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美国代表性成年人样本中职业相关自杀观念差异,2002-2021 年一般社会调查。

Differences in Beliefs About Suicide by Occupation in a Representative Sample of Adults in the United States, General Social Survey 2002-2021.

出版信息

Arch Suicide Res. 2024 Apr-Jun;28(2):439-453. doi: 10.1080/13811118.2023.2190363. Epub 2023 Mar 14.

Abstract

OBJECTIVE

Beliefs about suicide are important aspects of suicide prevention gatekeeper trainings. This study sought to determine if workers in finance- and legal/judicial-related industries have significantly different levels of suicide acceptability compared to the general US population.

METHOD

Cross-sectional data are from the 2002 to 2021 General Social Survey (GSS). Suicide acceptability was measured with four dichotomous items to which respondents indicated yes/no if they thought someone has the right to end their life in four negative life scenarios. Occupational categories were coded based on U.S. Census Bureau occupation and industry codes. Covariates for multiple logistic regression analyses included age, educational attainment, sex, race, ethnicity, survey year, and religiosity.

RESULTS

Among the 15,166 respondents, 651 people worked in finance-related occupations and 319 people worked in legal/judicial-related occupations. In adjusted models, people in finance-related occupations had greater odds of endorsing suicide as acceptable if one has an incurable disease (aOR = 1.25, 95%CI = 1.03-1.52) and marginally greater odds of endorsing suicide as acceptable if one dishonors their family (aOR = 1.31, 95%CI = 0.99-1.74) than the general adult population. People in legal/judicial-related occupations were more likely to endorse 3 of the 4 suicide acceptability items compared to the general adult population, however these differences were not statistically significant after accounting for demographic factors.

CONCLUSION

Workers in non-clinical industries that frequently see clients during negative life events are prime audiences for gatekeeper trainings but may have entrenched beliefs about suicide acceptability. Research is needed to determine how these beliefs may impact gatekeeper training.

摘要

目的

自杀观念是自杀预防守门人培训的重要方面。本研究旨在确定金融和法律/司法相关行业的工作人员与一般美国人群相比,对自杀的可接受性是否有显著不同的水平。

方法

横断面数据来自 2002 年至 2021 年的一般社会调查(GSS)。使用四项二分制项目来衡量自杀可接受性,受访者在四种消极生活情境中,如果他们认为某人有权结束自己的生命,就会对这四项做出是/否的回答。职业类别是根据美国人口普查局的职业和行业代码进行编码的。多因素逻辑回归分析的协变量包括年龄、教育程度、性别、种族、民族、调查年份和宗教信仰。

结果

在 15166 名受访者中,有 651 人从事金融相关职业,319 人从事法律/司法相关职业。在调整后的模型中,从事金融相关职业的人如果患有不治之症,更有可能认为自杀是可以接受的(优势比[aOR] = 1.25,95%置信区间[95%CI] = 1.03-1.52),如果一个人侮辱了他们的家人,更有可能认为自杀是可以接受的(aOR = 1.31,95%CI = 0.99-1.74),而不是一般的成年人群。从事法律/司法相关职业的人比一般成年人群更有可能认可 4 项自杀可接受性项目中的 3 项,但在考虑了人口因素后,这些差异没有统计学意义。

结论

经常在负面生活事件中接待客户的非临床行业的工作人员是守门人培训的主要受众,但他们可能对自杀的可接受性有根深蒂固的信念。需要研究这些信念如何影响守门人培训。

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