Institute of Health and Environment, Seoul National University, Seoul, Republic of Korea.
Department of Preventive Medicine, College of Medicine, Seoul National University, Seoul, Republic of Korea.
Am J Ind Med. 2019 Dec;62(12):1144-1151. doi: 10.1002/ajim.23050. Epub 2019 Sep 23.
Although self-employed persons have greater autonomy, schedule flexibility, and control over their work than employees, they may be among the most vulnerable workers due to the lack of social benefits and protection from labor law and regulations. We compared suicidal behaviors between the self-employed and standardly employed workers.
This study used the 2008 Korean Community Health Survey data and included a total of 64 802 working population. Self-employed persons were classified into "small business self-employed persons" with zero to four employees and "middle to large business" with more than five employees. The outcomes were suicidal ideation and suicide attempts.
Of the 64 802 participants, 40 422 were engaged in standard employment, and 24 380 were self-employed, with almost 90% (n = 21 970) being engaged in small businesses. Persons self-employed, compared with standard workers, were more likely to report suicidal ideation in both small (odds ratio [OR] = 1.25; 95% confidence interval [CI], 1.15-1.35) and middle to large businesses (OR = 1.32; 95% CI, 1.09-1.61). On the other hand, the likelihood for suicide attempt was only significant in persons self-employed in small businesses (OR = 1.67; 95% CI, 1.11-2.45).
Self-employed persons were associated with greater odds of reporting suicidal behaviors than workers with standard employment. Among the self-employed, small business owners were particularly vulnerable to suicide attempts.
虽然个体经营者比雇员拥有更大的自主权、工作时间灵活性和对工作的掌控权，但由于缺乏社会福利和劳动法法规的保护，他们可能是最脆弱的工人之一。我们比较了个体经营者和标准就业工人之间的自杀行为。
本研究使用了 2008 年韩国社区健康调查数据，共纳入了 64802 名在职人群。个体经营者分为拥有 0 至 4 名员工的“小微企业个体经营者”和拥有 5 名以上员工的“中大型企业”。结果是自杀意念和自杀企图。
在 64802 名参与者中，40422 人从事标准就业，24380 人从事个体经营，其中近 90%（n=21970）从事小微企业。与标准工人相比，个体经营者更有可能报告出现自杀意念，无论是小微企业（优势比[OR]=1.25；95%置信区间[CI]，1.15-1.35）还是中大型企业（OR=1.32；95% CI，1.09-1.61）。另一方面，只有在小微企业个体经营者中，自杀企图的可能性才有统计学意义（OR=1.67；95% CI，1.11-2.45）。
与标准就业工人相比，个体经营者报告自杀行为的可能性更大。在个体经营者中，小微企业主尤其容易自杀。
