Aaron Reeves, PhD, Department of Sociology, University of Oxford, Oxford; Martin McKee, DSc, MSc, Department of Public Health and Policy, London School of Hygiene & Tropical Medicine, London; David Stuckler, MPH, PhD, Hon MFPH, Department of Sociology, University of Oxford, Oxford and Department of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
Br J Psychiatry. 2014 Sep;205(3):246-7. doi: 10.1192/bjp.bp.114.144766. Epub 2014 Jun 12.
There has been a substantial rise in 'economic suicides' in the Great Recessions afflicting Europe and North America. We estimate that the Great Recession is associated with at least 10 000 additional economic suicides between 2008 and 2010. A critical question for policy and psychiatric practice is whether these suicide rises are inevitable. Marked cross-national variations in suicides in the recession offer one clue that they are potentially avoidable. Job loss, debt and foreclosure increase risks of suicidal thinking. A range of interventions, from upstream return-to-work programmes through to antidepressant prescriptions may help mitigate suicide risk during economic downturn.
大衰退重创欧洲和北美地区，“经济自杀”现象大幅增加。我们估计，2008 年至 2010 年期间，大衰退至少导致 1 万例新增经济自杀事件。政策和精神科实践面临的一个关键问题是，这些自杀率上升是否不可避免。经济衰退期间各国自杀率的显著差异表明，这种情况可能是可以避免的。失业、债务和丧失抵押品赎回权增加了自杀念头的风险。从上游重返工作岗位方案到开具抗抑郁药处方等一系列干预措施可能有助于减轻经济低迷时期的自杀风险。
