources for my analysis <br> <h3>Mortality data from the National Vital Statistics System (NVSS) .tiny[(National vital statistics system, 2007)]</h3> <div style="margin-left: 20px;"> <h4>• Annual count of suicides by county, race, and age group</h4> <h4>• Sample period: 1999-2013 to align with SC implementation</h4> </div> <h3>Secure Communities (SC) data .tiny[(Alsan and Yang, 2024)]</h3> <div style="margin-left: 20px;"> <h4>• They use data from Freedom of Information Act (FOIA) requests</h4> <h4>• Determined when counties opted into the program</h4> </div> --- count: false ## I use multiple data sources for my analysis (cont.) <br> <h3>.brand-blue[**Sanctuary city**] data from .brand-blue[**ICE**]'s reports</h3> <div style="margin-left: 20px;"> <h4>• Listed all local and state jurisdictions that adopted .brand-blue[**sanctuary policies**]</h4> -- <h4> For heterogeneity analysis, I also use:</h4> <div style="margin-left: 20px;"> <h4>• County-level demographic and socioeconomic data from the Census Bureau</h4> <h4>• Prejudice measures from the Implicit Association Test (IAT), American National Election Studies (ANES), and Uniform Crime Reports (UCR) to calculate the number of hate crimes against Hispanics .tiny[(Greenwald, McGhee, and Schwartz, 1998; American National Election Studies, 2021; Bureau of Justice Statistics, 2023a)]</h4> <h4>• County-level unemployment data using Current Population Survey (CPS) and Local Area Unemployment Statistics (LAUS) .tiny[(U.S. Bureau of Labor Statistics, 2025)]</h4> <h4>• County-level election results .tiny[(Amlani and Algara, 2021)]</h4> </div> --- name: suicides-by-age ## Suicides by age groups <img src="hadah-oct-22-2025_files/figure-html/plot-2-1.png" width="90%" style="display: block; margin: auto;" /> --- class: segue-yellow background-image: url("assets/TulaneLogo.svg") background-size: 20% background-position: 95% 95% name: empirical-strategy-sec # Empirical Strategy --- name: triple-diff-spec-intro ## Triple Difference-in-Differences (DDD) event study specification ### Outcome variable transformation - Suicide counts often zero or small integers at county level - Apply .brand-blue[**inverse hyperbolic sine (IHS)**] transformation: `\(IHS(y) = \ln(y + \sqrt{y^2 + 1})\)` - Key advantages: defined for zero values, approximates log for large values, coefficients interpretable as percentage changes .tiny[(Burbidge, Magee, and Robb, 1988; MacKinnon and Magee, 1990)] $$ `\begin{align*} \text{IHS}(y_{crst}) = \sum_{l = -K}^{L} \beta_l \mathbf{1}\{ t - E_c = l \} \times Hispanic_{r} + \theta_{cr} + \lambda_{rt} + \gamma_{ct} + \varepsilon_{crst} \end{align*}` $$ ### I use Borusyak, Jaravel, and Spiess (2024) to estimate a .brand-crawfest[**causal impact**] of .brand-blue[**SC**] on .brand-blue[**Hispanic**] suicide rates --- name: triple-diff-spec-one count: false ## Triple Difference-in-Differences (DDD) event study specification (cont.) $$ `\begin{align*} \color{red}{\text{IHS}(y_{crst})} = \sum_{l = -K}^{L} \beta_l \mathbf{1}\{ t - E_c = l \} \times Hispanic_{r} + \theta_{cr} + \lambda_{rt} + \gamma_{ct} + \varepsilon_{crst} \end{align*}` $$ - **Outcome**: `\(\color{red}{\text{IHS}(y_{crst})}\)` IHS transformation of suicide counts by race *r*, county *c*, time *t* --- name: triple-diff-spec-two count: false ## Triple Difference-in-Differences (DDD) event study specification (cont.) $$ `\begin{align*} \text{IHS}(y_{crst}) = \sum_{l = -K}^{L} \beta_l \color{green}{\mathbf{1}\{ t - E_c = l \}} \times \color{blue}{Hispanic_{r}} + \theta_{cr} + \lambda_{rt} + \gamma_{ct} + \varepsilon_{crst} \end{align*}` $$ - **Treatment interaction**: - `\(\color{green}{\mathbf{1}\{ t - E_c = l \}}\)` is an indicator variable equal to 1 when time `\(\textit{t}\)` is `\(\textit{l}\)` years away from the adoption of waiting years in county `\(\textit{c}\)` - `\(\color{blue}{\text{Hispanic indicator}}\)` (1 for Hispanic, 0 for White) --- name: triple-diff-spec-three count: false ## Triple Difference-in-Differences (DDD) event study specification (cont.) $$ `\begin{align*} \text{IHS}(y_{crst}) = \sum_{l = -K}^{L} \beta_l \mathbf{1}\{ t - E_c = l \} \times Hispanic_{r} + \color{green}{\theta_{cr}} + \color{orange}{\lambda_{rt}} + \color{purple}{\gamma_{ct}} + \varepsilon_{crst} \end{align*}` $$ ### Fixed effects control for: - **County-race** (`\(\color{green}{\theta_{cr}}\)`): Time-invariant differences between Hispanic and White rates within counties - **Race-year** (`\(\color{orange}{\lambda_{rt}}\)`): National trends affecting Hispanic and White populations differently - **County-year** (`\(\color{purple}{\gamma_{ct}}\)`): County-specific time-varying shocks affecting both groups equally --- name: triple-diff-spec-four count: false ## Triple Difference-in-Differences (DDD) event study specification (cont.) $$ `\begin{align*} \text{IHS}(y_{crst}) = \sum_{l = -K}^{L} \color{red}{\beta_l} \mathbf{1}\{ t - E_c = l \} \times Hispanic_{r} + \theta_{cr} + lambda_{rt} + \gamma_{ct} + \varepsilon_{crst} \end{align*}` $$ ### Coefficients of interest (`\(\color{red}{\beta_l}\)`): - For `\(l < 0\)`, `\(\color{red}{\beta_l}\)` captures the pre-treatment trends and parallel trends assumption - For `\(l \geq 0\)`, `\(\color{red}{\beta_l}\)` captures the differential effect of Secure Communities adoption on Hispanic suicide rates relative to Whites <div style="position: absolute; bottom: 60px; right: 20px;"> .small[[[Causal Identification Assumptions]](#causal-identification-assumptions)] </div> -- #### All regressions are weighted by county population and standard errors are clustered at the county level --- class: segue-yellow background-image: url("assets/TulaneLogo.svg") background-size: 20% background-position: 95% 95% name: results-sec # Results --- name: results-5to14-all ## I find significant .brand-olive[decreases] in suicide rates among .brand-medallion[**ages 5-14**] year old Hispanic children <img src="assets/figures/ddd_ddd_5to14_event.png" width="70%" style="display: block; margin: auto;" /> --- name: results-5to14-by-gender ## The .brand-olive[decreases] in suicide is more pronounced among .brand-medallion[**ages 5-14**] year old Hispanic boys .pull-left[ <img src="assets/figures/ddd_ddd_fem_5to14_event.png" width="100%" style="display: block; margin: auto;" /> .center[**Girls**] ] .pull-right[ <img src="assets/figures/ddd_ddd_male_5to14_event.png" width="100%" style="display: block; margin: auto;" /> .center[**Boys**] ] --- name: results-15to24-all ## I find a small .brand-olive[decreases] in suicide rates among .brand-medallion[**ages 15-24**] year old Hispanic youth <img src="assets/figures/ddd_ddd_15to24_event.png" width="70%" style="display: block; margin: auto;" /> --- name: results-15to24-by-gender ## I find that SC .brand-neutralgrounds[did not] affect the suicides among .brand-medallion[**ages 15-24**] year old youth except for the fifth year post SC for female youth .pull-left[ <img src="assets/figures/ddd_ddd_fem_15to24_event.png" width="100%" style="display: block; margin: auto;" /> .center[**Females**] ] .pull-right[ <img src="assets/figures/ddd_ddd_male_15to24_event.png" width="100%" style="display: block; margin: auto;" /> .center[**Males**] ] --- name: results-34plus-all ## I find a large and .brand-crawfest[significant increase] in suicide rates among .brand-medallion[**ages 34+**] Hispanics <img src="assets/figures/ddd_ddd_34plus_event.png" width="70%" style="display: block; margin: auto;" /> --- name: results-34plus-by-gender ## The large .brand-crawfest[increase] in suicide rates is driven by .brand-medallion[**34+ males**] .pull-left[ <img src="assets/figures/ddd_ddd_fem_34plus_event.png" width="100%" style="display: block; margin: auto;" /> .center[**Females**] ] .pull-right[ <img src="assets/figures/ddd_ddd_male_34plus_event.png" width="100%" style="display: block; margin: auto;" /> .center[**Males**] ] --- name: results-all-ages-all ## I find a .brand-crawfest[large and significant increase] in suicide rates among all Hispanics but parallel trends and non-anticipation likely do not hold <img src="assets/figures/ddd_ddd_all_event.png" width="65%" style="display: block; margin: auto;" /> <div style="position: absolute; bottom: 60px; right: 20px;"> .small[[[By gender]](#results-app-all-ages-bygender)] </div> --- class: segue-yellow background-image: url("assets/TulaneLogo.svg") background-size: 20% background-position: 95% 95% name: hetero-sec # Sanctuary City, Heterogeneity, and Mechanisms --- name: sanctuary-hetero-5to14 ## .brand-blue[**Sanctuary cities**] buffer the effects of .brand-blue[**Secure Communities**] on suicide rates among .brand-medallion[**ages 5-14**] Hispanic children <img src="assets/figures/5to14_event.png" width="70%" style="display: block; margin: auto;" /> <div style="position: absolute; bottom: 60px; right: 20px;"> .small[[[By gender]](#sanctuary-app-5to14-bygender)] </div> --- name: sanctuary-hetero-15to24 ## .brand-blue[**Sanctuary cities**] buffer the effects of .brand-blue[**Secure Communities**] on suicide rates among .brand-medallion[**ages 15-24**] Hispanic youth <img src="assets/figures/15to24_event.png" width="70%" style="display: block; margin: auto;" /> <div style="position: absolute; bottom: 60px; right: 20px;"> .small[[[By gender]](#sanctuary-app-15to24-bygender)] </div> --- name: sanctuary-hetero-34plus ## Suicide rate increase among .brand-crawfest[**ages 34+**] were higher in .brand-blue[**Sanctuary cities**] <img src="assets/figures/34plus_event.png" width="70%" style="display: block; margin: auto;" /> <div style="position: absolute; bottom: 60px; right: 20px; background: rgba(255,255,255,0.85); padding: 2px 8px; border-radius: 6px; z-index: 10;" class="small"> <a href="#sanctuary-app-34plus-bygender">[By gender</a> | <a href="#sanctuary-hetero-all">All ages]</a> </div> --- name: bias-hetero-main ## .brand-blue[**Anti-Hispanic bias**] does not seem to be driving the effects of .brand-blue[**Secure Communities**] on Hispanic suicide rates <img src="hadah-oct-22-2025_files/figure-html/bias-hetero-main-1.png" width="65%" style="display: block; margin: auto;" /> <div style="position: absolute; bottom: 60px; right: 20px;"> .small[[[By gender]](#bias-app-bygender)] </div> --- name: political-hetero-main ## .brand-blue[**Political affiliation**] moderates the effects of .brand-blue[**Secure Communities**] on Hispanic suicide rates <img src="hadah-oct-22-2025_files/figure-html/political-hetero-main-1.png" width="65%" style="display: block; margin: auto;" /> <div style="position: absolute; bottom: 60px; right: 20px;"> .small[[[By gender]](#political-app-bygender)] </div> --- name: unemployment-hetero-main ## .brand-blue[**Unemployment (CPS)**] moderates the effects of .brand-blue[**Secure Communities**] on .brand-blue[**Hispanic**] suicide rates <img src="hadah-oct-22-2025_files/figure-html/unemployment-hetero-main-1.png" width="70%" style="display: block; margin: auto;" /> <div style="position: absolute; bottom: 60px; right: 20px;"> .small[[[By gender]](#unemployment-app-bygender)] </div> --- name: unemployment-laus-hetero-main ## .brand-blue[**Unemployment (LAUS)**] moderates the effects of .brand-blue[**Secure Communities**] on .brand-blue[**Hispanic**] suicide rates <img src="hadah-oct-22-2025_files/figure-html/unemployment-laus-hetero-main-1.png" width="70%" style="display: block; margin: auto;" /> <div style="position: absolute; bottom: 60px; right: 20px;"> .small[[[By gender]](#unemployment-laus-app-bygender)] </div> --- name: density-hetero-main ## .brand-blue[**Population density**] moderates the effects of .brand-blue[**Secure Communities**] on .brand-blue[**Hispanic**] suicide rates <img src="hadah-oct-22-2025_files/figure-html/density-hetero-main-1.png" width="70%" style="display: block; margin: auto;" /> <div style="position: absolute; bottom: 60px; right: 20px;"> .small[[[By gender]](#density-app-bygender)] </div> --- name: mechanism-mental-health ## .brand-blue[**Mental health mechanism**]: Secure Communities does not significantly impact poor mental health days <img src="assets/figures/109-CS_group_effects.png" width="70%" style="display: block; margin: auto;" /> --- name: conclusion-slide ## .brand-blue[**Secure Communities**] has heterogeneous effects on Hispanic suicide rates across age groups - **.brand-mardigras[Hispanic children (5-14)]**: .brand-mardigras[**35-100% decrease**] vs. **.brand-crawfest[Hispanic adults (34+)]**: .brand-crawfest[**18-60% increase**] in suicide rates relative to Whites - **.brand-blue[Sanctuary cities]** provide protective effects among the younger age groups by limiting local cooperation with federal enforcement - **.brand-olive[Low unemployment]** serves as a key mechanism moderating the effects of immigration enforcement on Hispanic suicide rates - Effects vary significantly by **.blue[political affiliation]**: Democratic counties show larger increases in adult suicide rates - Next step: test for the magnitude of deportation as a mechanism (waiting for a funding source to purchase the data) --- class: tulane-blue background-image: url(assets/TulaneLogo-white.svg) background-size: 260px background-position: 5% 95% # Thank you! .pull-left[ ] .pull-right[.pull-down[ <a href="mailto:hhadah@tulane.edu"> .white[<svg viewBox="0 0 512 512" style="height:1em;position:relative;display:inline-block;top:.1em;" xmlns="http://www.w3.org/2000/svg"> <path d="M440 6.5L24 246.4c-34.4 19.9-31.1 70.8 5.7 85.9L144 379.6V464c0 46.4 59.2 65.5 86.6 28.6l43.8-59.1 111.9 46.2c5.9 2.4 12.1 3.6 18.3 3.6 8.2 0 16.3-2.1 23.6-6.2 12.8-7.2 21.6-20 23.9-34.5l59.4-387.2c6.1-40.1-36.9-68.8-71.5-48.9zM192 464v-64.6l36.6 15.1L192 464zm212.6-28.7l-153.8-63.5L391 169.5c10.7-15.5-9.5-33.5-23.7-21.2L155.8 332.6 48 288 464 48l-59.4 387.3z"></path></svg> hhadah@tulane.edu] </a> <a href="https://hussainhadah.com/"> .white[<svg viewBox="0 0 512 512" style="height:1em;position:relative;display:inline-block;top:.1em;" xmlns="http://www.w3.org/2000/svg"> <path d="M326.612 185.391c59.747 59.809 58.927 155.698.36 214.59-.11.12-.24.25-.36.37l-67.2 67.2c-59.27 59.27-155.699 59.262-214.96 0-59.27-59.26-59.27-155.7 0-214.96l37.106-37.106c9.84-9.84 26.786-3.3 27.294 10.606.648 17.722 3.826 35.527 9.69 52.721 1.986 5.822.567 12.262-3.783 16.612l-13.087 13.087c-28.026 28.026-28.905 73.66-1.155 101.96 28.024 28.579 74.086 28.749 102.325.51l67.2-67.19c28.191-28.191 28.073-73.757 0-101.83-3.701-3.694-7.429-6.564-10.341-8.569a16.037 16.037 0 0 1-6.947-12.606c-.396-10.567 3.348-21.456 11.698-29.806l21.054-21.055c5.521-5.521 14.182-6.199 20.584-1.731a152.482 152.482 0 0 1 20.522 17.197zM467.547 44.449c-59.261-59.262-155.69-59.27-214.96 0l-67.2 67.2c-.12.12-.25.25-.36.37-58.566 58.892-59.387 154.781.36 214.59a152.454 152.454 0 0 0 20.521 17.196c6.402 4.468 15.064 3.789 20.584-1.731l21.054-21.055c8.35-8.35 12.094-19.239 11.698-29.806a16.037 16.037 0 0 0-6.947-12.606c-2.912-2.005-6.64-4.875-10.341-8.569-28.073-28.073-28.191-73.639 0-101.83l67.2-67.19c28.239-28.239 74.3-28.069 102.325.51 27.75 28.3 26.872 73.934-1.155 101.96l-13.087 13.087c-4.35 4.35-5.769 10.79-3.783 16.612 5.864 17.194 9.042 34.999 9.69 52.721.509 13.906 17.454 20.446 27.294 10.606l37.106-37.106c59.271-59.259 59.271-155.699.001-214.959z"></path></svg> https://hussainhadah.com/] </a> <a href="https://github.com/hhadah"> .white[<svg viewBox="0 0 496 512" style="height:1em;position:relative;display:inline-block;top:.1em;" xmlns="http://www.w3.org/2000/svg"> <path d="M165.9 397.4c0 2-2.3 3.6-5.2 3.6-3.3.3-5.6-1.3-5.6-3.6 0-2 2.3-3.6 5.2-3.6 3-.3 5.6 1.3 5.6 3.6zm-31.1-4.5c-.7 2 1.3 4.3 4.3 4.9 2.6 1 5.6 0 6.2-2s-1.3-4.3-4.3-5.2c-2.6-.7-5.5.3-6.2 2.3zm44.2-1.7c-2.9.7-4.9 2.6-4.6 4.9.3 2 2.9 3.3 5.9 2.6 2.9-.7 4.9-2.6 4.6-4.6-.3-1.9-3-3.2-5.9-2.9zM244.8 8C106.1 8 0 113.3 0 252c0 110.9 69.8 205.8 169.5 239.2 12.8 2.3 17.3-5.6 17.3-12.1 0-6.2-.3-40.4-.3-61.4 0 0-70 15-84.7-29.8 0 0-11.4-29.1-27.8-36.6 0 0-22.9-15.7 1.6-15.4 0 0 24.9 2 38.6 25.8 21.9 38.6 58.6 27.5 72.9 20.9 2.3-16 8.8-27.1 16-33.7-55.9-6.2-112.3-14.3-112.3-110.5 0-27.5 7.6-41.3 23.6-58.9-2.6-6.5-11.1-33.3 2.6-67.9 20.9-6.5 69 27 69 27 20-5.6 41.5-8.5 62.8-8.5s42.8 2.9 62.8 8.5c0 0 48.1-33.6 69-27 13.7 34.7 5.2 61.4 2.6 67.9 16 17.7 25.8 31.5 25.8 58.9 0 96.5-58.9 104.2-114.8 110.5 9.2 7.9 17 22.9 17 46.4 0 33.7-.3 75.4-.3 83.6 0 6.5 4.6 14.4 17.3 12.1C428.2 457.8 496 362.9 496 252 496 113.3 383.5 8 244.8 8zM97.2 352.9c-1.3 1-1 3.3.7 5.2 1.6 1.6 3.9 2.3 5.2 1 1.3-1 1-3.3-.7-5.2-1.6-1.6-3.9-2.3-5.2-1zm-10.8-8.1c-.7 1.3.3 2.9 2.3 3.9 1.6 1 3.6.7 4.3-.7.7-1.3-.3-2.9-2.3-3.9-2-.6-3.6-.3-4.3.7zm32.4 35.6c-1.6 1.3-1 4.3 1.3 6.2 2.3 2.3 5.2 2.6 6.5 1 1.3-1.3.7-4.3-1.3-6.2-2.2-2.3-5.2-2.6-6.5-1zm-11.4-14.7c-1.6 1-1.6 3.6 0 5.9 1.6 2.3 4.3 3.3 5.6 2.3 1.6-1.3 1.6-3.9 0-6.2-1.4-2.3-4-3.3-5.6-2z"></path></svg> @hhadah] </a> <br><br><br> ]] --- class: segue-yellow background-image: url("assets/TulaneLogo.svg") background-size: 20% background-position: 95% 95% count:false # Appendix --- count:false name: causal-identification-assumptions ## Key Causal Identification Assumptions ### 1. Stable Unit Treatment Value Assumption (SUTVA) - No spillovers between counties - Treatment of one county does not affect outcomes in other counties ### 2. Parallel Trends Assumption - Absent SC implementation, Hispanic and White suicide rates would have followed parallel differential trends across counties - Testable: If coefficients `\(\beta_l\)` for `\(l < 0\)` are statistically insignificant, the assumption holds ### 3. Limited Anticipation Assumption - Hispanic youth do not alter behavior affecting suicide risk prior to SC's actual implementation - Testable: If coefficient `\(\beta_{-1}\)` is statistically insignificant, the assumption holds .small[[[Back]](#triple-diff-spec-four)] --- count:false name: causal-identification-assumptions-two ## Testing Parallel Trends Assumption using Borusyak, Jaravel, and Spiess (2024) `$$Y_{it} = \alpha_i + \beta_t + X_{it}'\delta + \sum_{h=1}^{K} \gamma_h \cdot \mathbb{1}\{K_{it} = -h\} + \varepsilon_{it}$$` .pull-left[ ### Sample Construction - Uses **only untreated observations** - All unit-time pairs where treatment has not yet occurred - All observations from never-treated units - `\(K_{it} = t - E_i\)` measures periods relative to treatment date ] .pull-right[ ### Testing Pre-Trends - Indicators capture pre-treatment outcome differences - Testing `\(H_0: \gamma_1 = \cdots = \gamma_K = 0\)` assesses parallel trends - Significant pre-treatment coefficients would indicate violations .small[[[Back]](#triple-diff-spec-four)]] --- count:false name: causal-identification-assumptions-three ## Advantages of This Approach .pull-left[ ### Methodological Strengths - Direct test of parallel trends validity - No restrictions on treatment-effect heterogeneity - More efficient test than placebo-based strategies ] .pull-right[ ### Statistical Improvements - Maintains valid inference without conditioning on passing pre-test - Avoids inflated variances and overly conservative inference - Provides rigorous diagnostic of potential violations .small[[[Back]](#triple-diff-spec-four)] ] --- name: results-app-all-ages-bygender count: false ## SC does not affect the suicide rates among all Hispanic females and increases the rates among all Hispanic males but the parallel trends likely does not hold .pull-left[ <img src="assets/figures/ddd_ddd_fem_all_event.png" width="100%" style="display: block; margin: auto;" /> .center[**Females**] ] .pull-right[ <img src="assets/figures/ddd_ddd_male_all_event.png" width="100%" style="display: block; margin: auto;" /> .center[**Males**] ] .right[.small[[[Back]](#results-all-ages-all)]] --- name: sanctuary-app-5to14-bygender count: false ## .brand-blue[**Sanctuary cities**] buffer the effects of .brand-blue[**Secure Communities**] on suicide rates among .brand-mardigras[**ages 5-14**] .brand-blue[**Hispanic children**] by gender .pull-left[ <img src="assets/figures/fem_5to14_event.png" width="100%" style="display: block; margin: auto;" /> .center[**Females**] ] .pull-right[ <img src="assets/figures/male_5to14_event.png" width="100%" style="display: block; margin: auto;" /> .center[**Males**] ] .right[.small[[[Back]](#sanctuary-hetero-5to14)]] --- name: sanctuary-app-15to24-bygender count: false ## .brand-blue[**Sanctuary cities**] buffer the effects of .brand-blue[**Secure Communities**] on suicide rates among .brand-medallion[**ages 15-24**] .brand-blue[**Hispanic youth**] by gender .pull-left[ <img src="assets/figures/fem_15to24_event.png" width="100%" style="display: block; margin: auto;" /> .center[**Females**] ] .pull-right[ <img src="assets/figures/male_15to24_event.png" width="100%" style="display: block; margin: auto;" /> .center[**Males**] ] .right[.small[[[Back]](#sanctuary-hetero-15to24)]] --- count:false name: sanctuary-hetero-all ## .brand-blue[**Sanctuary cities**] buffer the effects of .brand-blue[**Secure Communities**] on suicide rates among all .brand-blue[**Hispanics**] <img src="assets/figures/all_event.png" width="70%" style="display: block; margin: auto;" /> <div style="position: absolute; bottom: 60px; right: 20px; background: rgba(255,255,255,0.85); padding: 2px 8px; border-radius: 6px; z-index: 10;" class="small"> <a href="#sanctuary-app-34plus-bygender">[By gender</a> | <a href="#sanctuary-hetero-34plus">Back]</a> </div> --- name: sanctuary-app-34plus-bygender count: false ## .brand-blue[**Sanctuary cities**] buffer the effects of .brand-blue[**Secure Communities**] on suicide rates among .brand-crawfest[**ages 34+**] .brand-blue[**Hispanic adults**] by gender .pull-left[ <img src="assets/figures/fem_34plus_event.png" width="100%" style="display: block; margin: auto;" /> .center[**Females**] ] .pull-right[ <img src="assets/figures/male_34plus_event.png" width="100%" style="display: block; margin: auto;" /> .center[**Males**] ] .right[.small[[[Back]](#sanctuary-hetero-34plus)]] --- name: sanctuary-app-all-bygender count: false ## .brand-blue[**Sanctuary cities**] buffer the effects of .brand-blue[**Secure Communities**] on suicide rates among all .brand-blue[**Hispanics**] by gender .pull-left[ <img src="assets/figures/fem_all_event.png" width="100%" style="display: block; margin: auto;" /> .center[**Females**] ] .pull-right[ <img src="assets/figures/male_all_event.png" width="100%" style="display: block; margin: auto;" /> .center[**Males**] ] .right[.small[[[Back]](#sanctuary-hetero-all)]] --- name: bias-app-bygender count: false ## .brand-blue[**Anti-Hispanic bias**] does not seem to be driving the effects of .brand-blue[**Secure Communities**] on Hispanic suicide rates: Female Analysis <img src="hadah-oct-22-2025_files/figure-html/bias-females-1.png" width="65%" style="display: block; margin: auto;" /> .right[.small[[[Back]](#bias-hetero-main)]] --- name: bias-app-males count: false ## .brand-blue[**Anti-Hispanic bias**] does not seem to be driving the effects of .brand-blue[**Secure Communities**] on .brand-blue[**Hispanic**] suicide rates: Male Analysis <img src="hadah-oct-22-2025_files/figure-html/bias-males-1.png" width="65%" style="display: block; margin: auto;" /> .right[.small[[[Back]](#bias-hetero-main)]] --- name: political-app-bygender count: false ## .brand-blue[**Political affiliation**] moderates the effects of .brand-blue[**Secure Communities**] on .brand-blue[**Hispanic**] suicide rates: Female Analysis <img src="hadah-oct-22-2025_files/figure-html/political-females-1.png" width="70%" style="display: block; margin: auto;" /> <div style="position: absolute; bottom: 60px; right: 20px;"> .small[[[Back]](#political-hetero-main)] </div> --- name: political-app-males count: false ## .brand-blue[**Political affiliation**] moderates the effects of .brand-blue[**Secure Communities**] on .brand-blue[**Hispanic**] suicide rates: Male Analysis <img src="hadah-oct-22-2025_files/figure-html/political-males-1.png" width="70%" style="display: block; margin: auto;" /> <div style="position: absolute; bottom: 60px; right: 20px;"> .small[[[Back]](#political-hetero-main)] </div> --- name: unemployment-app-all-gender count: false ## .brand-blue[**Unemployment rates**] moderate the effects: All Ages and Gender-Specific Analysis <img src="hadah-oct-22-2025_files/figure-html/unemployment-all-gender-1.png" width="70%" style="display: block; margin: auto;" /> <div style="position: absolute; bottom: 60px; right: 20px;"> .small[[[Back]](#unemployment-hetero-main)] </div> --- name: unemployment-app-age-gender count: false ## .brand-blue[**Unemployment rates**] moderate the effects: Gender-Specific Analysis by Age Group <img src="hadah-oct-22-2025_files/figure-html/unemployment-age-gender-1.png" width="70%" style="display: block; margin: auto;" /> <div style="position: absolute; bottom: 60px; right: 20px;"> .small[[[Back]](#unemployment-hetero-main)] </div> --- name: unemployment-laus-app-all-gender count: false ## .brand-blue[**Unemployment rates (LAUS)**] moderate the effects: All Ages and Gender-Specific Analysis <img src="hadah-oct-22-2025_files/figure-html/unemployment-laus-all-gender-1.png" width="70%" style="display: block; margin: auto;" /> <div style="position: absolute; bottom: 60px; right: 20px;"> .small[[[Back]](#unemployment-laus-hetero-main)] </div> --- name: unemployment-laus-app-age-gender count: false ## .brand-blue[**Unemployment rates (LAUS)**] moderate the effects: Gender-Specific Analysis by Age Group <img src="hadah-oct-22-2025_files/figure-html/unemployment-laus-age-gender-1.png" width="70%" style="display: block; margin: auto;" /> <div style="position: absolute; bottom: 60px; right: 20px;"> .small[[[Back]](#unemployment-laus-hetero-main)] </div> --- name: density-app-all-gender count: false ## .brand-blue[**Population density**] moderates the effects: All Ages and Gender-Specific Analysis <img src="hadah-oct-22-2025_files/figure-html/density-all-gender-1.png" width="70%" style="display: block; margin: auto;" /> <div style="position: absolute; bottom: 60px; right: 20px;"> .small[[[Back]](#density-hetero-main)] </div> --- name: density-app-age-gender count: false ## .brand-blue[**Population density**] moderates the effects: Gender-Specific Analysis by Age Group <img src="hadah-oct-22-2025_files/figure-html/density-age-gender-1.png" width="70%" style="display: block; margin: auto;" /> <div style="position: absolute; bottom: 60px; right: 20px;"> .small[[[Back]](#density-hetero-main)] </div>