Wang Tianying, Butterworth Peter, Cooklin Amanda, Strazdins Lyndall, Leach Liana
National Centre for Epidemiology and Population Health (NCEPH), The Australian National University, Canberra, Australia.
School of Psychology, Deakin University, Melbourne, Australia.
J Affect Disord. 2024 Oct 15;363:483-491. doi: 10.1016/j.jad.2024.07.047. Epub 2024 Jul 15.
Suicidal ideation, a significant public health issue, necessitates further investigation of its correlates and precursors. Extensive research highlights the association between Work Family Conflicts (WFC) and psychological distress, including depression. However, research examining the correlation between high WFC experiences and suicidal ideation is sparse. This study explores the association between WFC and suicidal ideation within an occupation non-specific community sample.
Community-based, representative data from the Australian-based Personality and Total Health (PATH) Through Life project formed the basis of this study. Participants eligible for the study (N = 1312) were employed either full-time or part-time and took part in an online questionnaire. Importantly, the data include robust measures of WFC, active suicidal ideation, and depression.
After adjusting for psychosocial job characteristics, history of suicidal ideation, and other socio-demographic factors, high WFC was associated with increased odds of active suicidal ideation (Model 4: OR: 1.58, CI: 1.04-2.40). Further, supplementary analyses indicated that depression is an important component of this relationship. Analyses exploring an interaction effect by gender showed that while a significant association between high WFC and suicidality was observed among men after adjustment for all covariates, this association was not evident for women.
A small number of participants reported suicidal ideation, potentially affecting the statistical power to detect significant effects. WFC was measured at one time-point, prohibiting the exploration of its causal and/or chronic impact on suicidal ideation.
We find evidence that high WFC is linked to increased active suicidal ideation - specifically for men.
自杀意念是一个重大的公共卫生问题，需要进一步研究其相关因素和先兆。广泛的研究强调了工作家庭冲突（WFC）与心理困扰（包括抑郁症）之间的关联。然而，研究高WFC经历与自杀意念之间相关性的研究较少。本研究探讨了职业非特定社区样本中WFC与自杀意念之间的关联。
基于澳大利亚的“贯穿一生的人格与总体健康（PATH）”项目的社区代表性数据构成了本研究的基础。符合研究条件的参与者（N = 1312）为全职或兼职受雇人员，并参与了在线问卷调查。重要的是，数据包括WFC、主动自杀意念和抑郁症的可靠测量指标。
在调整了心理社会工作特征、自杀意念史和其他社会人口学因素后，高WFC与主动自杀意念的几率增加相关（模型4：OR：1.58，CI：1.04 - 2.40）。此外，补充分析表明抑郁症是这种关系的一个重要组成部分。按性别探索交互作用的分析表明，在对所有协变量进行调整后，虽然在男性中观察到高WFC与自杀倾向之间存在显著关联，但在女性中这种关联并不明显。
少数参与者报告有自杀意念，这可能会影响检测显著效应的统计效力。WFC是在一个时间点进行测量的，无法探索其对自杀意念的因果和/或长期影响。
我们发现有证据表明高WFC与主动自杀意念增加有关——特别是对男性而言。
