Working hours are closely associated with depressive mood and suicidal ideation in Korean adults: a nationwide cross-sectional study.

Long working hours have been presumed to negatively influence health. However, evidence is lacking regarding any associations of working hours with depressive mood or suicidal ideation. We investigated the relationships of working hours with depressive mood and suicidal ideation in a representative sample of the Korean general population. We analyzed data collected by the Korea National Health and Nutrition Examination Surveys VI and VII (2013-2018). Depressive mood and suicidal ideation were identified through self-reporting. We divided participants into four groups according to weekly working hours: 30-40, 41-50, 51-60, and > 60 h/week. Sampling weights were applied to obtain estimates for the general Korean population. We analyzed 14,625 participants, of whom 5383 (36.8%), 4656 (31.8%), 2553 (17.5%), and 2033 (13.9%) worked 30-40, 41-50, 51-60, and > 60 h/week, respectively. In these groups, 3.6%, 4.4%, 5.2%, and 6.3% of the participants reported depressive mood, while 1.8%, 1.9%, 2.2%, and 3.6% reported suicidal ideation. In multiple regression analyses, compared with the 30-40 h/week group, the adjusted odds ratios of the 41-50, 51-60, and > 60 h/week groups for depressive mood were 1.35 (1.08-1.69), 1.5 (1.14-1.97), and 1.6 (1.19-2.14). A similar trend was evident for suicidal ideation (odds ratios 1.16 [0.82-1.63], 1.48 [0.99-2.21], and 2.29 [1.53-3.42]). Long working hours are significantly associated with depressive mood and suicidal ideation.