Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, VIC, Australia.
New Solut. 2024 Aug;34(2):71-82. doi: 10.1177/10482911241254836. Epub 2024 May 20.
Workers' compensation systems aim to financially support injured workers. However, seeking compensation often leads to poorer physical and mental health outcomes. This review examines previous studies to investigate the relationship between workers' compensation and mental health and self-harm outcomes. A three-tiered search strategy across five databases identified studies that examined workers' compensation claims as an exposure or risk factor, with outcomes related to mental health, self-harm and suicidality. Nine full-text studies were included; however, heterogeneity limited generalizability. Most studies supported an association between pursuing compensation and poorer mental health and self-harm outcomes. Some studies attributed this to specific aspects of the system such as justice perception and navigation of the claims system. Findings suggest an association between workers' compensation and mental health or self-harm outcomes. Inconclusive findings highlight the need for further research. Understanding the psychiatric impacts of pursuing compensation is crucial to help formulate a more accessible compensation system.
工伤保险制度旨在为受伤工人提供经济支持。然而，寻求赔偿往往会导致更糟糕的身心健康结果。本综述研究了先前的研究，以调查工伤保险与心理健康和自残结果之间的关系。通过在五个数据库中进行三级搜索策略，确定了研究工人赔偿要求作为暴露或风险因素的研究，其结果与心理健康、自残和自杀倾向有关。纳入了九项全文研究；然而，异质性限制了概括性。大多数研究支持追求赔偿与更差的心理健康和自残结果之间的关联。一些研究将其归因于系统的特定方面，例如正义感知和索赔系统的导航。研究结果表明，工伤保险与心理健康或自残结果之间存在关联。不确定的研究结果突出表明需要进一步研究。了解追求赔偿的精神影响对于帮助制定更易获得的赔偿制度至关重要。
