Suicide mortality follow-up of the Swiss National Cohort (1990–2014): sex-specific risk estimates by occupational socio-economic group in working-age population

Canu, Irina Guseva; Bovio, Nicolas; Médiouni, Zakia; Bochud, Murielle; Wild, P.

doi:10.1007/s00127-019-01728-4

Cited by 24 publications

(40 citation statements)

References 40 publications

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“…An impact of occupational factors even when adjusted for factors at other levels is a particularly interesting finding for understanding suicide in the working‐age population. Studies usually focused on one or two particular levels (e.g., socioeconomic (Alicandro et al, 2019; Basta et al, 2018; Borrell et al, 2020; Bossard et al, 2016; Chan et al, 2014; Hagedoorn et al, 2020; Harper et al, 2015; Hiyoshi et al, 2018; Milner, Niven, et al, 2015; Vanderoost et al, 2013), social‐behavioral (Deckert et al, 2015; Gearing & Alonzo, 2018; Gil‐Lacruz et al, 2019; Stack & Laubepin, 2019; Torgler & Schaltegger, 2014; Tsai et al, 2014) or occupational level (Alexopoulos et al, 2016; Bossard et al, 2016; Cohidon et al, 2010; Encrenaz et al, 2016; Guseva Canu et al, 2019; Hawton et al, 2011; Klingelschmidt et al, 2020; McIntosh et al, 2016; Milner et al, 2014; Milner, Smith, et al, 2015; Milner et al, 2013; Mustard et al, 2010; Ringgenberg et al, 2018; Roberts et al, 2013; Stark et al, 2006; Tanaka et al, 2017; Wada et al, 2016)) and might have over‐ or underestimated their respective contributions.…”

Section: Discussionmentioning

confidence: 99%

“…As the skill‐level (Milner et al, 2013), SIOPS is constructed based on the ISCO (Ganzeboom & Treiman, 1996). This probably explains why these both indexes add no information when a more detailed occupation variable is available (Guseva Canu et al, 2019; Wild et al, 2021). In our analysis, occupation coded using 2‐digit ISCO was a highly significant explanoraty variable.…”

Section: Discussionmentioning

confidence: 99%

“…Agricultural , fishery , and related laborers compared with office clerks had the highest suicide mortality. In our previous study, a three‐digit coded occupation was compared to the suicide mortality of general Swiss population and all occupations in agricultural and fishery activity were significantly at risk of suicide (Guseva Canu et al, 2019). Farmers are generally considered as at‐risk occupational group (Alexopoulos et al, 2016; Beautrais, 2018; Bossard et al, 2016; Cohidon et al, 2010; Klingelschmidt et al, 2018, 2020; Lee et al, 2016; McIntosh et al, 2016; Ringgenberg et al, 2018; Stark et al, 2006; Wada et al, 2016).…”

Section: Discussionmentioning

confidence: 99%

“…The studies on the latter allowed distinguishing detrimental effects of periods of economic crisis (Milner et al, 2015; Yoon et al, 2019) and geopolitical or military conflicts (Griffith, 2012) or the protective effect of a preventive intervention (Reisch et al, 2013). Furthermore, religion (Gearing & Alonzo, 2018) and employment are considered protective against suicide at societal and occupational levels (Alexopoulos et al, 2016; McIntosh et al, 2016; Milner, Niven, et al, 2015; Wada et al, 2016), respectively, though the strength of their protection varies depending on religious affiliation and occupation; some occupations being at a higher risk of suicide (Guseva Canu et al, 2019). Such a multifactorial nature of suicide is difficult to consider in observational and interventional studies, generally focused only on some of these factors.…”

Section: Introductionmentioning

confidence: 99%

“…The records of the 1990 and 2000 Swiss censuses, encompassing compulsory self‐reported individual data on sex, age, accommodation, marital status, education, occupation, religious affiliation, and other factors, were linked to mortality, life birth and emigration records until 2014, using a combination of deterministic and probabilistic methods (Spoerri et al, 2010). With respect to suicide, the SNC has already analyzed predictors of homicide–suicide in Swiss households (Panczak et al, 2013), the role of religious affiliation (Spoerri et al, 2010), suicide methods and time trends in assisted and in unassisted suicides (Steck et al, 2015), the trends and predictors of suicides in Swiss adolescents (Steck et al, 2018), HIV‐infected individuals (Keiser et al, 2010), and male farmers (Steck et al, 2020), and demonstrated gender‐specific patterns of suicide mortality, with respect to occupation (Guseva Canu et al, 2019) and prevalence of comorbidities (Schmid et al, 2020). However, no attempt was made to consider all available predictors jointly.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Identification of socio‐demographic, occupational, and societal factors for guiding suicide prevention: A cohort study of Swiss male workers (2000–2014)

Canu

Bovio

Wild

et al. 2021

Suicide & Life Threat Behav

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Introduction We modeled suicidal rate among Swiss working‐age males, considering three groups of factors at socio‐demographic, occupational, and societal levels jointly. Our goal was twofold: to verify the effect of occupation after adjustment for non‐occupational factors and to identify protective and risk factors relevant for suicide prevention in working male adults. Methods The study population included all men aged [18–65] years at the 2000 population census and followed up within the Swiss National Cohort (SNC). The risk of suicide was modeled using Poisson regression. Results The cohort comprised 1,534,564 men and 4371 deaths by suicide. Suicide rate varied significantly according to age, civil status, nationality, highest education achieved, and socio‐professional category at socio‐demographic level; occupation, occupational activity branch, weekly working hours, and home‐to‐work commute time at occupational level; calendar period of death, region, religious affiliation, and volunteering activity at societal level. After adjustment for non‐occupational factors, agricultural and fishery laborers, military and civil security workers, and health and social workers were identified as high‐risk groups with respect to suicide. Conclusion This study evidenced a complex web of factors at socio‐demographic, occupational, and societal levels behind the suicide in Swiss male workers and identified the most at‐risk groups, deserving targeted prevention efforts.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Identification of socio‐demographic, occupational, and societal factors for guiding suicide prevention: A cohort study of Swiss male workers (2000–2014)

Canu

Bovio

Wild

et al. 2021

Suicide & Life Threat Behav

Self Cite

View full text Add to dashboard Cite

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Work and suicide: An interdisciplinary systematic literature review

et al. 2021

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Although organizational scholars have long been interested in employees' wellbeing and occupational health, less work has focused specifically on suicide behaviors among employees. This dearth of research is concerning given that individuals spend a significant portion of their waking hours at work, and suicide deaths among American workers are on the rise. To encourage the study of work and suicide with the intent of ultimately reducing mortality, we first provide a theoretical framework that incorporates two eminent theories of suicide: interpersonalpsychological theory of suicide and psychache theory of suicide. We then report the findings of an interdisciplinary systematic literature review that offers an overview of current research related to work and suicide, including antecedent, mediating, and moderating effects. The results of our systematic literature review are presented via the lens of our theoretical framework, supporting that it is an appropriate perspective to understand the relation of work and suicide. Finally, we conclude by identifying avenues for continued research on the interplay between work and suicide, again incorporating these research directions into our theoretical framework. Together, our manuscript integrates multiple domains of research, while addressing a timely and critical public health crisis that stems, in part, from employees' workplace experiences.

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Risk of suicide and self-harm in university students entering different university programs – a national register-based cohort study in Sweden

Lageborn

Bjureberg

Song

et al. 2023

Soc Psychiatry Psychiatr Epidemiol

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Purpose It is not known whether the elevated suicide risk in certain occupations, such as health care professionals, is partly attributable to a selection of individuals with prior vulnerability. We aimed to determine the risk of suicide and self-harm already in students entering different university programs. Methods We used national registers to identify 621,218 Swedish residents aged 18–39 years with registration for a university program 1993–2013. Outcomes were suicide and self-harm within three years. We applied logistic regression analyses to calculate odds ratios (OR) and 95% confidence intervals (CI) of risk of suicide and self-harm, with the Education program category as a reference. Results were adjusted for sex, age, time period and for history of hospitalization due to mental disorder or self-harm, as a measure of previous vulnerability. In the second step, we stratified results by sex. Results There was a higher risk of suicide (OR 2.4) in female nursing students and natural science students (OR 4.2) and of self-harm in female and male Nursing/Health care students (OR range 1.2 –1.7). Subcategorization into nursing students only strengthened the association with self-harm for both sexes. Prior vulnerability did not fully explain the increased risk. Conclusion The elevated risk of suicide in nursing and health care occupations partly has its onset in vulnerability factors present before or emerging during university studies. Increased efforts in identifying and treating mental disorders and preventing self-harm in university students could be an important step in preventing future suicides.

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Suicide mortality follow-up of the Swiss National Cohort (1990–2014): sex-specific risk estimates by occupational socio-economic group in working-age population

Cited by 24 publications

References 40 publications

Identification of socio‐demographic, occupational, and societal factors for guiding suicide prevention: A cohort study of Swiss male workers (2000–2014)

Identification of socio‐demographic, occupational, and societal factors for guiding suicide prevention: A cohort study of Swiss male workers (2000–2014)

Work and suicide: An interdisciplinary systematic literature review

Risk of suicide and self-harm in university students entering different university programs – a national register-based cohort study in Sweden

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