Tyler Simon, Hunkin Hugh, Pusey Kelly, Gunn Kate, Clifford Bob, Procter Nicholas
Arch Suicide Res. 2023 Oct-Dec;27(4):1134-1146. doi: 10.1080/13811118.2022.2131488. Epub 2022 Oct 13.
With research suggesting an increased risk of suicide for those employed in the construction industry the present review aimed to provide an updated, targeted, and rigorous estimate of the relative risk of suicide for this population.
Comprehensive searches of Medline, Psycinfo, Embase, Emcare, Web of Science, and Scopus databases, as well as grey literature and reference lists, were undertaken to identify studies which reported the rate or risk of construction industry workers' suicide. Only samples that did not incorporate other industries and utilized reference groups deemed representative of the general or employed populations, were included.
Eleven studies were included in the review. Primary analysis was undertaken on seven studies deemed to have wholly samples wholly representative of the construction industry. Despite a high level of heterogeneity ( = 98%), results suggest increased risk of construction worker suicide compared to the wider population. Random effect meta-analysis indicated a pooled relative suicide risk = 1.25 (95% CI 1.03-1.52), reported. A sensitivity analysis using less stringent inclusion criteria, demonstrated the robustness of these findings.
Despite limitations, this paper suggests that construction industry employees may have an elevated risk of suicide. Additionally, this review highlights the need for further research, using standardized methodologies, to generate more robust understandings. Future research will benefit by accounting for locale-specific cultural and socio-political factors and attempting to quantify more specific drivers of suicide risk for this population.
研究表明建筑行业从业者自杀风险增加，本综述旨在对该人群自杀的相对风险提供最新、有针对性且严谨的评估。
全面检索了Medline、Psycinfo、Embase、Emcare、科学引文索引和Scopus数据库，以及灰色文献和参考文献列表，以识别报告建筑行业工人自杀率或风险的研究。仅纳入未包含其他行业且使用被认为代表一般人群或就业人群的参照组的样本。
该综述纳入了11项研究。对7项被认为样本完全代表建筑行业的研究进行了初步分析。尽管异质性程度很高（I² = 98%），但结果表明建筑工人自杀风险高于更广泛的人群。随机效应荟萃分析表明，汇总的相对自杀风险为1.25（95%置信区间1.03 - 1.52）。使用不太严格的纳入标准进行的敏感性分析证明了这些发现的稳健性。
尽管存在局限性，但本文表明建筑行业员工可能自杀风险较高。此外，本综述强调需要使用标准化方法进行进一步研究，以产生更有力的认识。未来的研究通过考虑特定地区的文化和社会政治因素，并试图量化该人群自杀风险的更具体驱动因素，将受益匪浅。
