National Centre for Epidemiology and Population Health, Research School of Population Health, The Australia National University, Canberra, ACT 0200, Australia.
Centre for Mental Health, Melbourne School of Population and Global Health, The University of Melbourne, Parkville, VIC 3052, Australia.
Int J Environ Res Public Health. 2020 Feb 24;17(4):1448. doi: 10.3390/ijerph17041448.
Workplace bullying adversely affects mental health, yet little is known about the outcomes for suicidal ideation. The current study used Australian population-based data to investigate the association between workplace bullying and suicidal ideation. The sample included 1488 employed participants aged 52-58 from wave 4 of the Personality and Total Health (PATH) Through Life Study. Workplace bullying was measured in two ways: (a) a single item asked about experiences of bullying 'currently', 'previously in the current workplace' and 'in a past workplace', and (b) 15 items asked about bullying behaviours experienced in the past 6 months. Suicidal ideation was measured using items from the Psychiatric Symptom Frequency Scale (PSF) and the Patient Health Questionnaire-9 (PHQ-9). Psychosocial job quality, both current and prior, was adjusted for. Current and past experiences of workplace bullying were associated with increased risk of suicidal ideation. Current experiences were no longer associated after adjusting for concurrent indicators of psychosocial job stress, although a tendency for increased ideation remained. Reported prior experience of workplace bullying in a remained associated with higher odds of suicidal ideation after adjusting for prior psychosocial job stressors and excluding individuals with prior suicidal ideation. Being bullied at work is associated with increased risk of suicidal thoughts, although this occurs within the broader influence of other psychologically stressful employment conditions.
工作场所欺凌对心理健康有不良影响，但对于自杀意念的后果知之甚少。本研究使用澳大利亚基于人群的数据，调查了工作场所欺凌与自杀意念之间的关联。样本包括来自人格与整体健康（PATH）终身研究第 4 波的 1488 名 52-58 岁的在职参与者。工作场所欺凌以两种方式进行衡量：（a）一个项目询问了目前、当前工作场所以前和过去工作场所的欺凌经历；（b）15 个项目询问了过去 6 个月经历的欺凌行为。自杀意念使用精神症状频率量表（PSF）和患者健康问卷-9（PHQ-9）的项目进行衡量。调整了当前和以前的心理社会工作质量。目前和以前的工作场所欺凌经历与自杀意念的风险增加有关。在调整了同期心理社会工作压力的指标后，目前的经历不再与自杀意念相关，但仍存在增加的趋势。在调整了以前的心理社会工作压力因素并排除了以前有自杀意念的个体后，报告的以前在工作场所遭受欺凌的经历仍与自杀意念的更高几率相关。在工作中受到欺凌与自杀念头的风险增加有关，但这是在其他心理压力大的就业条件的广泛影响下发生的。
