Crombie I K
Department of Community Medicine, University of Dundee Medical School, Ninewells Hospital.
BMJ. 1989 Mar 25;298(6676):782-4. doi: 10.1136/bmj.298.6676.782.
To establish whether a correlation exists between unemployment and suicide the trends in the rates of both among men in Scotland during 1976-86 were studied. Both rates showed rapid increases in the late 1970s and then much slower increases after 1982. In contrast, among women, although the rate of unemployment followed a similar pattern, there was a gradual fall in the rate of suicide. The trends in regional unemployment for men during 1971-81 were compared with the suicide rates for the period before the increase (1974-7) and the period after the rapid increase (1983-6). No association was observed between trends in suicide and unemployment when analysed by health board areas or aggregates of local government districts. These data do not support the hypothesis that the rise in unemployment is a direct cause of the rise in suicide rates among men.
为确定失业与自杀之间是否存在关联，对1976 - 1986年间苏格兰男性的失业率和自杀率趋势进行了研究。两种比率在20世纪70年代末都迅速上升，然后在1982年之后上升速度慢得多。相比之下，在女性中，尽管失业率遵循类似模式，但自杀率却逐渐下降。将1971 - 1981年间男性的地区失业率趋势与快速上升之前（1974 - 1977年）和快速上升之后（1983 - 1986年）的自杀率进行了比较。按卫生委员会区域或地方政府区汇总分析时，未观察到自杀趋势与失业之间存在关联。这些数据不支持失业上升是男性自杀率上升直接原因这一假设。
