Suicide Rates by Occupational Group — 17 States, 2012

McIntosh, Wendy LiKamWa; Spies, Erica; Stone, Deborah M.; Lokey, Colby; Trudeau, Aimée-Rika T.; Bartholow, Brad

doi:10.15585/mmwr.mm6525a1

Cited by 96 publications

(70 citation statements)

References 4 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Although farming, fishing, and forestry employees reported the lowest adjusted prevalences of every adverse HRQOL measure, another study that was not limited by self-reporting bias found that farming, fishing, and forestry employees had the highest rate of suicide among occupation groups. 33 Comparison of this study with that one suggests that farming, fishing, and forestry workers are reluctant to report poor HRQOL or that economic stress or workplace isolation may increase their suicide rates.…”

Section: Discussionmentioning

confidence: 74%

Health-Related Quality of Life Among US Workers: Variability Across Occupation Groups

2017

View full text Add to dashboard Cite

Objectives To examine the health-related quality of life among workers in 22 standard occupation groups using data from the 2013–2014 US Behavioral Risk Factor Surveillance System. Methods We examined the health-related quality of life measures of self-rated health, frequent physical distress, frequent mental distress, frequent activity limitation, and frequent overall unhealthy days by occupation group for 155 839 currently employed adults among 17 states. We performed multiple logistic regression analyses that accounted for the Behavioral Risk Factor Surveillance System’s complex survey design to obtain prevalence estimates adjusted for potential confounders. Results Among all occupation groups, the arts, design, entertainment, sports, and media occupation group reported the highest adjusted prevalence of frequent physical distress, frequent mental distress, frequent activity limitation, and frequent overall unhealthy days. The personal care and service occupation group had the highest adjusted prevalence for fair or poor self-rated health. Conclusions Workers’ jobs affect their health-related quality of life.

show abstract

Section: Discussionmentioning

confidence: 74%

Health-Related Quality of Life Among US Workers: Variability Across Occupation Groups

2017

View full text Add to dashboard Cite

show abstract

“…Recent studies demonstrated the rate of suicide was highest among persons working in the farming, fishing, and forestry group (84.5/100,000), while the lowest rate was found in the education, training, and library occupational group (7.5/100,000) 64,65. While tick-borne disease exposure could be a contributor to those working in farming and forestry, it might not explain the high rate in fisherman 66.…”

Section: Introductionmentioning

confidence: 99%

Suicide and Lyme and associated diseases

Bransfield¹

2017

NDT

View full text Add to dashboard Cite

PurposeThe aim of this paper is to investigate the association between suicide and Lyme and associated diseases (LAD). No journal article has previously performed a comprehensive assessment of this subject.IntroductionMultiple case reports and other references demonstrate a causal association between suicidal risk and LAD. Suicide risk is greater in outdoor workers and veterans, both with greater LAD exposure. Multiple studies demonstrate many infections and the associated proinflammatory cytokines, inflammatory-mediated metabolic changes, and quinolinic acid and glutamate changes alter neural circuits which increase suicidality. A similar pathophysiology occurs in LAD.MethodA retrospective chart review and epidemiological calculations were performed.ResultsLAD contributed to suicidality, and sometimes homicidality, in individuals who were not suicidal before infection. A higher level of risk to self and others is associated with multiple symptoms developing after acquiring LAD, in particular, explosive anger, intrusive images, sudden mood swings, paranoia, dissociative episodes, hallucinations, disinhibition, panic disorder, rapid cycling bipolar, depersonalization, social anxiety disorder, substance abuse, hypervigilance, generalized anxiety disorder, genital–urinary symptoms, chronic pain, anhedonia, depression, low frustration tolerance, and posttraumatic stress disorder. Negative attitudes about LAD from family, friends, doctors, and the health care system may also contribute to suicide risk. By indirect calculations, it is estimated there are possibly over 1,200 LAD suicides in the US per year.ConclusionSuicidality seen in LAD contributes to causing a significant number of previously unexplained suicides and is associated with immune-mediated and metabolic changes resulting in psychiatric and other symptoms which are possibly intensified by negative attitudes about LAD from others. Some LAD suicides are associated with being overwhelmed by multiple debilitating symptoms, and others are impulsive, bizarre, and unpredictable. Greater understanding and a direct method of acquiring LAD suicide statistics is needed. It is suggested that medical examiners, the Centers for Disease Control and Prevention, and other epidemiological organizations proactively evaluate the association between LAD and suicide.

show abstract

“…1 Finally, a study of women firefighters found rates of career suicidal ideation and attempts to be 37.7% and 3.5%, respectively [5]. Converging research has highlighted that protective service workers, a category inclusive of firefighters, evince relatively higher rates of death by suicide [6,7], underscoring the need to understand factors that may amplify suicide risk among firefighters in order to inform prevention and intervention efforts.…”

Section: Introductionmentioning

confidence: 99%