1 Department of Health Policy, McMaster University, Hamilton, Ontario, Canada.
Int J Health Serv. 2018 Jul;48(3):512-534. doi: 10.1177/0020731418767548. Epub 2018 Apr 3.
Despite vigorous interest in showing the association between economic determinants and suicide, not many studies have focused on the social protection that can moderate the detrimental impact of the economic environment on suicide. This article is the first to review the relationship between suicide and social protection. In this article, I summarize the empirical findings and theoretical approaches in published papers on the relationship between suicide and social protection, and I identify knowledge gaps for future studies. The review included all quantitative and qualitative articles published in peer-reviewed journals, regardless of study setting, language, and time period. Among 19 papers meeting the inclusion criteria, 16 studies reported at least one negative association, 2 studies failed to prove a statistical association, and 1 study showed ambiguous results. However, due to the heterogeneity of contexts, the diversity of indicators of social protection, and the paucity of theoretical mechanisms for interpreting the results, further research is required in this area.
尽管人们对展示经济决定因素与自杀之间的关联非常感兴趣,但很少有研究关注社会保护,可以减轻经济环境对自杀的不利影响。本文是第一篇综述自杀与社会保护之间关系的文章。在本文中,我总结了已发表的关于自杀与社会保护之间关系的实证研究结果和理论方法,并确定了未来研究的知识空白。本综述包括发表在同行评议期刊上的所有定量和定性文章,无论研究设置、语言和时间段如何。在符合纳入标准的 19 篇论文中,有 16 项研究报告了至少一项负面关联,2 项研究未能证明存在统计学关联,1 项研究结果不明确。然而,由于背景的异质性、社会保护指标的多样性以及解释结果的理论机制的缺乏,该领域还需要进一步的研究。