National Centre for Men's Health, South East Technological University (Carlow Campus), Kilkenny Road, Carlow, Ireland.
School of Business, South East Technological University (Waterford Campus), Cork Road, Waterford, Ireland.
BMC Public Health. 2024 May 8;24(1):1263. doi: 10.1186/s12889-024-18483-0.
Suicide among male construction workers are reported to be disproportionally high compared to the working age population. However, there is minimal understanding of the prevalence and associated factors for suicidal ideation, non-suicidal self-injury, and suicide attempt among this occupational group globally.
A cross-sectional study was conducted on a large sample of male construction workers in Ireland (n = 1,585). We investigated the prevalence of suicidal ideation, non-suicidal self-injury and suicide attempts and sociodemographic, occupational, and mental health factors associated with these three outcomes. Multivariable Poisson regression was performed to estimate the prevalence rate ratio of suicidal ideation (model 1 primary outcome), while multivariable logistic regression was used to estimate the odds ratio of non-suicidal self-injury (model 2 primary outcome), and suicide attempt (model 3 primary outcome).
The lifetime prevalence rate for suicidal ideation was 22%, 6% for non-suicidal self-injury, and 6% for suicide attempt. In univariate modelling, socio-demographic and occupation-specific factors associated with the three outcomes included younger age (suicidal ideation and non-suicidal self-injury), not being in a relationship (suicide attempt) and working 35-44 h per week (suicidal ideation and suicide attempt). The mental health factors generalized anxiety disorder, depression, and suicide bereavement were significantly associated with increased risk of the three outcomes. In fully adjusted multivariable models, increasing severity of generalized anxiety disorder and depression were associated with an increased prevalence rate ratio of suicidal ideation, and a higher odds ratio of non-suicidal self-injury and suicide attempt.
Suicidal ideation, non-suicidal self-injury and suicide attempt are significant issues for male construction workers that require specific attention. Findings highlight a need to support younger male construction workers and those bereaved by suicide. They also highlight the need for the early detection and treatment of generalized anxiety disorder and depression in order to intervene in, and potentially prevent, suicidality among male construction workers.
据报道，男性建筑工人的自杀率与同年龄段人口相比不成比例地高。然而，对于全球范围内这一职业群体的自杀意念、非自杀性自伤和自杀企图的流行程度和相关因素，了解甚少。
在爱尔兰对一大群男性建筑工人进行了横断面研究（n=1585）。我们调查了自杀意念、非自杀性自伤和自杀企图的流行程度，以及与这三种结果相关的社会人口学、职业和心理健康因素。多变量泊松回归用于估计自杀意念的患病率比（模型 1 主要结果），而多变量逻辑回归用于估计非自杀性自伤（模型 2 主要结果）和自杀企图（模型 3 主要结果）的优势比。
自杀意念的终生患病率为 22%，非自杀性自伤为 6%，自杀企图为 6%。在单变量模型中，与三种结果相关的社会人口学和职业特定因素包括年龄较小（自杀意念和非自杀性自伤）、没有恋爱关系（自杀企图）和每周工作 35-44 小时（自杀意念和自杀企图）。一般焦虑障碍、抑郁和自杀丧亲等心理健康因素与三种结果的风险增加显著相关。在完全调整的多变量模型中，一般焦虑障碍和抑郁严重程度的增加与自杀意念的患病率比增加相关，与非自杀性自伤和自杀企图的优势比增加相关。
自杀意念、非自杀性自伤和自杀企图是男性建筑工人的重大问题，需要特别关注。研究结果强调需要支持年轻的男性建筑工人和自杀丧亲者。它们还强调需要早期发现和治疗广泛性焦虑障碍和抑郁，以便在男性建筑工人中进行干预，并可能预防自杀。
