Psychosocial job stressors and suicidality: a meta-analysis and systematic review.
Identifieur interne : 004D57 ( Ncbi/Merge ); précédent : 004D56; suivant : 004D58Psychosocial job stressors and suicidality: a meta-analysis and systematic review.
Auteurs : Allison Milner [Australie] ; Katrina Witt [Australie] ; Anthony D. Lamontagne [Australie] ; Isabelle Niedhammer [France]Source :
- Occupational and environmental medicine [ 1470-7926 ] ; 2017.
Abstract
Job stressors are known determinants of common mental disorders. Over the past 10 years, there has been evidence that job stressors may also be risk factors for suicidality. The current paper sought to examine this topic through the first comprehensive systematic review and meta-analysis of the literature to date.
DOI: 10.1136/oemed-2017-104531
PubMed: 28851757
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<front><div type="abstract" xml:lang="en">Job stressors are known determinants of common mental disorders. Over the past 10 years, there has been evidence that job stressors may also be risk factors for suicidality. The current paper sought to examine this topic through the first comprehensive systematic review and meta-analysis of the literature to date.</div>
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<Title>Occupational and environmental medicine</Title>
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<ArticleTitle>Psychosocial job stressors and suicidality: a meta-analysis and systematic review.</ArticleTitle>
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<Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">Job stressors are known determinants of common mental disorders. Over the past 10 years, there has been evidence that job stressors may also be risk factors for suicidality. The current paper sought to examine this topic through the first comprehensive systematic review and meta-analysis of the literature to date.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We used a three-tier search strategy of seven electronic databases. Studies were included if they reported on a job stressor or job-related stress as an exposure and suicide ideation, self-harm, suicide attempt or suicide as an outcome. Two researchers independently screened articles. All extracted effect estimates were converted to log-transformed ORs.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">There were 22 studies that were included in meta-analysis. Overall, exposure to job stressors was associated with elevated risk of suicide ideation and behaviours. The OR for suicide ideation (14 studies) ranged from 1.45 (95% CI 1.01 to 2.08) for poor supervisor and colleague support to 1.91 (95% CI 1.22 to 2.99) for job insecurity. For suicide (six studies), exposure to lower supervisor and collegial support produced an OR of 1.16 (95% CI 0.98 to 1.38), while low job control resulted in an OR of 1.23 (95% CI 1.00 to 1.50). There were only two studies that examined suicide attempt, both of which suggested an adverse effect of exposure to job stressors.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study provides some evidence that job stressors may be related to suicidal outcomes. However, as most studies in the area were cross-sectional and observational in design, there is a need for longitudinal research to assess the robustness of observed associations.</AbstractText>
<CopyrightInformation>© Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.</CopyrightInformation>
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<AffiliationInfo><Affiliation>Work, Health and Wellbeing Unit, Centre for Population Health Research, School of Health and Social Development, Deakin University, Geelong, Victoria, Australia.</Affiliation>
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<AffiliationInfo><Affiliation>Work, Health and Wellbeing Unit, Centre for Population Health Research, School of Health and Social Development, Deakin University, Geelong, Victoria, Australia.</Affiliation>
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<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">employment</Keyword>
<Keyword MajorTopicYN="N">job control</Keyword>
<Keyword MajorTopicYN="N">job demands</Keyword>
<Keyword MajorTopicYN="N">job stress</Keyword>
<Keyword MajorTopicYN="N">self-harm</Keyword>
<Keyword MajorTopicYN="N">suicide</Keyword>
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<CoiStatement>Competing interests: None declared.</CoiStatement>
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