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根据职业和其他就业变量的自杀意念患病率。

The Prevalence of Suicidal Ideation According to Occupation and Other Employment Variables.

作者信息

Niedhammer Isabelle, Pineau Elodie, Bertrais Sandrine

机构信息

INSERM, University of Angers, Angers, France.

出版信息

Crisis. 2025 Jan;46(1):17-31. doi: 10.1027/0227-5910/a000982. Epub 2024 Nov 29.

Abstract

The literature is scant on the associations between employment-related variables and suicidal ideation. The objectives were to explore these associations in the national French working population. The study relied on two independent national French surveys and their samples of 22,420 workers (employees and self-employed workers) and 25,628 employees, respectively. Employment variables included occupation, economic activity of the company, public/private sector, company size, permanent/temporary work, full/part time, seniority, and employee/self-employed worker. Suicidal ideation was assessed using one item. The associations between employment variables and suicidal ideation were studied using bi- and multivariable weighted analyses (Rao-Scott Chi-2 test and logistic regression). Gender differences were explored and covariates were taken into account. : The associations between employment variables and suicidal ideation were mostly not statistically significant. Some differences in suicidal ideation between occupations and economic activities were difficult to interpret due to overlaps in the confidence intervals. The prevalence of suicidal ideation increased with seniority among employees. The study design was cross-sectional. The studied employment variables may have little effect on suicidal ideation. As suicidal ideation is a risk factor for suicide, more research is needed to explore the work-related risk factors for suicide and suicidal ideation.

摘要

关于与就业相关的变量和自杀意念之间的关联,文献资料匮乏。本研究的目的是在法国全国劳动人口中探究这些关联。该研究依赖于两项独立的法国全国性调查,其样本分别为22420名工人(雇员和个体经营者)和25628名雇员。就业变量包括职业、公司的经济活动、公共/私营部门、公司规模、长期/临时工作、全职/兼职、工龄以及雇员/个体经营者。自杀意念通过一个项目进行评估。使用双变量和多变量加权分析(Rao-Scott卡方检验和逻辑回归)研究就业变量与自杀意念之间的关联。探讨了性别差异并考虑了协变量。就业变量与自杀意念之间的关联大多无统计学意义。由于置信区间存在重叠,职业和经济活动之间在自杀意念方面的一些差异难以解释。雇员中自杀意念的患病率随工龄增加而上升。该研究设计为横断面研究。所研究的就业变量可能对自杀意念影响不大。由于自杀意念是自杀的一个风险因素,因此需要更多研究来探究与工作相关的自杀和自杀意念风险因素。

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