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Low Control and High Demands at Work as Risk Factors for Suicide An Australian National Population-Level Case-Control Study

Identifieur interne : 000109 ( France/Analysis ); précédent : 000108; suivant : 000110

Low Control and High Demands at Work as Risk Factors for Suicide An Australian National Population-Level Case-Control Study

Auteurs : Allison Milner [France] ; Matthew J. Spittal [Australie] ; Jane Pirkis [Australie] ; Jean-François Chastang [France] ; Isabelle Niedhammer [France] ; Anthony D. Lamontagne [Australie]

Source :

RBID : Hal:hal-01881593

Abstract

Objective - Previous research suggests that psychosocial job stressors may be plausible risk factors for suicide. This study assessed the relationship between psychosocial job stressors and suicide mortality across the Australian population. Methods - We developed a job exposure matrix to objectively measure job stressors across the working population. Suicide data came from a nationwide coronial register. Living controls were selected from a nationally representative cohort study. Incidence density sampling was used to ensure that controls were sampled at the time of death of each case. The period of observation for both cases and controls was 2001 to 2012. We used multilevel logistic regression to assess the odds of suicide in relation to 2 psychosocial job stressors (job control and job demands), after matching for age, sex, and year of death/survey and adjusting for socioeconomic status. Results - Across 9,010 cases and 14,007 matched controls, our results suggest that low job control (odds ratio [OR], 1.35; 95% confidence interval [CI], 1.26-1.44; p < .001) and high job demands (OR, 1.36; 95% CI, 1.26-1.46; p < .001) were associated with increased odds of male suicide after adjusting for socioeconomic status. High demands were associated with lower odds of female suicide (OR, 0.81; 95% CI, 0.72-0.92; p = .002). Conclusions - It seems that adverse experiences at work are a risk factor for male suicide while not being associated with an elevated risk among females. Future studies on job stressors and suicide are needed, both to further understand the biobehavioral mechanisms explaining the link between job stress and suicide, and to inform targeted prevention initiatives.


Url:
DOI: 10.1097/PSY.0000000000000389


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Hal:hal-01881593

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<orgName>Université d'Angers</orgName>
<orgName type="acronym">UA</orgName>
<date type="start">1971-10-25</date>
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<address>
<addrLine>Université d'Angers - 40 Rue de Rennes, BP 73532 - 49035 Angers CEDEX 01</addrLine>
<country key="FR"></country>
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<ref type="url">http://www.univ-angers.fr/</ref>
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<orgName>Université de Rennes 1</orgName>
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<address>
<addrLine>2 rue du Thabor - CS 46510 - 35065 Rennes cedex</addrLine>
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<orgName>Université de Rennes</orgName>
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<date type="start">2018-01-01</date>
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<address>
<country key="FR"></country>
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<orgName>École des Hautes Études en Santé Publique [EHESP]</orgName>
<orgName type="acronym">EHESP</orgName>
<date type="start">2016-06-20</date>
<desc>
<address>
<addrLine>15, avenue du Pr. Léon Bernard - 35043 Rennes Cedex</addrLine>
<country key="FR"></country>
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<ref type="url">http://www.ehesp.fr/</ref>
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<tutelle name="U1085" active="#struct-303623" type="indirect">
<org type="institution" xml:id="struct-303623" status="VALID">
<idno type="IdRef">026388278</idno>
<orgName>Institut National de la Santé et de la Recherche Médicale</orgName>
<orgName type="acronym">INSERM</orgName>
<desc>
<address>
<addrLine>101, rue de Tolbiac, 75013 Paris </addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.inserm.fr</ref>
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<org type="institution" xml:id="struct-453207" status="VALID">
<orgName>Structure Fédérative de Recherche en Biologie et Santé de Rennes </orgName>
<orgName type="acronym"> Biosit : Biologie - Santé - Innovation Technologique </orgName>
<desc>
<address>
<addrLine>Université Rennes 1 - Campus Santé Villejean - 2, avenue Professeur Léon Bernard 35043 Rennes cedex</addrLine>
<country key="FR"></country>
</address>
</desc>
</org>
</tutelle>
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</hal:affiliation>
<country>France</country>
<placeName>
<settlement type="city">Angers</settlement>
<region type="region" nuts="2">Pays de la Loire</region>
</placeName>
<orgName type="university">Université d'Angers</orgName>
<placeName>
<settlement type="city">Rennes</settlement>
<region type="region" nuts="2">Région Bretagne</region>
</placeName>
<orgName type="university">Université de Rennes 1</orgName>
<orgName type="institution" wicri:auto="newGroup">Université européenne de Bretagne</orgName>
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</author>
<author>
<name sortKey="Niedhammer, Isabelle" sort="Niedhammer, Isabelle" uniqKey="Niedhammer I" first="Isabelle" last="Niedhammer">Isabelle Niedhammer</name>
<affiliation wicri:level="1">
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<idno type="RNSR">201722263E</idno>
<orgName>Institut de recherche en santé, environnement et travail</orgName>
<orgName type="acronym">Irset</orgName>
<desc>
<address>
<addrLine>263 avenue Général Leclerc 35042 Rennes Cedex</addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.irset.org</ref>
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<orgName>Université d'Angers</orgName>
<orgName type="acronym">UA</orgName>
<date type="start">1971-10-25</date>
<desc>
<address>
<addrLine>Université d'Angers - 40 Rue de Rennes, BP 73532 - 49035 Angers CEDEX 01</addrLine>
<country key="FR"></country>
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<ref type="url">http://www.univ-angers.fr/</ref>
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<orgName type="acronym">UR1</orgName>
<desc>
<address>
<addrLine>2 rue du Thabor - CS 46510 - 35065 Rennes cedex</addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.univ-rennes1.fr/</ref>
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<orgName>Université de Rennes</orgName>
<orgName type="acronym">UNIV-RENNES</orgName>
<date type="start">2018-01-01</date>
<desc>
<address>
<country key="FR"></country>
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<org type="institution" xml:id="struct-301986" status="VALID">
<orgName>École des Hautes Études en Santé Publique [EHESP]</orgName>
<orgName type="acronym">EHESP</orgName>
<date type="start">2016-06-20</date>
<desc>
<address>
<addrLine>15, avenue du Pr. Léon Bernard - 35043 Rennes Cedex</addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.ehesp.fr/</ref>
</desc>
</org>
</tutelle>
<tutelle name="U1085" active="#struct-303623" type="direct">
<org type="institution" xml:id="struct-303623" status="VALID">
<idno type="IdRef">026388278</idno>
<orgName>Institut National de la Santé et de la Recherche Médicale</orgName>
<orgName type="acronym">INSERM</orgName>
<desc>
<address>
<addrLine>101, rue de Tolbiac, 75013 Paris </addrLine>
<country key="FR"></country>
</address>
<ref type="url">http://www.inserm.fr</ref>
</desc>
</org>
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<org type="institution" xml:id="struct-453207" status="VALID">
<orgName>Structure Fédérative de Recherche en Biologie et Santé de Rennes </orgName>
<orgName type="acronym"> Biosit : Biologie - Santé - Innovation Technologique </orgName>
<desc>
<address>
<addrLine>Université Rennes 1 - Campus Santé Villejean - 2, avenue Professeur Léon Bernard 35043 Rennes cedex</addrLine>
<country key="FR"></country>
</address>
</desc>
</org>
</tutelle>
</tutelles>
</hal:affiliation>
<country>France</country>
<placeName>
<settlement type="city">Angers</settlement>
<region type="region" nuts="2">Pays de la Loire</region>
</placeName>
<orgName type="university">Université d'Angers</orgName>
<placeName>
<settlement type="city">Rennes</settlement>
<region type="region" nuts="2">Région Bretagne</region>
</placeName>
<orgName type="university">Université de Rennes 1</orgName>
<orgName type="institution" wicri:auto="newGroup">Université européenne de Bretagne</orgName>
</affiliation>
</author>
<author>
<name sortKey="Lamontagne, Anthony D" sort="Lamontagne, Anthony D" uniqKey="Lamontagne A" first="Anthony D" last="Lamontagne">Anthony D. Lamontagne</name>
<affiliation wicri:level="1">
<hal:affiliation type="institution" xml:id="struct-303399" status="VALID">
<orgName>Deakin University [Burwood] </orgName>
<date type="start">2017-02-16</date>
<desc>
<address>
<addrLine>221 Burwood HighwayBurwood VIC 3125</addrLine>
<country key="AU"></country>
</address>
<ref type="url">http://www.deakin.edu.au/</ref>
</desc>
</hal:affiliation>
<country>Australie</country>
</affiliation>
</author>
</analytic>
<idno type="DOI">10.1097/PSY.0000000000000389</idno>
<series>
<title level="j">Psychosomatic Medicine</title>
<idno type="ISSN">0033-3174</idno>
<imprint>
<date type="datePub">2017</date>
</imprint>
</series>
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<front>
<div type="abstract" xml:lang="en">
<p>Objective - Previous research suggests that psychosocial job stressors may be plausible risk factors for suicide. This study assessed the relationship between psychosocial job stressors and suicide mortality across the Australian population. Methods - We developed a job exposure matrix to objectively measure job stressors across the working population. Suicide data came from a nationwide coronial register. Living controls were selected from a nationally representative cohort study. Incidence density sampling was used to ensure that controls were sampled at the time of death of each case. The period of observation for both cases and controls was 2001 to 2012. We used multilevel logistic regression to assess the odds of suicide in relation to 2 psychosocial job stressors (job control and job demands), after matching for age, sex, and year of death/survey and adjusting for socioeconomic status. Results - Across 9,010 cases and 14,007 matched controls, our results suggest that low job control (odds ratio [OR], 1.35; 95% confidence interval [CI], 1.26-1.44; p < .001) and high job demands (OR, 1.36; 95% CI, 1.26-1.46; p < .001) were associated with increased odds of male suicide after adjusting for socioeconomic status. High demands were associated with lower odds of female suicide (OR, 0.81; 95% CI, 0.72-0.92; p = .002). Conclusions - It seems that adverse experiences at work are a risk factor for male suicide while not being associated with an elevated risk among females. Future studies on job stressors and suicide are needed, both to further understand the biobehavioral mechanisms explaining the link between job stress and suicide, and to inform targeted prevention initiatives.</p>
</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Australie</li>
<li>France</li>
</country>
<region>
<li>Pays de la Loire</li>
<li>Région Bretagne</li>
</region>
<settlement>
<li>Angers</li>
<li>Rennes</li>
</settlement>
<orgName>
<li>Université d'Angers</li>
<li>Université de Rennes 1</li>
<li>Université européenne de Bretagne</li>
</orgName>
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<tree>
<country name="France">
<noRegion>
<name sortKey="Milner, Allison" sort="Milner, Allison" uniqKey="Milner A" first="Allison" last="Milner">Allison Milner</name>
</noRegion>
<name sortKey="Chastang, Jean Francois" sort="Chastang, Jean Francois" uniqKey="Chastang J" first="Jean-François" last="Chastang">Jean-François Chastang</name>
<name sortKey="Niedhammer, Isabelle" sort="Niedhammer, Isabelle" uniqKey="Niedhammer I" first="Isabelle" last="Niedhammer">Isabelle Niedhammer</name>
</country>
<country name="Australie">
<noRegion>
<name sortKey="Spittal, Matthew J" sort="Spittal, Matthew J" uniqKey="Spittal M" first="Matthew J" last="Spittal">Matthew J. Spittal</name>
</noRegion>
<name sortKey="Lamontagne, Anthony D" sort="Lamontagne, Anthony D" uniqKey="Lamontagne A" first="Anthony D" last="Lamontagne">Anthony D. Lamontagne</name>
<name sortKey="Pirkis, Jane" sort="Pirkis, Jane" uniqKey="Pirkis J" first="Jane" last="Pirkis">Jane Pirkis</name>
</country>
</tree>
</affiliations>
</record>

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