Milner Allison, Maheen Humaira, Currier Dianne, LaMontagne Anthony D
Centre for Health Equity, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Australia.
Deakin Population Health Strategic Research Centre, School of Health & Social Development, Deakin University, Geelong, Australia.
BMC Public Health. 2017 Jun 19;17(1):584. doi: 10.1186/s12889-017-4500-8.
Suicide rates among those employed in male-dominated professions such as construction are elevated compared to other occupational groups. Thus far, past research has been mainly quantitative and has been unable to identify the complex range of risk and protective factors that surround these suicides.
We used a national coronial database to qualitatively study work and non-work related influences on male suicide occurring in construction workers in Australia. We randomly selected 34 cases according to specific sampling framework. Thematic analysis was used to develop a coding structure on the basis of pre-existing theories in job stress research.
The following themes were established on the basis of mutual consensus: mental health issues prior to death, transient working experiences (i.e., the inability to obtain steady employment), workplace injury and chronic illness, work colleagues as a source of social support, financial and legal problems, relationship breakdown and child custody issues, and substance abuse.
Work and non-work factors were often interrelated pressures prior to death. Suicide prevention for construction workers needs to take a systematic approach, addressing work-level factors as well as helping those at-risk of suicide.
与其他职业群体相比，从事建筑等男性主导职业的人群自杀率较高。迄今为止，以往的研究主要是定量研究，未能识别围绕这些自杀事件的复杂风险和保护因素范围。
我们使用国家死因裁判数据库，对澳大利亚建筑工人中男性自杀的工作相关和非工作相关影响进行定性研究。我们根据特定抽样框架随机选择了34个案例。主题分析用于在工作压力研究的现有理论基础上建立编码结构。
基于相互共识确定了以下主题：死亡前的心理健康问题、短暂的工作经历（即无法获得稳定就业）、工作场所受伤和慢性病、作为社会支持来源的同事、财务和法律问题、关系破裂和子女监护问题以及药物滥用。
工作和非工作因素在死亡前往往是相互关联的压力。建筑工人的自杀预防需要采取系统方法，解决工作层面的因素，并帮助那些有自杀风险的人。
