Centre for Health Equity, The University of Melbourne, VIC, Australia.
Centre for Mental Health, The University of Melbourne, VIC, Australia.
Crisis. 2020 Jan;41(1):54-63. doi: 10.1027/0227-5910/a000610. Epub 2019 Jul 16.
Suicide rates are higher among unemployed men as well as those employed in male-dominated occupations such as construction. There has been less research on whether these patterns are similar for suicide ideation and attempt. In a cohort of 13,892 Australian males, this study examined the relationship between employment status and occupational gender ratio on reported thoughts of suicide and suicide attempts. Men reporting suicide ideation or attempts at Wave 1 were removed from the sample. Logistic regression was used to examine Wave 1 employment status and occupational gender ratio and Wave 2 reported suicide ideation and attempts, controlling for confounders (measured in Wave 1). We conducted a sensitivity analysis controlling for mental health status. Those who were unemployed or not in the labor force had elevated rates of suicide ideation (unemployed = 1.91, 95% CI [1.30, 2.82], = .001; not in the labor force = 1.68, 95% CI [1.09, 2.60], = .020). Those who were not in the labor force had greater odds of attempts ( = 2.32, 95% CI [1.05, 5.12], = .037). There was no association between occupational gender ratio and suicide ideation or attempt. We only had single item measures of ideation and attempts. There is a need for further investigation into risk factors for suicide among males, both when they are in and out of employment.
失业率较高的男性以及从事建筑等男性主导职业的男性自杀率较高。关于这些模式是否与自杀意念和自杀企图相似的研究较少。本研究在 13892 名澳大利亚男性队列中，考察了就业状况和职业性别比例与报告自杀意念和自杀企图的关系。从样本中删除了在第 1 波报告自杀意念或企图的男性。使用逻辑回归检查第 1 波就业状况和职业性别比例与第 2 波报告的自杀意念和企图，控制混杂因素（第 1 波测量）。我们进行了一项敏感性分析，控制心理健康状况。失业或未就业的人自杀意念发生率较高（失业者=1.91，95%置信区间[1.30，2.82]， =.001；未就业者=1.68，95%置信区间[1.09，2.60]， =.020）。未就业者自杀企图的几率更高（ = 2.32，95%置信区间[1.05，5.12]， =.037）。职业性别比例与自杀意念或企图无关。我们只有关于意念和企图的单项措施。需要进一步调查男性在就业和失业时的自杀风险因素。
