Crombie I K
Department of Community Medicine, Dundee University Medical School, Ninewells Hospital, UK.
Int J Epidemiol. 1990 Jun;19(2):412-6. doi: 10.1093/ije/19.2.412.
Data were collected on unemployment and suicide rates in 16 developed countries for 1973 and 1983 (suicide rates were three-year averages). Unemployment rates rose appreciably in men and women in all countries. Among men suicide rates rose in 14 of the countries whereas among women they did so in only seven. A mathematical model was developed to investigate, for those countries with increased suicide rates, how much of the increase could be contributed by an increase in the numbers unemployed. It was found that the proportion of the increase that could be 'explained' varied considerably between countries. In general the amount of the increase explained was small, and often a considerable increase in the suicide rates among those employed would be required to account for the observed increase in the suicide in the whole population. It is concluded that unemployment shows an inconsistent relationship with suicide. Further, if a relationship does exist in some countries the effect may be as much a generalized one on the whole population as a specific effect on the unemployed. Finally the possible effects of unemployment on suicide differ appreciably between men and women.
收集了1973年和1983年16个发达国家的失业率和自杀率数据(自杀率为三年平均值)。所有国家的男性和女性失业率均显著上升。在这些国家中,14个国家的男性自杀率上升,而女性自杀率仅在7个国家上升。建立了一个数学模型,针对自杀率上升的国家,研究失业人数增加在多大程度上导致了自杀率上升。结果发现,各国中可“解释”的自杀率上升比例差异很大。总体而言,可解释的自杀率上升幅度较小,而且往往需要就业人群的自杀率有相当大的上升,才能解释整个人口中观察到的自杀率上升。研究得出结论,失业与自杀之间的关系并不一致。此外,如果某些国家确实存在这种关系,其影响可能对整个人口具有普遍性,而不仅仅是对失业者的特定影响。最后,失业对自杀的可能影响在男性和女性之间存在明显差异。