Harris William, Trueblood Amber B, Yohannes Thomas, Rodman Christopher P, Rinehart Rick
Data Center, CPWR-The Center for Construction Research and Training, Silver Spring, Maryland, USA.
Executive Director's Office, CPWR-The Center for Construction Research and Training, Silver Spring, Maryland, USA.
Am J Ind Med. 2025 Mar;68 Suppl 1:S144-S151. doi: 10.1002/ajim.23632. Epub 2024 Jul 11.
Construction workers have the second highest suicide death rate; despite this, there is limited literature examining suicides in the industry, which is necessary to identify those at higher risk of death by suicide. The objective of this study was to examine the characteristics of those who died by suicide in construction to address this knowledge gap.
Data from the National Center for Health Statistics National Vital Statistics System 2021 public use Mortality Multiple Cause-of-Death file were used to identify deaths by suicide, while denominator data for rates come from the 2021 Current Population Survey.
In 2021, construction workers were disproportionately affected by suicide deaths. Almost a fifth (17.9%) of deaths by suicide with a reported industry code were in construction, despite construction workers accounting for only 7.4% of the workforce. Male construction workers accounted for a majority (97.8%) of suicide deaths. The highest percent of deaths by suicide were among individuals who were white, non-Hispanic, completed high school or equivalent, and single, across construction and all industries for males and females.
Male and female construction workers had the highest rates of suicide across all characteristics when compared to all industries. Our findings support the need for ongoing prevention efforts within the industry. Future research is needed to understand suicide risk among certain characteristics and occupations. In addition, the work environment or other work-related factors should be studied to understand how the unique nature of the construction industry may be associated with higher suicide rates.
建筑工人的自杀死亡率位居第二；尽管如此，关于该行业自杀情况的文献有限，而这对于识别自杀死亡风险较高的人群是必要的。本研究的目的是调查建筑行业自杀死亡者的特征，以填补这一知识空白。
利用美国国家卫生统计中心2021年全国生命统计系统公开使用的多重死因死亡率文件数据来识别自杀死亡情况，而率的分母数据来自2021年当前人口调查。
2021年，建筑工人受自杀死亡的影响尤为严重。在报告了行业代码的自杀死亡案例中，近五分之一（17.9%）发生在建筑行业，尽管建筑工人仅占劳动力总数的7.4%。男性建筑工人占自杀死亡人数的大多数（97.8%）。在建筑行业以及所有行业的男性和女性中，自杀死亡比例最高的是白人、非西班牙裔、完成高中学业或同等学历且单身的人群。
与所有行业相比，男性和女性建筑工人在所有特征方面的自杀率最高。我们的研究结果支持在该行业持续开展预防工作的必要性。未来需要进行研究，以了解某些特征和职业中的自杀风险。此外，应研究工作环境或其他与工作相关的因素，以了解建筑行业的独特性质可能如何与较高的自杀率相关联。
