Such a construct is useful when you want to make a closure - a construct helps create a private "room" for variables inaccessible from outside. See more in this chapter of "JavaScript: the good parts" book:
http://books.google.com/books?id=PXa2bby0oQ0C&pg=PA37&lpg=PA37&dq=crockford+closure+called+immediately&source=bl&ots=HIlku8x4jL&sig=-T-T0jTmf7_p_6twzaCq5_5aj3A&hl=lv&ei=lSa5TaXeDMyRswa874nrAw&sa=X&oi=book_result&ct=result&resnum=1&ved=0CBUQ6AEwAA#v=onepage&q&f=false
In the example shown on top of page 38, you see that the variable "status" is hidden within a closure and cannot be accessed anyway else than calling the get_status() method.
